Lisburn Online Forms - Street Trading

In connection to this application for the grant, renewal or variation of a Permanent/Temporary/Mobile Street Trading Licence, if you provide information which you know to be false, you will be prosecuted for that offence. On conviction you are liable to a maximum fine of £1000. I certify that I have read and understand the above statement and that all the above information contained in this application is correct to the best of my knowledge

Section 1: Applicant Details
Title:
First Name:
Last Name:
E-mail:
Main telephone:	+
Other telephone:	+
Street Number and Name:
City or Town:
Postcode:
Country:
Date of Birth:
Your Business
Is your business registered in the UK with Companies House?:	YesNo
Are you applying as a business or organisation?:	YesNo
Are you an agent acting on behalf of the applicant?:	YesNo
Commercial Register:
Registration number:
Business Name:
Is your business registered outside the UK?:	YesNo
Registration Number:
VAT Number:
Legal Status:
Legal Status - Other:
Your position in the business:
Business Address (if different from above)
Premises Name:
Street Number and Name:
City or Town:
Postcode:
Country:
What do you want to Sell?
Please list all the goods and services you want to offer for sale:
Does this include selling food or drink?:	YesNo
Are you registered as a food business?:	YesNo
Local authority where you are registered:
Where will goods be stored when not on sale?:
Have you had any Food Hygiene Training?:	YesNo
Please detail?:
Proposed Date of Trading (if applicable):
Proposed Trading Times for Each Day of the Week (if applicable)
Day:
From:
To:
Where do you Want to Trade
Type of Licence/consent required:	StationeryMobileTemporary
If Stationary:
If Mobile:
If Temporary:
Street(s) location(s) where you wish to trade::
The map must be provided showing the exact position of the trading site. This map requires street furniture i.e Lamp posts, Bins and manholes to be included. Also the names of any nearby streets or buildings and measurements, showing the distance from junctions, roadage and buildings
Details of Vehicles and Stall
Do you own the vehicle or stall?:	YesNo
Please provide details of the vehicle
Make:
Model:
Colour:
Registration Number:
Description of unit from which you intend to trade, including dimensions:
Where will the unit be stored when not in use?:
Public Liability
Do you have public liability insurance?:	YesNo
Provide details of the policy
Insurance company:
Policy No:
Period of cover:
Amount of cover:
Copy of public liability insurance to be forwarded under separate cover:	YesNo
Previous Applications
Have you previously held a Street Trading Licence (In Lisburn City Council area?):	YesNo
Hae you previously held a Street Trading Licence (outside Lisburn City Council area?):	YesNo
Have you been trading at this location in the last 12 months?:	YesNo
If the previous answer is Yes then on how many days per week?:
Cost
Fees:
Declaration
I declare:	In connection to this application for the grant, renewal or variation of a Permanent/Temporary/Mobile Street Trading Licence, if you provide information which you know to be false, you will be prosecuted for that offence. On conviction you are liable to a maximum fine of £1000. I certify that I have read and understand the above statement and that all the above information contained in this application is correct to the best of my knowledge