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Request for a review of conditions of licence/certificate

richardscamans • Apr 20, 2021

Complete this form.

Request for a review of conditions of licence/certificate which are believed to restrict or prevent licensed
activities being carried out in a reasonable manner during the current Covid-19 Pandemic.

PLEASE READ FOLLOWING INSTRUCTIONS BEFORE COMPLETING THE APPLICATION

Before completing this form please read the guidance notes at the end of the form. If you are completing this form by
hand please write legibly in block capitals. In all cases ensure your answers are inside the boxes and written in black
ink. Use additional sheets if necessary. You may wish to keep a copy of the completed form for your records.
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