Application for a proposed salt bin/heap

Parish *

Proposed location *

Requested by

Prefix e.g. first floor flat.
House name/number
Street
Village/Area e.g. Scawby, Bottesford, etc.
Town
County
Post code *Please input your post code using capitals and include a space between the first and second parts e.g. DN17 5TY.

Contact tel no. *

If you provide a valid email address you will automatically receive a copy of your submitted form.

Date of request *

Date of request20 Mar 2010

1. Reason for request *

2. Will anyone be responsible for spreading the salt at this location?

Adjacent householders
Parish Council
Nominated individual
Other

If a nominated individual, please provide details of their name and address

If other, please state

3. Please give any other information in support of this request

Your request will be assessed for suitability and you will be contacted with a decision within 10 working days.