Petroleum Licence

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Your Council

Guidelines

Please read the following Guidelines before applying for a Petroleum Licence :-

Petroleum Policy Guidelines

Application


Section 1
Our Reference:
Licence Type:
User Profile
First Name:
Family Name:
Email:
Main Telephone Number:
Fax Number:
Other Telephone Number:
Contact Details
Email:
Main Telephone Number:
Fax Number:
Other Telephone Number:
Indicate here if you would prefer not to be contacted by telephone:
Are you an agent acting on behalf of the applicant?:	Yes No
Are you:	Applying as a business or organisation, including as a sole trader Applying as an individual
Your Business
Is your business registered in the UK with Companies House?: Yes No
Is your business registered outside the UK?: Yes No
Commercial Register:
Registration Number:
Business Name:
VAT Number:
Legal Status:
Your position in the business:
Address
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Psotcode:
Home Country:
Applicant Profile
First Name:
Family Name:
Contact Details
Email:
Main Telephone Number:
Fax Number:
Other Telephone Number:
Indicate here if the applicant would prefer not to be contacted by telephone:
Is the Applicant:	Applying as a business or organisation, including as a sole trader Appyling as an individual
The Applicant's Business
Is the busienss registered in the UK with Companies House?: Yes No
Is the business registered outside the UK?: Yes No
Commercial Register:
Registration Number:
Business Name:
VAT Number:
Legal Status:
Applicant's position in the business:
Address
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Home Country:
Section 2
Please read local guidance notes before completing this form
Type of application
2.1
Type of application (If new, go to Section 3.1): New Renewal
Existing Licence Number:
Expiry Date of existing licence:
2.2
Have any structural alterations affecting petrol storage been made to the premises since the previous licence was issued?: Yes No
2.3
Please Provide Details:
Section 3
Please ready local guidance notes before completing this form
Premises for which Licence is required
3.1
Name of Premises/Trading name:
3.2
Address (If different to section 1 address):
Email Address:
Main Telephone Number:
Other Telephone Number:
3.3
Description of the premises:
3.4
3.4 Distance of premises from nearest residential accommodation:
Section 4
Please read local guidance notes before completing this form
Petroleum Deliveries and Service
4.1
4.1 Control of Petroleum deliveries (please select one): Licensee controlled deliveries Driver controlled deliveries
4.2
Timing of petroleum deliveries (please select one): Daylight deliveries only 24 hour deliveries
4.3
Reason for storing petroleum (please tick all that apply): Sale to the public Manufacturing purposes Private use
4.4
Mode of delivery to public (please tick all that apply): Attended service Staff service
4.5
Number of Pumps (Electrically operated):
Manually operated:
Section 5
Please read local guidance notes before completing this form
Petroleum Spirit Stored in Tanks

5.1
Total capacity of petroleum spirit tanks (litres):
5.2
Number of Tanks:
Please provide the following details about each tank:
5.3
Tank Type (e.g. Underground):
5.4
Construction Material:
5.5
Date Installed:
5.6
Grade of Petroleum spirit:
5.7
Capacity (Litres):
5.8
Additional Tanks? Please provide all information as required at 5.3 - 5.7:
Section 6
Please read local guidance notes before completing this form
Other products Stored
6.1
Petroleum spirit in containers/cans (litres):
6.2
Petroleum mixtures (litres/kg):
6.3
Liquefied petrolem gas (LPG) (litres/kg):
6.4
Diesel (litres):
6.5
Other Flammable substances:
Section 7
Please read local guidance notes before completing this form
Additional Details
Please provide any additional information which is required or relevant to your application (remember to check local guidance notes and conditions for requirements in your area):
Section 8
Please read local guidance notes before completing this form
Payment Details
Cost:
Authority Postal Address
Building Number or Name:
Street:
District:
City or Town:
County or Administrative Area:
Postcode:
Country:
Declaration
Full Name:
Date (dd/mm/yy):
(Digital) Signature:

Your Council

Petroleum Licence

Guidelines

Application

Section 1

User Profile

Contact Details

Your Business

Address

Applicant Profile

Contact Details

The Applicant's Business

Address

Section 2

Please read local guidance notes before completing this form

Type of application

2.1

2.2

2.3

Section 3

Please ready local guidance notes before completing this form

Premises for which Licence is required

3.1

3.2

3.3

3.4

Section 4

Please read local guidance notes before completing this form

Petroleum Deliveries and Service

4.1

4.2

4.3

4.4

4.5

Section 5

Please read local guidance notes before completing this form

Petroleum Spirit Stored in Tanks

5.1

5.2

5.3

5.4

5.5

5.6

5.7

5.8

Section 6

Please read local guidance notes before completing this form

Other products Stored

6.1

6.2

6.3

6.4

6.5

Section 7

Please read local guidance notes before completing this form

Additional Details

Section 8

Please read local guidance notes before completing this form

Payment Details

Authority Postal Address

Declaration

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