Application Form - Alfresco Dining Licence 1 r/14/12/18920
APPLICATION FOR LICENCE
ALFRESCO DINING ON PUBLIC LAND
RM8 Ref:
Contact Community Engineers for enquiries:
0800 732 732 www.southlanddc.govt.nz
Container:
This application allows a decision to be made regarding the allocation of an Alfresco Dining Licence. As part of the
application, an Community Engineer will be required to assess the site and plans.
An Alfresco Dining Licence is valid for three years, when a renewal of the licence is necessary.
APPLICANT DETAILS
Name of Business:
Applicant(s):
First Names:
Surname:
Applicant(s):
First Names:
Surname:
Full Address:
Physical:
Postal: (if different)
Phone:
Home:
Mobile:
RESTAURANT OPERATION
Q1:
YES (please provide evidence)
NO
Q2:
What are your hours of operation?
Mon
Tue
Wed
Thur
Fri
Sat
Sun
Q3:
What is the area (m
2
) of the Alfresco Dining space you wish to use?
PAYMENT DETAILS
The restaurant using the area described in this application is
required to be registered as using Alfresco Dining with the
Southland District Council
The application fees must be paid within SEVEN DAYS after this date:
TOTAL FEE PAYABLE:
$
Day
Month
Year
NOTE: Please check Council’s Schedule of Fees and Charges for the set Alfresco Dining Fees.
Ap pl ic an t:
I understand the purpose and requirement of this application and believe that the contents are true and correct to the best of my
knowledge.
SIGNED:
DATE:
Applicant(s)
Deborah
Application Form - Alfresco Dining Licence 2 r/14/12/18920
TO INCLUDE I N THE APPLI C ATI ON
Each application should incorporate:
Map of location of street plantings/trees and Council-owned furniture, property boundary showing entrance,
and which indicates the location of proposed chairs, umbrellas, outdoor heating devices and any other furniture
to be used in this activity (see next page).
Letters of support from the adjoining (on either side of the location and the same side of the street) business
owners or lessees.
Proof of building consent [unless exempted by Schedule 3 of the Building Act (1991)].
Proof of public liability for a minimum of $1,000,000 (please see below for details).
Any applicable Alcohol Premises Licence held and its licensed area definition plan (please see note below).
APPLICANT DETAILS
Each application should incorporate:
Map of location of street plantings/trees and Council-owned furniture, property boundary showing entrance,
and which indicates the location of proposed chairs, umbrellas, outdoor heating devices and any other furniture
to be used in this activity (see next page).
Letters of support from the adjoining (on either side of the location and the same side of the street) business
owners or lessees.
Proof of building consent [unless exempted by Schedule 3 of the Building Act (1991)].
Proof of public liability for a minimum of $1,000,000 (please see below for details).
Any applicable Alcohol Premises Licence held and its licensed area definition plan (please see note below).
AL C O HO L L I CE N C E S
When alcohol licences are issued there is a licensed premises definition plan that is date stamped and referred to
in the licence. This shows the area that is covered by the alcohol licence.
If you hold an alcohol licence (ie On Licence) you will also need to update the area to which the alcohol licence
relates. Once the alfresco licence has been granted, you can then submit a variation application, including a new
licensed premises definition plan, to the Southland District Licensing Committee. For more information about this
process please contact Council’s Environmental Health Officers.
Consumption of alcohol must not commence outdoors unless the area is covered by the alcohol licence and the
alfresco dining licence is granted.
STAN DAR D CRI TE R I A
Licensees must hold public liability for a minimum of $1,000,000 and shall take full responsibility for indemnifying
Council against any claims, demands, or actions made upon Council arising out of licensees’ operations.
Licensees will be responsible for keeping their licenses areas clean and tidy. All stained or damaged pavement
surfacing must be cleaned or replaced promptly by licensees at no cost to Council.
Licensees must control all litter arising from their activities within a 15 metre radius of their licensed area and shall
not use Council provided street litter bins for this purpose.
Licensees are not able to be assigned or sublet the licensed area without the approval of Council.
Licensees will comply with all statutory requirements, Acts, Regulations, Bylaws, Ordinances, Rules and lawful
directions of Council, including but not limited to, the following:
Building Act (1991) and Amendments.
Food Hygiene Regulations (1974) and Amendments.
Health and Safety in Employment Act (1992) and Amendments.
Litter Act (1979) and Amendments.
Local Government Act (2002) and Amendments.
Public Works Act (1981) and Amendments.
Resource Management Act (1991) and Amendments.
Sale and Supply of Alcohol Act (2012) and Amendments.
Application Form - Alfresco Dining Licence 3 r/14/12/18920
PROPO S E D LO C AT IO N (M AP / SK E TCH)
Map should include location of street plantings/trees and Council-owned furniture, property boundary showing
entrance, and indicates the location of proposed chairs, umbrellas, outdoor heating devices and any other furniture
used in this activity.