Application to Place Furniture on the Highway

Contact Details

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Highways Act 1980 (As Amended By The Local Government Act - Miscellaneous Provisions Act 1982)

Please make sure that you read the guidance notes before completing this form.

You will need to print your completed form. If you are unable to print from your current location please provide us with your email adddress in the appropriate box. A copy will be sent to that address for you to print at your convienience.

Your application must be signed, include the correct fee and your supporting documentation. Thank you.

Premises Details

Address Line 1 ^*

Address Line 2

Address Line 3

Postcode ^*

Applicant Telephone Number

Alternative Contact Details

Please indicate a contact name and address for any further correspondence to be forwarded to regarding this application (if different from the above)

Title

Mrs

Miss

Other

Other, please specify

First Name ^*

Surname ^*

Address Line 1 ^*

Address Line 2

Address Line 3

Postcode ^*

If you cannot print this form from your current location please enter your email address here. On completing the form a PDF copy will be send to this address for you to print at your convienience.

Email Address

DATA PROTECTION NOTICE
North East Lincolnshire Council is a Data Controller for the purposes of the Data Protection Act 1998. Any personal information supplied on this form will be processed in accordance with the principles of the Act. If you want to find out more about your rights under the Act, you can contact the Office of the Information Commissioner (tel: 01625 545 700 / http://www.dataprotection.gov.uk) or the Director of Law and Democratic Services on 01472 313131.



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