Part One - Structure Details
Location of Proposed Structure
Before completing this form you should have read the scaffolding application form - DBE_NMG_Contscaf_v16.pdf
Proposed Structure Type
Purpose of proposed structure
Details of Structure
Date of Erection (dd/mm/yy)
Projection from Building
Date of Removal (dd/mm/yy)
Appropriate Safety Zone Included
Protection Fans Used
Has a plan detailing the extent to which the structure will impinge upon the highway (inclusive of any safety zones) been sent in to Sefton MBC as part of this application?
Has any relevant payment for the licence been sent in to Sefton MBC as part of this application?
This indicates mandatory fields