Are you acting on behalf of the applicant ? * - Select -YesNo Put no, if you are applying on your own behalf or on behalf of a business that you work for Applicant Details First Name * Last Name * Email Address Telephone Number * Applicant Business Is your business registered in the UK with Companies House * - Select -YesNo Is your business registered outside the UK * - Select -YesNo Business Name * VAT number Put none if not registered for VAT Legal Status - None -Sole traderPartnershipPrivate Limited CompanyPublic Limited Company Your position in the business The country where the Headquarters of your business is located Business Address Address 1 * Address 2 Town / City * County Postcode * Country Type of Application * - Select -NewRenewal Premises for which Permission is Required Name of Premises / Trading Name * Is the Premises Address the same as the Business Address - None -YesNo Premises Address Address 1 Address 2 Town / City County Postcode Country Are Contact details the same as above - None -YesNo Email Telephone Number Other Telephone Number Type of Business e.g. flower shop, fruit and veg shop, bookshop Ownership of Premises In what capacity do you occupy the premises * - Select -FreeholdLeaseholdTenantOther Occupation of the footway / pavement Check for local guidance notes which may clarify what is permitted in your area and give detailed requirements – manylocal authorities do not authorise shop front displays and/or “A” boards on the pavement or footway What do you want to place on the pavement? * - Select -Shop front displayAdvertising “A” board Public Liability insurance You must have a suitable level of public liability insurance to cover this activity – check local requirements. Do you have public liability insurance? * - Select -YesNo State what steps you are taking to obtain such insurance Insurance Company Policy Number Period of Cover Amount of Cover (£m) Additional Details Provide any additional information which is required or relevant to your application (check for local guidance notes andconditions which may provide details of specific requirements in your area) Please enter any additional details here Declaration The details contained in the application form and any attached documentation are correct to the best of my knowledge and belief. Ticking this box indicates you have read and understood the above declaration Ticking this box indicates you have read and understood the above declaration * I have read the declaration Name of person filling in this form * Capacity * Application date * Please enter the date that you are making this application Leave this field blank