Current Start Preview Complete Information message Filling out this form will email the relevant department Your details Information message Public objection cannot be anonymous NOTE - your details could be made public Your Name Customer name Title Title - Select -MissMsMrMrsDrOther… Enter other… First name Last name Your Address Customer address First line of Address Second line of Address City/Town Postcode Your Contact Details Email Phone number Premises details Premises name Premises address First line of Address Second line of Address City/Town Postcode Objection details Stance: Stance I support the application I oppose the application Reason for objection: Reason for objection Prevention of crime and disorder Prevention of public nuisance Protection of children from harm Public safety Further details Information message Objections must be submitted within the specified timeframe. Any received once the notice has finished cannot be considered Please confirm that you understand the following information: It is an offence knowingly or recklessly to make a false statement in connection with an application, liable on summary conviction to a fine not exceeding level 5 on the standard scale (unlimited). Should your comments be considered relevant you will be invited to attend a Statutory Licensing Sub-Committee Hearing. All relevant representations will be published in public reports that will be viewable on the City of Wolverhampton Council’s website. Be advised that any representation, along with your details will normally be released to the applicant and/or their agents as part of the process, unless you indicate that there are exceptional circumstances where you believe that your details should not be released. 20636
