Application to amend or extend an existing licence

Step 1 - Application Details

Which type of licence are you requesting an amendment or extension for? (Select one option)

S171

S50

Scaffolding / Hoarding

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Permit Reference Number (As shown on your Licence Certificate):

Current Licence Dates - Start date:

Current Licence Dates - End date:

Do you need to extend the duration of your licence?:

Yes

If ‘Yes’, please state proposed New Licence Start Date:

Please state proposed New Licence End Date:

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