Land Request Proforma

Please complete and return this form by email or post (details below).

Further information can be found at www.iwight.com/islandplan  		
	Office Use Only	
		
Please return this form and a map clearly identifying the boundary of the site to Island Plan Team, Isle of Wight Council, Planning Services, Seaclose Offices, Fairlee Road, Newport, Isle of Wight, PO30 2QS or via email to planning.policy@iow.gov.uk	

Please use a separate form for each site and complete the form to the best of your knowledge.	
Your Details	
Name and company (if relevant)	

Address	

	
Telephone number		
Email		
I am:
(please tick all that apply)	The landowner		         A land agent			
	A planning consultant		         A developer			
	A Registered Social Landlord		         Other 			
Site Details		
Site address	

	
		
Site area (hectares)		
Current use	

Relevant planning history	

	
Map enclosed clearly showing the site boundary
	Yes			
				
Number of owners 	1     		         2-3       		       4 or more			

Are there any factors which might make the site unavailable for development?	
Ownership constraints and/or covenant constraints		
Awaiting relocation of current use		
Level of developer interest, if known (low, medium, high)		
Is the site viable for residential or mixed use (including residential) development considering the Local Plan and relevant SPD requirements?		
Likely time frame for development	5 years (2006-2011)			
	6-10 years (2012-2016)			
	11-20 years (2017-2026)			
Are you aware of any sustainability issues or physical constraints that might make the site unsuitable for development? (The Local Plan proposals map may assist in identifying some Planning Policy constraints www.iwight.com/udp). Please answer to the best of your knowledge.	
Environmental constraints
(e.g. SSSI, Flood plain, European designation)		
Other designations
(e.g. Conservation area)		
Physical constraints
(e.g. topography, Tree Protection Orders)		
Planning Policy constraints
(e.g. protected key employment site)		
Distance to local/town centre (km)		
Public transport frequency/availability		
Number of dwellings		
What is the estimated number of dwellings that could be provided on the site taking into account:
•	the type of development likely to be suitable (purely residential or mixed use);
•	mix of housing (having regard to the UDP policy);
•	the height and character of surrounding buildings;
•	suitable density; 
•	the number of dwellings in any unexpired planning permission?	

	
Is there any other information regarding this site that it would be useful for us to be aware of?	

	
Thank you for taking the time to complete this form