Application for temporary highway licence for scaffolding | Customer details

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Customer details

Please note the named individual below will be the responsible party for ensuring the terms of the licence are met.

TitleRequired*

First NameRequired*

Last NameRequired*

Applicant addressRequired*

Postcode

Address line 1Required*

Address line 2Required*

Address line 3

Address line 4

PostcodeRequired*

Telephone NumberRequired*

Help: This number may be used to contact you about council services only (please include the area code)

Email AddressRequired*