Questionnaire -expression of interest - housing provision
Applicant should complete a separate questionnaire for each site/development it wishes to nominate/propose for consideration. Completed applications should be returned to: Clare County Council. Please note that proof of ownership is essential. Site location map must be provided. You may attach additional relevant supporting information.
Table A – Contact Details:
 1	 Contact Name:
	 	
 2	 Company Name:
	 	
 3	 Address:		
4	Telephone:		
 5	 Email:		

Table B – Site/Development Details:
 6	 Site/Development Name:	 	
 7	 Location/Address:

 8	 Do you possess legal proof of ownership?
	Please tick one:	
		Yes:	 	No:	 	
 9	 Is land zoned for Residential use?
	Please tick one:	
		Yes:	 	No:	 	
 10	 Site Size in Hectares	 
                                                  Ha	
 11	 Has planning permission been granted?	Please tick one:	
		Yes:	 	No:	 	
 12	 If Yes to 11, please provide Planning Ref. No.
	 	
 13	 If Yes to 11, has construction commenced?
	Please tick one:	
		Yes:	 	No:	 	
 14	 If Yes to 13 is construction completed?
	Please tick one:	
		Yes:	 	No:	 	
 15	 If No to 14, please provide details of project status:

	
 16	 Outline your submission proposal or range of proposals (tick one or more options):	 	Sale of Land to Clare County Council (CCC)
 	
		 	Sale of Un-serviced Sites to CCC
 	
		 	Sale of Serviced Sites to CCC
 	
		 	Sale Partially Completed Development to CCC
 	
		 	Sale of Completed Units to CCC (Turnkey)
 	
		 	Lease of Managed Units to CCC
 	
		 	Lease of Un-managed Units to CCC
 	
		 	Other (please specify):

 	
 17
 	 Optional – this entry may be used to provide any additional information you believe to be relevant to your proposal