Address Phone Number Email Your relationship to the nominating organisation The Nominated Property Description of the property Address Current use of nominated property Nominated Property Ownership Name of owner Name of organisation (if owner) Address of owner Email of owner Phone number of owner Name of leaseholder Name of organisation (if leaseholder) Address of leaseholder Email of leaseholder Phone number of leaseholder Name of licensee Name of organisation (if licensee) Address of licensee Email of licensee Phone number of licensee Why you have nominated the Property Reasons for nomination Evidence of past or existing community use and importance Extent of use by the community Proposed use of the asset and ongoing
Address Phone Number Email Your relationship to the nominating organisation The Nominated Property Description of the property Address Current use of nominated property Nominated Property Ownership Name of owner Name of organisation (if owner) Address of owner Email of owner Phone number of owner Name of leaseholder Name of organisation (if leaseholder) Address of leaseholder Email of leaseholder Phone number of leaseholder Name of licensee Name of organisation (if licensee) Address of licensee Email of licensee Phone number of licensee Why you have nominated the Property Reasons for nomination Evidence of past or existing community use and importance Extent of use by the community Proposed use of the asset and ongoing
acv_nomination_form.docx