Medina County Economic Development Corporation Site Submission

Site Submission Form
Site Name (if applicable):
Permanent Parcel # (if known):
*Site Address:
*Site City/Township:
*State:
*Zip Code:
Location description:
*Total site acreage:
*Maximum acres available:
*Minimum acres available:
Subdivisible acres:
Additional acres:
*Zoning:
*In city limits (yes/no):
*Type of Park (industrial/business/n/a):
*Environmental Assessment (yes - explain/no):
*Build to suit (yes/no):
Electric provider:
Gas provider:
Water provider:
Sewer provider:
Telecommunications provider:
*Sale and/or Lease Price-please specify sale/lease:
Sale/Lease description (i.e., per SF, month):
*Owner/Agent Name:
Owner/Agent E-mail:
*Owner/Agent Address (include city, state, zip):
*Owner/Agent Phone:
Owner/Agent Fax:
Additional Information/Comments: