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First Name

Last Name

Email

Phone

Company

Job Title

Site Name

Site Address

Property Description (short summary of site attributes)

Vehicle Access Yes No

Site Acreage

Power Availability Yes No

Power Location & Provider

Water Availablity Yes No

Water Location & Provider

Sewer Availability Yes No

Sewer Location and Provider

Additional Utility Information

Telecom Availability Yes No

Telecom Location and Provider

Engineering Rail Drawings Yes No

Flood Plain Information Yes No

Zoning Information Yes No

Geotechnical Information (Topographical Maps, Survey, Drainage)

Environmental Studies Yes No

Permitting Information

Property price per acre

Who owns/controls property?

Lat/long

Does site have local/community support for development Yes No

Workforce available in the area

Property flyer and/or web site link

Parcel Information property boundary, parcel map

Supporting Economic Development Org (EDC/EDO)

Serving Railroad(s) UPBNSFCPKCNSCSXTOther

Federal Qualified Opportunity Zone/Free Trade Zone/Other Yes No

Site Certifications (include link)

Local/Sate incentives available for this site Yes No

Comments