Renewal of Off-Licence

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1 Applicatin fr Renewal f Off-Licence Sectin 127, Sale and Supply f Alchl Act 2012 General infrmatin: An applicatin fr renewal f club licence must be filed at least 20 wrking days befre the licence is due t expire. Office Use Only Applicatin Checklist: Supprting dcuments yu need t prvide with yur applicatin: Applicatin fee + public ntice fee This is an applicatin fee and is nn-refundable after the applicatin is received by the Hamiltn City Cuncil. (Please see infrmatin sheet n the last tw pages f this applicatin r cntact us fr assistance). Detailed A4 scale map f the interir f the premises shwing: i. the areas used fr sale f alchl ii. areas that are t be restricted r supervised iii. the principal entrance iv. the layut f the interir f the premises v. CCTV placement and security lighting (if applicable) vi. Fr supermarkets and grcery stres nly: the single area where alchl will be displayed must be clearly shwn. A Hst Respnsibility Plicy. Cpies f each current manager s certificate fr thse nminated t manage the premises. Evidence f staff training in hst respnsibility practices. Fr grcery stres nly: A statement f 12 mnths sales figures (verified by an accuntant) establishing the range f gd sld (as required by regulatins 12/13 f the sale and Supply f Alchl Regulatins 2013) Cpies f any prpsed advertising r prmtins (if applicable). If yu are applying fr the renewal f ff-licence n behalf f smene else: A cpy f the authrity t act as an agent f the applicant, signed by the applicant. Applicatins can be delivered t the Custmer Service Centre in Garden Place r psted t Hamiltn City Cuncil, Private Bag 3010, Hamiltn FEE DUE: Office Use Only: Accepted by: Receipt number: Receipt date: App Fee $ App Fee $ App Fee $ App Fee $ App Fee $ T T T T T T T T T T T T T T T

2 Applicatin fr Renewal f Off-Licence Sectin 127, Sale and Supply f Alchl Act 2012 T the Secretary District Licensing Cmmittee, Hamiltn City Cuncil Applicatin fr renewal f ff-licence is made in accrdance with the details set ut belw. Applicant details 1. Full legal name t appear n licence: (the licensee, i.e. the persn r rganisatin that the prceeds frm alchl sales are ging t): 2. Date f birth (if the applicant is an individual): 3. Occupatin (if the applicant is an individual): 4. Status f applicant: Individual persn Trustee Private cmpany Partnership Club Public cmpany Lcal authrity Licensing trust r cmmunity trust Other - advise what authrity under which incrprated Pstal address (fr service f dcuments): 6. Hme phne: Wrk phne: Pstcde: Mbile phne: 7. address:

3 8. Daytime cntact details (if different frm abve) Name: Phne number: Mbile number: address: 9. Des the applicant (r any cmpany directrs) have any criminal cnvictins? (ther than cnvictins fr ffences against prvisins f the Land Transprt Act 1998 nt cntained in Part 6, and ffences t which the Criminal Recrds (Clean Slate) Act 2004 applies) Yes N If YES, please state the nature f the ffence, date f cnvictin and penalty suffered: Nature f the ffence Date f cnvictin Penalty suffered Further details where applicant is a cmpany 10. Date and place f incrpratin: 11. State the full details f each directr: Name Address Date f birth Place f birth Designatin

4 12. If applicant is a private cmpany, state the full details f each persn wh hlds any shares issued by the cmpany: Name Sharehlder 1 Sharehlder 2 Sharehlder 3 Sharehlder 4 Address Date f birth Place f birth Designatin Number f shares 13. If applicant is a public cmpany, state the full details f each persn wh hlds 20% r mre f the shares, r f any class f shares, issued by the cmpany: Name Sharehlder 1 Sharehlder 2 Sharehlder 3 Sharehlder 4 Address Date f birth Place f birth Designatin Number f shares Further details where applicant is a partnership 14. State the full details f each partner: Name Partner 1 Partner 2 Partner 3 Partner 4 Address Date f birth Place f birth

5 15. Regarding the abve cmpany/partnership details, have there been any changes since the issue f the licence r last renewal? If s, what are thse changes? Premises details 16. Address f licensed premises: 17. Trading name: 18. Des the applicant wn the prpsed licensed premises? Yes N If NO, what is the full name and address f the wner? What frm f tenure and term f tenure will the applicant have? Business details 19. What is the general nature f the business cnducted by the applicant under the licence? (e.g. htel, tavern, supermarket, grcery stre, whlesaler, alchl retailer, ther) 20. Is the sale f alchl the principal purpse f the business? Yes N If NO, what is the principal purpse f the business?

