Oddono`s Chiswick 159 Chiswick High Road

LondonBorough
of Hounslow
LondonLocalAuthorities
for the Grant/ Renewal
Application
Licence
@
Md
ruJ
f-&J
All questionsto be answeredin full
t"i,l.t
All applicantsshouldprovideproofof identity- copyof passpott,ftpts
photo
o{*+gcent
& a copy
licencephotocard,(otherofficiallD cardwith a
NC
requirements
andthcSuncil
utilitybill(thiswillmeetthe moneylaundering
duediligence.
undertaking
completesection1 & 2
All applicantsS[
for a shopfrontdisplayor a stallMUSTcompletesections1,2,3&
Applicants
6
for pavementcafes(placingtablesandchairson the highway)
Applicants
[$fcomplete sections1,2,4&6
for'A' boardsMUS'[completesections1,2,5&6
Applicants
drawnplanto the scaleof 1:2500of
submitan accurately
All applicants
S[
toprior
subiect
maybeaccepted
sizedplans
the areato be appfiedtor. (alEmative
agreementwith the licensingmanager)
for the areato be appliedfor.
submitphotographs
All applicants
@[
checkwiththe planningteamif planningconsentis
All applicants
[$[
of an application
requiredpriorto submission
L B Hounslowis undera duty to protectthe funds it administersand to
this end may use the information that you have provided to this
authority for cross system and use the information that you have
provided to this authority for cross system and cross authority
comparison purposes for the preventionand detection of fraud.
lM/e herebyapplyto the LondonBoroughof Hounslowunderthe above-mentioned
Acts,to be licencedfor StreetTrading.
SECTION{ - Applicant Details
(Pleasecompleteif applyingas a company)
Pleasestatethe tradingnameof yourcompany
ODDONO'SGELATIITALIANILTD
Registeredaddressof company
14 BUTESTREET
Town
LONDON
Postcode
SW73EX
Tel No:
0333 8000480
Email:
[email protected]
No. 47 84 781
PleasestateCompanyRegistration
Whattypeof company
LIMITED
(Pleasecompleteif applyingin person)
(pleasespecify)
Title:Mr/Mrs/Ms/Other
Forename(s):
Surname:
PrivateHomeaddress:
Postcode:
Town:
No:
Telephone
Email:
No:
NationalInsurance
Dateof Birth:
Placeof Birth:
SECTION2 - BusinessDetails
lf you are sellingfood,you MUSTbe registeredas a food businesswith Localauthority
whereyour businessis based.
to sellfood?YES/NO YES
Are youintending
lf yes, pleaseprovideevidencethat you are registeredas a food business
Dateof Registration: 08/01/20'15
RegistrationNo:
OF HOUNSLOW
LocalAuthority:LONDONBOROUGH
in FoodSafety
noU a current(withinthe last 3 years)Level2 Qualification
Voup
of Healthor
Royal
Society
Health,
accreditedby the CharteredInstituteof Environmental
includea photocopy)
The RoyalInstituteof PublicHealthand Hygiene.(Please
Gertificate No:
1489808
Date of lssue: 16 042014
Pleasestatewhattypeof food you intendto sell,and howandwherethe foodyou intendto
sellwill be produced?
ON SITE
ICECREAM,PRODUCED
for a minimumof
It is a requirement
thatyou MUSThavepublicliabilityinsurance
t2.000.000
(pleaseprovidea copyof theceftificate)
Dateof lssue:
2 3 J U N E2 0 1 4
CertificateNo:
Dateof Expiry:
2 3 J U N E2 0 1 5
to provideevidenceon howyou intendto removetradewastefromthe
It is a requirement
site:
WE WILL USEVEOLIA
Waste Contract No: 269 757 01
It is a requirement
that you provideevidenceon howyou willtransportfreshwaterto the site
and howyou intendto disposeof the wastewater.
Pleasestate details here:
N/A
Howdo you intendto providepowerto yoursite?
N/A
electricalequipmentand Gas Cylinders
Pleaseprovidesafetycertificatesfor Generators,
N/A
to thescaleof
YouMUSTprovidea planof the licencedareafor alltypesof application
prior
plans
(alternative
agreement
with
thelicensing
subiect
to
may
be
accepted
1:2500
sized
manager)
,./
PlanAttached:
"K
^
licensedarea
of the proposed
You MUSTprovidephotographs
''',.
attached' E
Photos
X
Do youholdor haveeverhelda streettradinglicencein the L B Hounslow?YES/NO
givedetails
anddates)NO
location
(lfyesPlease
Inc.,Number,
ODDONO'S
CHISWICK
Nameof premises
HIGHROAD
Address159CHISWICK
Town:LONDON
No:03338000480
Telephone
Postcode:W4 2DT
Email:[email protected]
inMetres)
area(measurements
caf6lseating
Sizeof areato beusedforthepavement
two areasof
Width:2Cmeters
Depth:1.0meters
TradingTimes:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
.9.00am
9.00am
.9.00am
.9.00am
.9.00am
.9.00am
.9.00am
....11.00pm
....11.00pm
....11.00pm
....11.00pm
....00.00pm
....00.00pm
....11.00pm
Wherewill the tables& chairsbe storedat the end of tradinghours?
INSIDETHE SHOP
'
SECTION5 -'A' Boardsor other DisplayObjects
CHISWICK
Nameof premises
ODDONO'S
HIGHROAD
Address159CHISWICK
Town:LONDON
No:03338000480
Telephone
Postcode:W42DT
Email:[email protected]
in Metres)
Sizeof areato be usedfor the A' Board/s(measurements
Depth:0.5
Width:0.7
TradingTimes:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
. . ... . 9 . 0 0 a m
.......9.00am
......9.00am
......9.00am
. . .. . . 9 . 0 0 a m
......9.00am
......9.00am
.11.00pm
..11.00pm
.11.00pm
.1'l.00pm
.00.00pm
.00.00pm
.11.00pm
Wherewill the 'A' Boardor DisplayObjec{sbe storedat the end of tradinghours?
INSIDETHE SHOP
SECTION6 - ApplicantDeclaration
lANedeclarethat:
,x
formaretrueto the bestof
withinthisapplication
Thedetailscontained
andbelief.
my/ourknowledge
I haveattachedan accurateplanto the scaleoH:350O
| : 50
as required.
I haveattachedphotographs
x
x
I
of
(Stallapplicants
only)| haveattachedtwofullfacephotographs
andanyemployee.
the applicant
I haveaftachedand providedevidenceof food registration.
-}
I haveattachedand providedevidenceof Level2 BasicFood
Hygienecertificates
Y
I haveattachedand providedevidenceof a wastecontractif required
Y
I haveattachedand providedevidenceof publicliabilityinsurance
*
I haveaftachedand providedevidenceof safetycertificatesfor
equipment
lrjk t
Y
I haveattacheda cheque/postalorder(madepayableto the
L B Hounslow)for the applicationfee and the appropriatelicencefee
I understandthat if I do not completethe appropriatesectionsof
my application
formandprovidedthe requiredinformation
the application
Pleasereturn completedform to:
L B Hounslow
- Licenslng
Department
Development
& Environment
Economic
Regeneration,
CivicCentre
LamptonRoad
Hounslow
TW34DN
02085835555
OfficialUse
Decision GrantYes/No
Manager
Licensing
/
GELATIITALIANILTD
ODDONO'S
ODDONO,S
CHISWICK
HIGHROAD- LONDONW4 2DT
159 CHISWICK
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