# The Licensing Act 2003 (Summary Review of Premises Licences) Regulations 2007, Schedule


“SCHEDULE 8A
Regulation 16A
[Insert name and address of relevant licensing authority and its reference number (optional)]
Application for the review of a premises licence under section 53A of the Licensing Act 2003 (premises associated with serious crime, serious disorder or both)”

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Source: https://www.legislation.gov.uk/uksi/2007/2502/schedule (the official version)
Page: https://openlegislation.uk/licensing-act-2003-summary-review-of-premises-licences-regulations-2007/schedule
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.