HGV permit Application Form for download

HGV permit Application Form for download

V13

BURFORD HGV WEIGHT RESTRICTION EXEMPTION PERMIT APPLICATION FORM

 

  • Exemption Permits are only available to businesses with an operational base in Burford
  • Exemption Permits are required for HGV vehicles (as defined by DVLA) with a MGW exceeding 7.5 tonne which are not delivering to or collecting from a Burford Town address
  • One permit will be issued for each HGV
  • Each permit  will last until 5/2/2022 and cost £10/HGV and must be renewed annually
  • An application form can cover multiple HGVs only if each vehicle follows similar routes.
  • Permits are exceptionally issued solely for HGVs making very local journeys and which start and   finish within a radius of 4.8 miles of Burford

 

Operating haulage company/person
Haulage company/person office address

 

 

 

Location(s) of operational base address(es) of HGV(s) for which permit(s) are requested

 

Email of haulage company/person
Contact phone number of haulage company/person
Registered number plate of HGV(s)  requesting permit(s)
Brief reason for requesting permit(s)

 

 

 

 

 

Estimated number of traverses per month per HGV through Burford High Street (return journey, 2 traverses)
What is the typical origin/destination of these journeys?

 

 

 

 

Explain why other routes without weight restrictions cannot be used

 

 

 

 

 

 

 

 

 

 

  • The application form must be sent by post to HGV Permits, Burford Town Council, 126 High Street, Burford, OX18 4QU
  • Application forms must be accompanied by a cheque made out to Burford Town Council

 

  • Any queries on this application form then contact hgv.permits@burford-tc.gov.uk
  • ANPR and CCTV and other cameras are used by Burford Town Council 24/7 to monitor all HGV movements
  • All future correspondence will be through the email address given in para 4 of table above
  • Every question must be answered
  • No reminders of renewal will be sent

 

AGREEMENT

 

  • I/We agree that any exemption permit issued to your company/you by Burford Town Council for an HGV is a concession
  • I/We agree the permit is owned by Burford Town Council
  • I/We agree that if any of the following conditions of issuing the permit are not met then Burford Town Council can withdraw the permit :
    • The permit shall  be stuck to the front windscreen in a visible and prominent position on the nearside of the vehicle when using Burford High Street
    • The permit shall not be tampered with
    • The permit shall only be used on the HGV listed in the exemption permit application form
    • The permit shall only be used within the period stated on the permit
    • Unless delivering to or collecting from a Burford address the permitted HGV shall pass through the weight limit only for the intended purpose of facilitating  local journeys (within 5 mile radius of Burford)  and as stated in the permit application form

 

  • I/We agree that issued permit(s) must be returned within two weeks if the Council withdraws the exemption permission. No refund will be made
  • I/We agree that any exemption permit issued to me/us shall be returned to Burford Town Council if the vehicle named is scrapped or sold. No refund will be made
  • I/We agree that Burford Town Council’s decision on agreeing to issue and withdrawing the permit will be final
  • I/We agree that Burford Town Council can retain the details of the permit and haulier for its records
  • I/We am applying for …… permits and attach a cheque for the sum of £ ….. made out to Burford Town Council
  • If for any reason your application is refused, we will return the cheque to you

Signed

…………………………………………………………………….

 

Name (capitals)

…………………………………………………………………….

 

           Company                ………………………………………………………………………………………

 

Date

…………………………………………………………………….