The MoleValley Local Development Framework

Comments Form

Please use this form to make your comments on the

Shaping Your Community Discussion Paper (March 2011)

Your comments are important.

They will be analysed and used to inform the future direction of the

MoleValley Local Development Framework (LDF)

Returning the Comments Form

Please return completed comments forms to:

The Planning Policy Team
Mole Valley District Council
Pippbrook
Dorking
Surrey
RH4 1SJ

Comments can also be handed in at:

  • The Council Offices in Dorking (opening hours: Monday to Friday 8.30am to 5pm); or
  • The Leatherhead HelpShop, 25-29 High Street, Leatherhead, KT22 8AB (opening hours: Monday to Friday 9.30am to 4.30pm (closed between 1.15pm and 1.45pm); Saturday 9.30am to 1pm).

Alternatively email the completed form to

Further Information

Please feel free to contact the Planning Policy Team at the above address, by email at or by telephoning 01306 879281 if you need any further information or assistance.

All Comments must be received by Friday 8th April 2011

Your Details

Name
Organisation (if applicable)
Address
Post Code
Telephone No: Home or Mobile
Email Address

Which section of that document are you commenting on? (If possible, please use a new form for each section as this helps us to have a clearer understanding of your comments/views)

Question No:
Chapter No:
Paragraph No:

Your Comments

Please use the following space to make your comments:
(Please continue on a separate sheet if necessary)

About Yourself

This information is voluntary and for monitoring purposes only.

1.Are you(please circle): Male or Female?

2.Do you consider yourself to have a disability(please circle)?

Yes No

3.What is your ethnic group? (please circle) Choose ONE section from A to E

A. White / B. Mixed
British / White and Black Caribbean
Irish / White and Black African
Any other White background (PleaseState below) / Any other Mixed background (please state below)
C. Asian or Asian British / D. Black or Black British
Indian / Caribbean
Pakistani / African
Bangladeshi / Any other Black background (Please state below)
Any Other Asian background (Please state below)
E. Chinese or other Ethnic Group
Chinese
Any other (Please state below)

4.What was your age last birthday?(please tick one)

Under 25 year / 25 – 45 years / 46 – 60 years / Over 60 years

5.

What is your religion or belief?(please tick one)
Christian
Buddhist
Hindu
Sikh
Jewish
Muslim
Atheist
Agnostic
Prefer not to say
Other Please State