№ files_lp_3_process_9_41383
Official government application form for licensees seeking to add, vary or cancel licence or permit conditions under the Liquor Control Act 1988, including declaration and compliance requirements.
Form Number: Form 11
Legislation: Liquor Control Act 1988
Relevant Sections: Sections 64 and 68
Subject: Application to add, vary or cancel a condition of a liquor licence or extended trading permit
Document Type: Official application form
Issuing Authority: Licensing authority under the Liquor Control Act 1988
Applicant: Licensee
Related Licence Types: Liquor Licence; Extended Trading Permit; Wholesaler’s Licence; Producer’s Licence; Special Facility Licence; Online Wine Sales Licence
Required Information: Licence details; premises details; applicant details; proposed condition changes; reasons for application; storage arrangements (if applicable)
Declaration Requirement: Signed certification of accuracy and authority
Penalty Reference: Section 159 – false or misleading statement penalty of $10,000
Price: 8 / 10 USD
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