6 21. On which days and during what hurs is alchl sld under the licence? 22. Is any endrsement sught, r sught t be renewed? Auctineer (Sectin 39) Yes N Remte sales (Sectin 40) Yes N Duty managers details 23. State the full details f each manager r prpsed manager: Name Date f birth Certificate number Expiry date Cnditins 24. What part (if any) f the premises is intended t be designated as (select at least ne): A restricted area (n ne under 18 allwed n site)? A supervised area (minrs allwed nly with parent r legal guardian)? Undesignated (any age allwed)?

7 25. T what extent, and where, is drinking water freely available t patrns fr tastings? 26. What steps are taken t ensure that the requirements f the Act in relatin t the sale and supply f alchl t prhibited persns are bserved? 27. What steps are in place aimed at prmting the respnsible cnsumptin f alchl with the aim f minimising the harm caused by the excessive r inapprpriate cnsumptin f alchl? 28. State the prximity f all sensitive sites (e.g. childcare centres, schls and churches) within a 500m radius f the premises (a site plan wuld assist): 29. State the number f residential neighburs within a 50m radius f the premises: 30. What security systems are in place (e.g. lighting, indr/utdr CCTV) and where? 31. Can the entire premises be seen frm the service cunter? Yes N If NO, where there are blind spts, are mirrrs r CCTV installed? Is the internal lighting inside the premises suitable and is there gd visibility t the utdr areas?

8 32. Des the lighting utside the premises discurage litering? Des the lighting allw staff t check IDs etc? 33. Will security staff be emplyed? Yes N If YES, When are the security staff be used? What frmal registratin r qualificatin (such as Certificate f Apprval) d security staff have? 34. Are yu invlved in any mystery shpper/pseud cntrlled purchase peratin prgrammes? Yes N IF YES, please state details: 35. Is there a till prmpt system regarding age checks? Yes N 36. What staff training will be prvided regarding cmpliance with the Act and hst respnsibility practices? Explain the cntent, duratin and hw ften (include any systems relevant t assisting with cmpliance): 37. Explain fully yur intentins regarding advertising and prmtins. This shuld include infrmatin such as the number f prmtins, where, size, relative t what prducts and the prpsed % discunts. Shp windws r n the building: Street and r ftpath signage: Scial media:

9 Newspapers and magazines: Other: 38. What is the plicy regarding pricing and prmtins f alchl? 39. Will there be any single sales f any alchlic prducts in cntainers less than 750mls? Yes N If YES, prvide details: 40. Have yu had any cmplaints frm the neighburs (including cnfirmed nise cmplaints) that yu are aware f? 41. Has yur business been subject t plice cntrlled purchase peratins and if s, what were the results? 42. Have yu r any related businesses appeared befre the Alchl Regulatry and Licensing Authrity fr any reasn? Yes N If YES, please prvide details: Licence details Licence details 43. Are there any changes sught t the present cnditins f the licence? Yes N If YES what are the changes?

10 44. Licence number: 45. Expiry date: Declaratin The New Zealand plice are required by the Sale and Supply f Alchl Act 2012 t make inquiries int the suitability f the applicant. This will invlve infrming the District Licensing Cmmittee and the Alchl Regulatry and Licensing Authrity f any cnvictins r cncerns invlving the applicant. Shuld there be any cncerns, the applicant will als be infrmed. I cnsent t the release f this infrmatin I hereby state that the abve particulars are true and crrect I understand that my applicatin will nt be ldged with Cuncil until the applicatin fee is paid and all required dcuments are supplied. Incmplete applicatins will be returned. [Signature] [Date] [Name] [Designatin] Cntact us: Phne: (07) licensing@hcc.gvt.nz Website: Lcatin: Service Centre - Grund Flr, Garden Place, Hamiltn

11 EVACUATION OF PREMISES DECLARATION Sectins 100 and 127, Sale and Supply f Alchl Act 2012 I, NOTE: This declaratin is t be cmpleted, signed and returned with yur applicatin, even if an evacuatin scheme is nt required. [full name] licence hlder (r secretary) f the premises knwn as [trade name] situated at [premises address] and which perates under a des nt apply] n / ff / club licence state that: [select ne] [select ne] the wner f the building in which the premises are situated prvides and maintains an evacuatin scheme as required by sectin 21B f the Fire Service Act 1975; r because f the building's current use, its wner is nt required t prvide and maintain such a scheme; r because f the nature f the building, its wner is exempt frm the requirement t prvide and maintain such a scheme [Signature] [Date] [Name and designatin/psitin] Nte: A registered evacuatin scheme is required when: The building can hld mre than 100 peple; There are mre than 10 emplyees in the entire building; r Overnight accmmdatin is prvided fr mre than 5 peple Please cntact the NZ Fire Service fr mre infrmatin abut evacuatin schemes and fire safety requirements.

