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Online Form - Application for SECTION 39 Certificate of Local Health Authority

Property this application relates to

Applicant Details

Licensee’s details (if different to Applicant)

Alcohol to be served

Please check the following*

In the case of a SPECIAL FACILITY LICENCE application

(b) What trading hours are sought?

Please select the start and finish times for the days you wish to trade. 

(c) Is approval sought to sell & supply liquor on:

Christmas Day*
Good Friday*
Anzac Day*
(d) Is approval sought to sell and supply liquor for consumption off the licenced premises?*

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