| Section 14(2) | 
| OBJECTION TO GRANT OF CERTIFICATE FOR LICENCE TO SELL INTOXICATING LIQUOR | 
| (Under the provisions of section ................................ of the Liquor Licensing Act) | 
| ........................................... | 
| (Date) | 
| To: The Clerk, | 
Licensing District No .......................... TAKE NOTICE that I, the undersigned intend to object to the grant of a certificate to ....................................................................................................... | 
| (name of applicant) | 
| in respect of premises situate at .............................................................. at the session of the Board fixed for ...................................................................... | 
| (date) | 
| on the following grounds— | 
 | .................................... | 
 | Signature of Objector. |