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Plot Holder Name |
Date: |
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Plot Number(s) |
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Date Plot(s) to be vacated by |
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Reason for leaving.
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Termination Change of circumstances |
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Are there any long-term structures left in good condition on the plot? YES/NO |
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Yes - add comments |
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Has all rubbish been removed from the Allotments? YES/NO ** |
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If no, date when it will be removed by |
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Have all crops and personal equipment been removed? YES/NO |
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No – add comments |
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Has the plot been strimmed and left tidy? YES/NO |
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No – add comments |
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Any further actions & date to be completed by.
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Gate Key Returned? YES/NO
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Yes, gate deposit refunded.
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Does the Allotment plot comply with all the above YES/NO
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Yes, plot deposit refunded |
Plot Holder(s) Signature
Signed on behalf of Witham St Hughs Allotment Committee
Date.
** Rubbish is defined as whatever isn’t permitted on the plots as per the Terms & Conditions.
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Date |
Amendments |
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09/2023 |
Adopted Policy |
V1 |
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This document can be viwed and/or downloaded from THIS LOCATION