Application for Caravan Licence

Applicant Details

Name(Required)

First Last

Postal Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Caravan Details

Registration Number(Required)

Model/Make(Required)

Colour(Required)

Manufacturer(Required)

Is your caravan located to a different address than your postal address?

Yes

Address where the caravan is located

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you the property owner?

Yes

Land owners name where the caravan will be kept if not on your property

First Last

Sanitary facilities in the caravan. (Please List)(Required)

Type of water supply to the caravan(Required)

Mains Water

External Water Tank

Onboard tank only

Method of wastewater disposal:(Required)

includes water closet, bath, shower, hand basin, sink and laundry

Number of people to occupy caravan

Proposed period that the caravan will remain at this site.

From(Required)

Until(Required)

For new applications (not renewals) please attach a site plan showing an outline of the property, the existing buildings and the proposed location of the caravan.

Site Plan

Accepted file types: jpg, png, pdf, Max. file size: 64 MB.

Applicants Signature(Required)

Hidden

Date

Hidden

OFFICE USE ONLY

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