12 FORM 7 PUBLIC NOTICE Sectin 127(3), Sale and Supply f Alchl Act 2012 Public ntice f applicatin fr renewal f ff-licence PLEASE NOTE WE NOW HAVE A NEW PROCESS FOR PUBLIC NOTICES. This ntice is t be displayed in a cnspicuus place n r adjacent t the site t which the applicatin relates within 10 wrking days AFTER filing yur applicatin. Please ensure the applicant name matches that stated n the applicatin frm Yu DO NOT need t publish this ntice in the newspaper. This ntice will be published n the Hamiltn City Cuncil website: There is a $85.00 administratin fee fr this service, payable at the time f applicatin. Sectin 127(3), Sale and Supply f Alchl Act 2012 [Full name, address, and ccupatin f applicant] has made applicatin t the District Licensing Cmmittee at Hamiltn City Cuncil fr the renewal f an ff-licence in respect f the premises situated at [address] knwn as [trade name] The general nature t be cnducted under the licence is [type f business - fr example, htel, tavern, restaurant, entertainment/night club]. The days n which and the hurs during which alchl is sld under the licence are [specify days and hurs] The applicant seeks the fllwing variatin t the licence cnditins: [prpsed changes t licence cnditins (if any)] The applicatin may be inspected during rdinary ffice hurs at the ffice f the Hamiltn District Licensing Cmmittee at Hamiltn City Cuncil Municipal Building, Garden Place, Hamiltn. Any persn wh is entitled t bject and wh wishes t bject t the issue f the licence may, nt later than 15 wrking days after the date f the publicatin f this ntice, file a ntice in writing f the bjectin with the Secretary f the District Licensing Cmmittee at Hamiltn City Cuncil, Private Bag 3010, Hamiltn. N bjectin t the renewal f a licence may be made in relatin t a matter ther than a matter specified in sectin 131 f the Sale and Supply f Alchl Act 2012.

13 Alchl Licensing Fees ff-licence The Sale and Supply f Alchl Act 2012 has intrduced natinal risk based fees fr all alchl licences. The new fee system, set by the Ministry f Justice, mre fairly reflects the cst f alchl licensing. The licence fee categry is determined using the belw criteria. Yu can use the tables belw t estimate the fee yu need t pay when ldging yur applicatin Type f Premises Weighting Supermarket, grcery stre, bttle stre 15 Htel, tavern 10 Club, remte sale premises, ther 5 Winery cellar drs 2 + Latest trading hur allwed by licence Weighting 10:00pm r earlier 0 Any time after 10:00pm 3 Remte sales premises 0 + Number f enfrcement hldings in last 18 mnths Weighting Nne r mre 20 = Yur weighting: Definitins Enfrcement has the same meaning as a Hlding under sectin 288 f the Act, r a previus ffence fr which a hlding may have been issued if the ffence had ccurred befre 18 December 2013.

14 Applicatin Fee The licensing system has five fee categries, which reflect the range f cst/risk ratings. A premises' fee categry determines the applicatin fee that the licensee has t pay. Ttal weighting Fee categry 0-2 Very Lw 3-5 Lw 6-15 Medium High 26+ Very High In additin t the applicatin fee, applicants are required t pay an $85.00 administratin fee t cver public ntificatin f the applicatin. Applicants were previusly required t place the public ntice in the newspaper at their wn cst. In many cases, this is up t 75 per cent less than yu wuld therwise pay thrugh the newspaper. All fees belw are GST inclusive. Annual Fee Fee categry Ttal applicatin fee Very Lw $ Lw $ Medium $ High $ Very High $ The new Act als intrduces an annual fee fr all licences. The annual fee is due befre the licence is issued (fr new licences) and then every year n the licence anniversary date. The amunt f the annual fee yu pay will be determined n the fee categry and risk rating at the day the annual fee is due. Yu will receive a reminder that yur annual fee is due in the mail prir t the due date. All fees belw are GST inclusive. Fee Categry Annual Fee Very Lw $ Lw $ Medium $ High $1, Very High $1, Please nte that it is Hamiltn City Cuncil that determines the final applicatin and annual fees s yu may be charged further fees befre yur licence is granted. All fees are set by the Ministry f Justice. Fr mre infrmatin, see If yu need assistance calculating yur fees, please cntact us n the details belw. Cntact us: Phne: (07) licensing@hcc.gvt.nz Website: Lcatin: Service Centre - Grund Flr, Garden Place, Hamiltn

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