Self-Build and Custom Housebuilding
Call for Sites Pro-forma

•	Please complete this form if you would like to propose land for a Self-Build/Custom Housebuilding development in Stratford-on-Avon District. 
•	Please complete a separate form for each site. Complete each section clearly and legibly and to the best of your knowledge.
•	You must attach a 1:1250 scale Ordnance Survey map clearly showing the precise boundaries of the site and details of site ownership.
•	You must sign and date the declaration at the end of the form. 
•	In submitting a site you consent for your name and postal address to be made publicly available.

1. Your Details (please provide details)
	
Title
		Name		
Organisation
(if relevant)		Representing
(if relevant)		
Address
		
Post Code
		Telephone		
Email

2. Site Location (please provide details)
	
Site Name
		
Site Address
(Inc. postcode if known)		
OS Grid Ref: Easting		OS Grid Ref: Northing		
Total Site Area
(Hectares)		Area of Site Suitable for Development 		
Please attach a 1:1250 scale Ordnance Survey map clearly showing the precise boundaries of the site with a red line. If appropriate, show other land in your ownership in blue. If relevant, also provide details of land parcels where the site is under multiple land ownership (see Section 3).	

3. Site Ownership (please tick as appropriate and/or provide details)
	
Ownership
(please tick)	Yes – sole owner	Yes – part owner	No	
If you are a part owner or are not the owner, please provide name(s) and address(s) of the other landowners		
Have you notified the (other) landowner/s that you have submitted this site?	Yes	No	

4. Site Constraints  (on site or on the boundary) (please tick as appropriate and/or provide details)
	
Current / Previous Use
		
Adjacent Land Uses
		
Relevant Planning History

	
Existing Infrastructure
	Electricity	Gas	Mains Sewerage	Mains 
Water	Telecoms	
Access from the Highway	Yes
(classified road)	Yes
(unclassified road)	No	
Highway Works 

Ransom Strips

Legal Issues

Existing Occupiers 

Public Access / Rights of Way
		
Wildlife Designations
(wildlife site, protected species)		
Heritage Designations
(e.g. listed buildings)
		
Agricultural Land Classification
(If appropriate)		
Environment Constraints
(e.g. mature trees, TPOs, ponds, watercourses)		
Physical Constraints 
(e.g. flooding, potential land contamination)		
Infrastructure Constraints
(e.g. pylons, gas mains)
		
Other Known Issues / Constraints
		
Interventions to Overcome Constraints

	

6. Other relevant information

	

Signature
In submitting a site your name and the site address will be made publicly available. Your contact details (postal address, email address and telephone) will be redacted and will not be made available.
A representative of the Council may access the site (if necessary) to undertake a site assessment with or without prior notification.
       Please tick this box if you want receive notifications of forthcoming public consultations and stages of plan preparation. You can request that your details are deleted at any time.  	
Name
		
Signature
		
Date
		
Please return completed forms to the Planning Policy Team by email to planning.policy@stratford-dc.gov.uk 
or by post to Stratford-on-Avon District Council, Elizabeth House, Church Street, 
Stratford-upon-Avon, Warwickshire, CV37 6HX.