1. Surname:
2. Other Names:
3. Daytime Telephone Number:
4. Address:
5. Type of Business:
6. Description of the business (please give as much detail as possible):
7. What part of the house/grounds will be used in connection with the business?
8. Between what hours would the business operate?
9. How many people would be working from the house?
10. Would the business affect the number of callers to the house? Yes No If yes, please give details:
11. Will the business affect the number of vehicles parking or calling at the house? Yes No
12. Please give details of any materials which would be stored on the premises for use in the business:
10. Choose your nearest One Stop Shop
I/We have read the guidance notes above and declare that the information given on this form is correct. I/We also understand that to give false information or withhold information at any time may result in permission being cancelled.