Cis application form impact 2025

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The document is a Community Impact Statement (CIS) application form for liquor licensing in New South Wales, Australia. It outlines the requirements for applicants to provide details about their proposed liquor license, including the type of license, nearby community facilities, stakeholder consultations, and potential impacts on the local community. The form emphasizes the need for consultation with local councils, police, and other stakeholders to address any concerns related to the application.

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Click ‘Get Form’ to open the CIS Application Form in the editor.
Begin with Part 1: Application details. Fill in your name and select the type of application you are submitting by ticking the appropriate boxes.
Provide the name and address of the proposed licensed premises, as well as any existing licensed premises if applicable.
Move to Part 2: Nearby community buildings, facilities & places. Tick all relevant boxes and provide detailed descriptions for each facility listed.
In Part 3, identify stakeholders consulted. Write down their names and describe any issues raised during consultation in Parts 4 and 5.
Complete Part 6 regarding future consultations, indicating whether you plan to engage with stakeholders again.
In Part 7, articulate your views on the potential impacts of your application on the local community.
Finally, review your entries for accuracy before signing and dating the declaration in Part 9.

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