$Date:: 2014-02-10 #$ $Revision: 5975 $
Application for consent to display an advertisement(s).
Town and Country Planning (Control of Advertisement) Regulations 1992
You can complete and submit this form electronically via the Planning Portal by visiting www.planningportal.gov.uk/apply
Publication of applications on planning authority websites
Please note that the information provided on this application form and in supporting documents may be published on the
Authority’s website. If you require any further clarification, please contact the Authority’s planning department.
Please complete using block capitals and black ink.
It is important that you read the accompanying guidance notes as incorrect completion will delay the processing of your application.
1. Applicant Name and Address
Title: First name:
Last name:
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
Company
(optional):
House
number:
House
name:
House
suffix:
Unit:
2. Agent Name and Address
Title:
House
name:
House
suffix:
House
number:
Unit:
Company
(optional):
First name:
Last name:
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
$Date:: 2014-02-10 #$ $Revision: 5975 $
Have you consulted your neighbours or
the local community about the proposal?
Yes No
If Yes, please provide details:
5. Neighbour and Community Consultation
7. Description of Proposed Advertisement(s)
Please describe the proposed advertisement(s):
Please indicate the number of the following
types of advertisement(s) you are applying for:
Number of
advertisement(s)
Application for fascia sign(s)
Application for a projecting or hanging sign(s)
Application for a hoarding(s)
Other
If you selected Other, please describe:
4. Pre-application Advice
Has assistance or prior advice been sought from the local
authority about this application?
NoYes
If Yes, please complete the following information about the advice
you were given. (This will help the authority to deal with this
application more efficiently).
Please tick if the full contact details are not
known, and then complete as much as possible:
Officer name:
Reference:
Date (DD/MM/YYYY):
(must be pre-application submission)
Details of pre-application advice received?
8. Advertisement Display
Is the advertisement you are applying for
already in place?
Yes
No
If Yes, please provide details of when the use or work started:
Is an existing advertisement(s) to be removed and replaced by the
advertisement(s) in this proposal?
Yes No Not applicable
If Yes to either or both above, please show the existing sign(s) on
an elevation drawing or photograph and state the references for
the drawing(s) or photographs.
Will the proposed advertisement(s) project
over a footpath or other public highway?
Yes No
3. Site Address Details
Please provide the full postal address of the application site.
House
name:
House
suffix:
House
number:
Unit:
Address 1:
Address 2:
Town:
Address 3:
County:
Postcode
(optional):
Easting: Northing:
Description of location or a grid reference.
(must be completed if postcode is not known):
Description:
6. Authority Employee / Member
With respect to the Authority, I am:
a) a member of staff
b) an elected member
c) related to a member of staff
d) related to an elected member
Yes No
If Yes, please provide details of the name, relationship and role
Do any of these
statements apply to you?
$Date:: 2014-02-10 #$ $Revision: 5975 $
9. Advertisement Period
Please state the period of time for which
consent is sought for the advertisement:
From To
date (DD/MM/YYYY)
11. Details of Proposed Advertisement(s)
Please provide a full description of each proposed advertisement (e.g. fascia sign, box sign, projecting sign, hoarding, flag etc)
Advertisement 1 Advertisement 2 Advertisement 3
Type:
a) The height from the ground to the
base of the advertisement (in metres)
b) The dimensions of the proposed
advertisement(H x W x D) (in metric)
c) The maximum height of any of the
individual letters and symbols (in metric)
d) The colour of the text and
background
e) Materials of the proposed sign(s)
f) The maximum projection of
advertisement from the face of the
building
Will any of the
sign(s) be illuminated
Yes No Yes No Yes No
If Yes for any of the proposed signs, answer g), h) and i)
g) Details of method of illumination
(internally illuminated/externally
illuminated)
h) illuminance levels (cd/m²)
i) Will the illumination be static or
intermittent?
10. Interest in the Land
Does the applicant own the land or buildings where the adverts are to be placed?
Yes No
If No, has the permission of the owner or any other person entitled
to give permission for the display of an advertisement been obtained?
Yes No
If No, why not?
$Date:: 2014-02-10 #$ $Revision: 5975 $
12. Planning Application Requirements - Checklist
Please read the following checklist to make sure you have sent all the information in support of your proposal. Failure to submit all
information required will result in your application being deemed invalid. It will not be considered valid until all information required by
the Local Planning Authority has been submitted.
The original and 3 copies of a completed and dated application form:
Drawings
The drawing of the proposed advertisement should show its dimensions and position on the land or
building in question. For a sign, the drawing should indicate the materials to be used, fixings, colours,
height above the ground and, where it would project from a building, the extent of the projection.
A site location plan should also be provided which identifies the proposed position of the advertisement
and location of the site by reference to at least two named roads. It should be drawn to an identified scale
and show the direction of North. Ordnance Survey maps are not required. Photographs and
photomontages may be used. The original and 3 copies of each drawing should be provided:
Description of signs, size and illumination
The type of each sign for which application is being made, e.g. fascia, projecting box, pole-mounted free-standing,
should be shown, together with the dimensions of each sign. If any of the signs are to be illuminated please
describe the type of illumination, e.g. internal, external, floodlight, etc, and whether the illumination will be
static, flashing, or have moving parts. The original and 3 copies of each description should be provided:
The original and 3 copies of a plan which identifies the land to which the
application relates drawn to an identified scale and showing the direction of north:
The original and 3 copies of other plans and drawings or information necessary to describe the subject of the application:
The correct fee:
Owner's consent:
It is a condition of every consent granted by or under the Regulations that, before displaying any advertisement, the permission of the
owner of the land or other person entitled to grant permission must be obtained. To display any advertisement without this permission is
an offence, open to immediate prosecution.
Where the site is within the boundaries of a highway, evidence that the application is acceptable to the highway authority must be
provided.
13. Declaration
I/we hereby apply for planning permission as described in this form and the accompanying plans/drawings and additional information. I
confirm that, to the best of my knowledge, any facts stated are true and accurate and any opinions given are the genuine opinions of the
persons giving them.
Or signed - Agent:Signed - Applicant: Date DD/MM/YYYY):
(date cannot be
pre-application)
14. Applicant Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
15. Agent Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
16. Site Visit
Can the site be seen from a public road, public footpath, bridleway or other public land?
No
Yes
If the planning authority needs to make an appointment to carry
out a site visit, whom should they contact? (Please select only one)
Other (if different from the
agent/applicant's details)
ApplicantAgent
If Other has been selected, please provide:
Contact name: Telephone number:
Email address:
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome