Land Interest Survey
1.)Water Connection
Direct
Within 100m
NA
2.)Sewage
Direct
Within 100m
NA
3.)Electricity
Direct
Within 100m
NA
4.)Main Road Access
Direct
Within 100m
Over 100m
5.)Location views
Scenic
Fields
None
6.)Transport nearby
Train Station
Bus Stop
7.)Rent for 1-2 acres
Per month
Minimum Lease
8.)Potential Consent to apply for Planning Permission of Glamping Dome
Yes
No
Maybe
9.)Land Postcode
10.)Name
First Name
Last Name
11.)Email
example@example.com
12.)Phone Number
Landline or Mobile
13.)Add pictures if avaliable
Browse Files
Drag and drop files here
Choose a file
Cancel
of
14.)Any other info to add or if you have any questions.
Submit
Should be Empty: