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Housing Site Identification Data Sheet
Site Data Sheet v2
Please attach map indicating boundaries of available property and Latitude/Longitude coordinates.
Site Address
Jurisdiction
Parcel Number
Acre Size
Contact Name
Contact Phone
Contact Email
SITE REVIEW CHECKLIST
Availability confirmed (by property owner or designee)
Zoning permits use for MHUs/trailers
No known environmental issues (e.g., no protected species)
Site is not within flood plain
Status of power?
Status of water?
Status of sewer?
Status of development?
NOTES
SUBMITTED BY
Name
Phone
Email
Date Submitted