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Preferred replacement site attributes <br />Relocation area: <br />Property access (RR, dual): <br />Zoning /type of use: <br />Truck access: <br />Lease / purchase: <br />Freeways /arterials proximity: <br />Building size /layout: <br />Public transport access: <br />Single /multistory building: <br />Pedestrian access: <br />Clearance /height: <br />Parking spaces: <br />Lotlyard size: <br />Shipping /receiving type: <br />Special utility needs: <br />Demographic needs: <br />Internet service needs: <br />Traffic count needs: <br />Franchise /ordinance restrictions: <br />Visibility needs: <br />Specific concerns and anticipated move challenges <br />List of any ideni replacement sites <br />Address <br />Bldg size <br />Lot size <br />Lease amount <br />Status <br />Broker info <br />1 <br />2 <br />3 <br />ADDITIONAL INTERVIEW NOTES <br />(explain all special circumstances, including those noted above) <br />1. URA business type: Business, Farm, Non•Profit <br />2.OPC business type: Agricultural, Industrial, Office, Retail Sales, Retail Service, Special Purpose (detail online) <br />3. Professional Specialty: Attorney, Accountant, Broker, Move Planner, Contractor <br />4. Internet service: DSL, cable, T1, fiber, satellite, other <br />I'certify that all information in this survey is true and complete to the.best of my knowledge. <br />The information contained herein shall be treated confidential to the extent permitted bylaw. <br />Claimant Name: Date: Signature: <br />©1980 -2012 Overland, Pacific & Cutler, Iric (08112) <br />55A -45 <br />°ace 3 <br />