APPLICATION FOR THE GRANT OF A PAVEMENT LICENCE
APPLICANT DETAILS
- Title
Surname
*
First Name(s)
*
Postal Address - Address Line 1
*
Address Line 2
Town / City
County
Post Code
Phone (Home)
Phone (Mobile)
Date of Birth (format dd/mm/yyyy)
*
Email
*
NI Number
BUSINESS PREMISES DETAILS
- Trading Name
*
Address Line 1
*
Address Line 2
Town / City
County
Post Code
*
*
This indicates mandatory fields