Isle of Wight Council

	REQUEST FOR PERMISSION TO PLACE TABLES, CHAIRS AND PLANTERS ON THE HIGHWAY
	HIGHWAYS ACT 1980 SECTION 115G
	Senior Admin Assistant - Business Support Highways & Transport County Hall Newport Isle of Wight PO30 1UD Phone: 01983 823777 Email [email protected] Fax number: 01983 823545

Applicants Details

	Title
*	Forename
	Middle name/Initials
*	Surname

*	Building/house name/number
*	Street address
*	Town Name
	County
*	Postcode
	Tel Number (include area code)
	Email address
	Fax

	Precise location for the placement of tables, chairs and planters

	PLEASE NOTE:
	1. An Ordnance Survey extract showing the number of tables, chairs and planters required and the overall dimensions of the area. 2. Upon receipt, the proposal will be advertised on a street notice for twenty eight days in order that any representation may be made. 3. If approved, the tables, chairs and planters will be for the sole use of the applicants customers. 4. The equipment must be covered by a (GBP) �5 million public liability insurance. The Council will require proof of this documentation if the application is approved.

Signature

Signed ............................................................................... Name................................................................................. Date...................................................................................

	Data Protection Act 1998
	This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request. The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy . Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest. Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law. Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box

Date printed: 07/03/2013