line of address: First line of address: Town/City: Town/City: Postcode: Postcode: Basic Disclosure certificate attached: Basic Disclosure certificate attached: Yes No Yes No 8 Please provide details of any site in the area of any other local authority at which the applicant carriers on business as a scrap metal dealer or proposes to do so: Address: Postcode: Please name the local authority which has licensed this site, or to whom applications have been made if before commencement of the Scrap Metal Dealers Act 2013: Please continue on a separate sheet of paper if necessary. Only applicable to sites established after 1 November 1990 Do you have planning permission (please tick) Yes No SECTION 4. TO BE Completed if applying for a COllector’s licence N.B- a collector’s licence authorises the licensee to carry out a business as a mobile collector in the Authority’s area only. Details of prospective licence holder Title (please tick): I am 18 years old or over. (please tick): Mr Mrs Miss Ms Other Yes No (please state): Date of Birth: Surname: Forenames:
line of address: Town/City: Postcode: Basic Disclosure certificate attached: Yes No 8 First line of address: Town/City: Postcode: Basic Disclosure certificate attached: Yes No Please provide details of any site in the area of any other local authority at which the applicant carriers on business as a scrap metal dealer or proposes to do so: Address: Postcode: Please name the local authority which has licensed this site, or to whom applications have been made if before commencement of the Scrap Metal Dealers Act 2013: Please continue on a separate sheet of paper if necessary. Only applicable to sites established after 1 November 1990 Do you have planning permission (please tick) Yes No SECTION 4. TO BE Completed if applying for a COllector’s licence N.B- a collector’s licence authorises the licensee to carry out a business as a mobile collector in the Authority’s area only. Details of prospective licence holder Title (please tick): I am 18 years old or over. (please tick): Mr Mrs Miss Ms Other Yes No (please state): Date of Birth: Surname: Forenames:
Scrap-Metal-application-form.docx