Application form
Bus Stop Shelter
Your details
Contact name
*
Full Name
Parish/District council
*
Company Name
Address
*
Street Address
Street Address Line 2
Town/Village
County
Postal Code
Contact number
*
-
Area Code
Phone Number
Email address
*
example@example.com
Bus stop details
Location requested
Stop ID(s) are on Google Maps when you click on the bus stop(s)
Land ownership details (if known)
Is the location in a conservation area?
Yes
No
Does the proposed site already have a hard surface, e.g. pavement or hardstanding upon which the shelter could be erected?
Yes
No
Shelter design
Preferred shelter colour
Green
Black
Number of bays required
*
Number of bays required
*
Additional details
Any specific requests/other information (e.g. confirmation of any local financial contribution, acceptance ofmaintenance responsibilities and confirmation of local consultation)
Attachments
Browse Files
Please attach files that may support your application.
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