Awakho Restaurant

Alteration of Liquor Licence Premises

APPLICATION: ALTERATION OF A LIQUOR LICENCE PREMISES

IN TERMS OF SECTION 37 OF THE MPUMALANGA LIQUOR LICENCING ACT, 2006

DETAILS OF THE LICENCE HOLDER

1 Name of the Licence Holder
2 Licence Number
3 New Trading Name of the Business, if changed from the existing licence certificate
4 Telephone Number
5 Mobile Number
6 E-Mail Address

PHYSICAL ADDRESS OF THE BUSINESS PREMISES

7 Shopping Complex or Mall
8 Shop Number
9 Street Number and Street Name
10 Farm or Plot
11 Stand Number
12 Village, Extension or Suburb
13 Area / Town
14 Local Municipality
15 GPS Coordinates

DETAILS OF THE ALTERATION(S)

16 Description of Alteration(s) Requested
17 Will the intended alteration change the outside walls or roofed area of the licensed premises? (Yes/No)
18 Will the intended alteration ONLY change the inside of the licensed premises? (Yes/No)
19 Will the intended alteration change the shop number or building within the same address of the licensed premises? (Yes/No)

ADMINISTRATIVE DETAILS

20 Proof of Payment
21 Signature
22 Designation / Job Title of signatory in question 24 (if not the Licence Holder)

ATTACHMENTS REQUIRED

  1. i Proof of Payment Not Applicable
  2. ii Sketch Plan / Floor Plan Old Plan that was submitted with the initial license application or subsequently approved by the MER.
  3. iii Sketch Plan / Floor Plan New Plan that clearly indicates the changes and/or alterations requested in this application.
  4. iv Approved Building Plan or Municipal Approval If the answer is “Yes” to question 16.
  5. v Power of Attorney or Extract of Minutes If the person referred to question 21 is not a registered manager in terms of section 45 of the Mpumalanga Liquor Licensing Act.
  6. vi Appointment letter issued by MER If the person referred to question 21 is a registered manager in terms of section 45 of the Mpumalanga Liquor Licensing Act.