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Public Register | London borough of Southwark

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Out for Consultation Issued Licence

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Application no.

Application details

Holder Name:

Holder Address:

Correspondence Address:

Number of Households occupying the HMO or House:

Number of People occupying the HMO or House:

Applicant Name:

Applicant:

Occupants Information

Number of households in the property:

Number of Adults:

Number of Children aged 11-17:

Number of Children under 10:

Vacant possession of the HMO:

Steps the owner or prospective notice holder taking:

Reason for applying TEN:

Type of receptacle:

Applicant:

Market:

Pitch:

Commodities

Commodities selected

Commodity Information:

List of products and menu items

View application View Environmental Health Form

Requested Hours:

Approved Hours:

Licensable Activities

Nothing to show.

Licence Conditions

Nothing to show.

Permission required

Unique Access ID:

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Representation

Name

Email address

Comment

Document upload

Document description

Representation status change

Status

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Document decription

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Environmental Health Form

Local Authority that your food business registered with.

-------

Date of your last inspection

-------

Food hygiene rating score

-------

List electrical equipment and gas appliances that will be on site and type of generator that will be used. Value

Dates of the latest inspections (Gas Safe inspections, PAT certification)

Value

Method of food production. In addition to your HACCP please provide the following details for this particular event:

how the food is prepared/stored before transit

transportation

storage on site

preparation on site

cooking/reheating

hot/cold holding

serving of food

Please give details of the controls you have in place (e.g. maintaining the cold chain, temperature control, cross contamination control, cleaning, etc.)

Allergens – List allergens that are present in your food

-------

Details of provision of portable (drinking) water. -------

Details of hand washing facilities. (If handling open food, running hot and cold water, which should be easy to use, must be provided.) -------

List the hazards you have risk assessed for this operation -------

List the type and size of the fire safety equipment. -------

Operational Management Plan - if proposing mixed use, address how this will work operationally. -------

Address where things to be sold will be stored before they are offered for sale

-------

What type of receptical do you intend to use? please include detail of type and size of stall, please also describe stall layout -------

Please list all equipment to be used in the stall, including for the cooking / heating of food (if applicable), the storage/chilling/display of products, lighting and any ancillary equipment such as fire safety equipment, first aid facilities and portable water storage units / handwashing facilities (if applicable) -------

Please give the full address at which the receptacle will be stored outside trading hours

-------

Application Form

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