GIS
REQUEST FOR INFORMATION
DATE: __________________ DATE NEED BY: __________________
NAME: ______________________________________________________
ADDRESS: ______________________________________________________
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PHONE#: ______________________________________________________
Description of Geographical Information desired: (Below is a partial list of available data layers. Please feel free to inquire about additional data layers available). __________________________________________________________________
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□ Orthophotography □ Contours □ Zoning □ Soils
□ Centerlines □ Wetlands □ Hydrography □ Parcels
Fee: $________________ RECEIVED BY:______________________________
Signature: _____________________________________________
FOR OFFICE USE
Date completed: ________________________ By: _________________________
Alterations: _____________________________________________________________________