Publication Stage Representations Form

Before completing this form please read the guidance notes
Fields marked with * are required
Are you an agent acting on behalf of the representee?*
1. Yes
2. No
Part A - Personal Details
1. Title*
2. First name*
3. Surname*
4. Job title (if applicable)
5. Organisation name (if applicable)
6. Email*
7. Contact Telephone Number*
8. Please enter your postcode and click on 'Find Address'. Then click on the drop down arrow on the address box and choose the correct address
  
  If your address is not shown please enter the address manually.
9. Your Postcode
11. Address Box
12. First line of your address*
13. Address 2
14. Town*
15. Postcode*
Agent Details
1. Title
2. First name
3. Surname
4. Job title (if applicable)
5. Organisation name
6. Email address
7. Telephone number
8. Address Line 1
9. Address Line 2
10. Town
11. Postcode
Are you submitting a representation on behalf of a group?*
1. Yes
2. No
Group representations
1. Please indicate how many people you are representing and describe how the representation has been authorised
You can request to be added to the Council’s planning policy consultation database by emailing us at Planning.policyTeam@breckland.gov.uk. You will then be notified when planning policy related documents are available for consultation or are adopted.
You can request to be removed from any or all mailing lists at anytime by emailing us at the same email address.

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