City of Bluefield Building and Site Submission

Building Submission

(Site Submission on Page 2)

Primary Contact:

First NameLast Name

Phone Number:

Area CodePhone Number

E-mail:

State:

County:

Locality:

Building Name:

8. Physical Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Is the Building within City limits?

YesNo

Available Utilities:

Available Square Footage:

Ceiling Peak (Feet):

Rooms:

Restrooms:

Lot Size/Acreage:

Road Frontage Type:

Heating System:

NoYesOther

Air Conditioning:

YesNoOther

Construction Type:

Former/Current Use:

Specialty Feature:

Zoning:

List Price:

Lease Rate:

Lease Terms:

Parking?

YesNoOther

Topography:

Expandable?

YesNo

Can Subdivide?

YesNo

Property and Area Description:

Deed Book/Page Number/Parcel Number (if available):

Directions:

Latitude/Longitude:

Please submit any photos or additional information

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