Submit a Site

Please use the form below to submit your site’s information. Incomplete submissions will not be considered.

(T-R-S-Qtr- or Subdivision-Block-Lot)
Site Is

Ownership Information

Name
Address

Property (Primary) Contact Information

Name
Address

Authorization and Verification of Materials

We, the below signed, do hereby submit for consideration of a SEA VeriReady Site designation the above named and described site, along with the required supporting information and documentation.

We understand that said site may or may not encompass multiple contiguous parcels. We represent with by checking the authorization box below, that we are authorized to take such action, and that all documentation and representations made herein are accurate, and the site and materials submitted meet the established criteria of hte SEA VeriReady Sites program. Further, we understand and agree to update the attached information as it changes and to provide this information to Sandoval Economic Alliance.

Acknowledgement of Electronic Signature
Signer's Name
MM slash DD slash YYYY