Appendix C: Site Data Form

CONTACTS:
Site Location:

Street Address:


Owner/Landlord:

Address:

Telephone:

Attorney:

Address:

Telephone: Fax: Email:

Realtor/Broker:

Address:

Telephone: Fax: Email:

SITE DATA:

Total Property Size/Square Feet:

Property Dimensions:	Front Left Right Rear

Building Dimensions / Square Feet:

Former Use of Site:

Corner Lot:	Yes No
Distance in feet to Stop:	Light: Sign:

Maximum Signage Allowed: Height: in Sq. Ft.

Pole Sign Available: Maximum Size	Yes No

Number of on-site parking spaces is:

Present Zoning: Classification	Commercial Industrial Residential

Will Present Zoning Permit Carry-Out Restaurant:	Yes No

Is Site Serviced by all Required Utilities:	Yes No

Does Site Require Fill:	Yes No

Does Site have a Drive-Thru:	Yes No

STREET AND HIGHWAY DATA:

Primary or Facing Street

Name:

Number of Traffic Lanes:

Speed Limit:

Traffic Count:

Date of Traffic Count:

Type of Street:	Concrete Asphalt

Condition of Street:	Good Fair Poor

Dividers or Median:	Yes No

Divider Cut Allowed:	Yes No

Future Highway Changes Anticipated:	Yes No

	Where What

Size of Primary Curb Cuts:	Maximum

Number of Curb Cuts Permitted:	Front Side Rear

Secondary Streets

Name:

Number of Traffic Lanes:

Speed Limit:

Traffic Count:

Date of Traffic Count:

Type of Street:	Concrete Asphalt

Condition of Street:	Good Fair Poor

Dividers or Median:	Yes No

Divider Cut Allowed:	Yes No

Future Highway Changes Anticipated:	Yes No

	Where What

Size of secondary Curb Cuts:	Maximum

Number of Curb Cuts Permitted:	Front Side Rear

SCHOOLS

High School:

Distance:

Enrollment:

Significant to Site:	Yes No

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