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Your Borough Of Poole
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Designated Premises Supervisor Consent

You can use this application form to apply for the above licence. The application form is available in 2 forms -

  • a pdf version to print off and complete or
  • a Word version to download and type into which allows you to keep an electronic copy.

Note: For all copies sent to Environmental and Consumer Protection Services please clearly mark each envelope with LA2003.

We are unable to accept this form by email because it must have a signature. Please print the form, sign it and return it to the address below.

Return completed form to:
Environmental and Consumer Protection
Unit 1, New Fields Business Park, 2 Stinsford Road, Poole
BH17 0NF

Tel: 01202 261700
Email: environment@poole.gov.uk

go to 'apply for it' homepage

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Contact us

Email
environment@poole.gov.uk

Telephone
01202 261700

Text Relay
18001 01202 261700

Address
Environmental Services
Unit 1
Newfields Business Park
2 Stinsford Road
Poole
BH17 0NF