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| Name of Business (if applicable) |
|
| Address of premises to be registered | |
| Post Code | |
| Have you previously been registered in this respect by any other District Council? | Yes No |
| If yes, by which District Council | |
| Have you ever been convicted of any offence under Article 15 of the Order? | Yes No |
| If Yes, give details | |
I hereby apply to be registered to carry on the business of *tattooing/semi-permanent skin colouring / cosmetic piercing /electrolysis and for the premises mentioned above to be registered for the carrying on of that business.
A registration fee of £50.00 should be returned to Limavady Borough Council, 7 Connell Street, Limavady, BT49 0HA
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