APPLICATION FORM FOR LICENCE TO PLACE A PAVEMENT CAFE ON THE

HIGHWAY
APPLICATION FORM FOR LICENCE TO PLACE A PAVEMENT CAFE
ON THE HIGHWAY

Please complete this form fully providing all the information requested. When completed
return the form together with all relevant plans, documents and fees (see final page of
form) to the address shown at the end of this application.

All applicants must complete Part 1, Part 2 and Part 3 of this form. Please refer to the
attached terms and conditions before completing this form.

Part 1 - Details of person applying for licence.

Title (Mr/Mrs/Miss etc)…………… Full Name………………………………….

Address……………………………………………………………………………….
…………………………………………………………………………………………
Postcode………………….. Contact Telephone No……………………

Details of business or premises

Name of business or premises…………………..............................................................
Address of premises outside which item(s) are to be displayed
.........................................................................................................................................
...........…………………………………………………………………………………............
Postcode………………….

Part 2 - Details of licence applied for.

Application for Pavement Cafe licence please complete Part 2A

Times and duration items are to be placed on the highway

Times, between ……..…….……and ………..……… ……………

(NOTE, all items must be removed from the highway when the business is closed)
Days of week ………………………………………………………………………
Any other details (any other relevant information to support your
application)……………………………………………………….
……………………………………………………………………………………….

Now please complete Parts 2A on the next page.

Application form for Pavement Café Licence 1

Version 2 - March 2010
This authority is under a duty to protect the public funds it administers and to this end may use the information you have provided on
this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or
administering public funds for these purposes.
 CPL/ /10

Part 2A
2A – Application for Pavement Café Licence

Dimensions of pavement café, width ………….……… depth, ……….………………

Total area of highway required ……… ...…………………………………………………
Description of equipment to be placed on highway (e.g. tables, chairs, barriers,
lighting, heating equipment etc.)……………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………
Number of tables and chairs ……………………………………………………….
…………………………………………………………………………………………
Location (include a plan showing business location, width of footway and exact
location of pavement café with dimensions) …………………………………………….
………………………………………………………………………………………………..
…………………..…………………………………………………………………………..…

Location Plan

Please sketch below (or attach a separate plan) showing the position on the highway in
which the proposed item(s) would be placed, relating to your premises, and the position
of any street furniture such as lamp columns, sign posts, bollards etc. Please show
dimensions including the width of the pavement.

Application form for Pavement Café Licence 2

Version 2 - March 2010
This authority is under a duty to protect the public funds it administers and to this end may use the information you have provided on
this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or
administering public funds for these purposes.
APPLICATION FORM FOR LICENCE TO PLACE A PAVEMENT CAFE ON THE
HIGHWAY

Part 3 – Fee and Signature CPL/ /10

I wish to apply for a Pavement Café licence on the highway outside……….…………..
…………………………………………………………………………………………………..

And enclose the following:

Fee £…………….. (non refundable* see notes)
Copy of Public Liability Insurance (min value £2M)
Copy of relevant Planning Permission

I understand that before a licence will be granted I must provide proof of the above.

Signature…………………………………. Date………………………………………..
PLEASE NOTE: In signing this form you are confirming to the Council that you
hold sufficient Public Liability Insurance to cover the display of items on the
highway and that the Insurance specifically covers you for the display of items
on the highway.

This form should be returned to: Payment Code: V1900 R804 88310
Technical Services Department
Enforcement Section
Cheshire Lines Building
Canning Street
Birkenhead
Wirral
CH41 1ND

Notes

Note 1. First year non refundable application fee for Pavement Café’s is £75
Note 2. Licences will only be issued after the balance of any fees have been paid
and all requested documents have been provided.

Fees

Pavement Café (1st year fee £300 including £75 application fee - max area of 6m2)
Pavement Café (annual renewal fee £150 – max area of 6m2)

Pavement Café areas greater than 6m2 will be charged at an additional £20 per m2 for
the first year and renewals charged at an additional £15 per m2).

Applications to amend details of a licence will incur an administration charge or may

attract a new first year fee, in which case the amended licence will run for a further 12
month period.
Application form for Pavement Café Licence 3
Version 2 - March 2010
This authority is under a duty to protect the public funds it administers and to this end may use the information you have provided on
this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or
administering public funds for these purposes.