Pavement Licence Application

Please read the Guidance Notes before completing this application form.
Fields marked with * are required.
Application details
1. Type of application*
  
  New Application, fee payable is £500
  
  Renewal, fee payable is £350
2. Licence number
In what capacity are you applying for this application?*
1. Individual Applicant
2. More than one applicant
3. Company
Section 1: Applicant Details (Individual Applicants)
1. Title:
2. First Name(s):
3. Surname:
4. Phone (Home):
5. Phone (Mobile):
6. Email Address
7. Date of Birth (DD/MM/YYYY):
8. NI Number:
9. Please enter your address postcode and click on 'Find Address'. Then click on the drop down arrow on the address box and choose the correct address
10. Postcode:
12. Address:
13. Address 1
14. Address 2
15. Town
16. Postcode
Section 2: Applicant Details (Other Applicants e.g. Companies)
1. Name:
2. Registered address:
3. Postcode:
4. Phone (Daytime):
5. Phone (Mobile):
6. Email:
7. Registered Number (where applicable):

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