Redbridge e-forms Apply for a temporary pavement licence 1Premises details2Contact details3Applicant details4Purpose for application5Area of the highway6Type of furniture7Days and hours of operation8Further information9Evidence 10Declaration Premises detailsBusiness premises trading name(Required) Premises address(Required)Find addressSelected address Contact detailsPhone number(Required)Email address(Required) Alternative contact details (if applicable) Applicant detialsThe applicant can be an individual or other legal entityWhat are you applying as?(Required) An individual A limited company Other Title First name(Required) Last name(Required) Company name(Required) Registered number(Required) Please provide details(Required) Please provide contact details for the application if different to the applicant.(Required)(e.g. a solicitor or agent) Purpose for applicationWhich of the following relevant purposes do you wish to put removable furniture on the highway for?(Required)Please note If neither option applies to you, you may not apply for a Pavement Licence To sell or serve food or drink supplied from the premises, or in connection with the premises For customers to consume food or drink supplied from the premises, or in connection with the premises Area of the highwayPlease provide a description of the area of the highway including street name and the exact part of the highway to which this application relates(Required)Please specify the size of area applied for:(Required)Width (in metres)Depth (in metres)How much depth remains of the pavement for pedestrians to pass unimpeded and without stepping into the road?(Required) Please upload a plan of the area outside your premises which you propose to use.(Required)The plan should be drawn to scale or provided with clear dimensions showing the following: a. The location and size of the area in relation to your premises b. An indicative location where furniture shall be placed c. The space left on the highway for pedestrians to pass Drop files here or Select files Max. file size: 50 MB. Type of furnitureWhat types of furniture would you like to place on the highway?(Required) Tables Chairs Counters or stalls Umbrellas Heaters Other Number of tables(Required) Relevant description of tables(Required)I.e. what they are made of and sizeNumber of chairs(Required) Relevant description of chairs(Required)I.e. what they are made of and sizeNumber of counters or stalls(Required) Relevant description of counters or stalls(Required)I.e. what they are made of and sizeNumber of umbrellas(Required) Relevant description of umbrellas(Required)I.e. what they are made of and sizeNumber of heaters(Required) Relevant description of heaters(Required)I.e. what they are made of and sizePlease specify other(Required) Number of other(Required) Relevant description of other(Required)I.e. what they are made of and sizeUpload photos or brochures of the proposed furniture to provide further details if necessary Drop files here or Select files Max. file size: 50 MB. Source of electricity to be used. (If applicable) Days and hours of operationSpecify the days of the week and the hours between which it is proposed to have furniture on the highway(Required)Day of the weekStart time for the dayFinish time for customer useLatest time furniture will be removed from pavement Add Remove Further informationHave you already submitted a pending application for a pavement trading licence under the London Local Authorities Act 1990 (as amended) Part III?(Required) Yes No Do you hold any other pavement, street trading or premises licence?(Required) Yes No Please give details of the licence(Required)Have you ever been refused a street trading licence?(Required) Yes No Please give details of the refusal(Required)Have you ever been convicted of food hygiene offences?(Required) Yes No Please give details of conviction(Required)Is there any other information you would like to give in support of your application? Evidence requiredPlease upload a copy of your Public Liability Insurance Certificate (PLIC) that covers your proposed use and period for the Pavement Licence(Required)A PLIC is required to be eligible for a licence Drop files here or Select files Max. file size: 50 MB. DeclarationsPlease can you read and tick the following requirements to confirm that you understand and will fulfil your obligations in order to make an application:(Required) I understand that I am required to display a notice advertising my application at the premises referred to in this application. Failure to do so will lead to my application being rejected or to the revocation of my licence if the application is granted. I understand my application will not be complete until all the required documents and information have been provided and the required application fee has been paid. I understand that any application fee paid is non-refundable if my application is refused or if any licence granted is subsequently surrendered or revoked I declare that the information given in this form is true to the best of my knowledge and that I have not wilfully omitted any necessary material. I understand that if there are any wilful omissions, or incorrect statements made, my application may be refused without further consideration or, if a licence has been issued, it may be liable to revocation. Digital signaturePlease provide your full name as your digital signature(Required) Information provided in this application will be held on our computers and manual records. It will be used to assess your application and may be shared with other departments within the London Borough of Redbridge, Metropolitan Police, The London Fire & Emergency Planning Authority, sub-contractors contracted to provide any support, administration or similar service and any other parties we are required to consult. It may be disclosed where required by law or in connection with legal or regulatory proceedings. Where public are entitled to object to a licence or we are required to maintain a public register details of licences and applications may be published on the Council’s website.