Your details

Name

Customer name
Title

Contact


Business details


Customer address

License details

License questions


(a) A plan detailing the premises, furniture, enclosure, highway and obstructions at a scale of no more than 1:100, should be included with the application. A red line should mark the perimeter of the premises and the area of relevant highway.

Statutory purpose(s) of licence

Proposed furniture


Proposed licensed hours

Monday times

Monday proposed times

to

Tuesday times

Tuesday proposed times

to

Wednesday times

Wednesday proposed times

to

Thursday times

Thursday proposed times

to

Friday times

Friday proposed times

to

Saturday times

Saturday proposed times

to

Sunday times

Sunday proposed times

to


Public liability insurance certificate

minimum £5 million

Last day for representation


Does the above date fall on a bank holiday
including Christmas, Good Friday and bank holidays

Declarations

I declare that I am over 18 years of age and I certify that, to the best of my knowledge and belief, the information I have provided in this application form and on the submitted plans is both accurate and correct. Your licence will be revoked with immediate effect if this application is subsequently shown to be falsely made.
I confirm that I have read and understand the Pavement Licence Policy (found in the Downloads section on this page.
I declare that all conditions attached to any granted, or deemed granted, licenced will be complied with.

Notices

A notice of this application will be emailed to you after you submit this form. You are required by law to fix a notice of the application to the premises today so that the notice is readily visible to, and can be read easily by, members of the public who are not on the premises, and securely so that the notice remains in place until the end of the public consultation period. This notice is a statutory requirement. Failure to comply with this requirement will result in the application being rejected and application fees are non-refundable.


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