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GIS Data and Map Request Form

Please read Customer map price schedule.

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Customer Name:

Organization:

Street Address:

City, State, Zipcode

Telephone Number:

Enter a valid phone number. Example: 123-456-7890

Fax number:

Enter a valid phone number. Example: 123-456-7890

Email Address:

Enter a valid email address. Example: name@company.com

Purpose of Request:

Brief Description of request:

Product Type

File Format

Other Format:

Paper Map Scale

Other Scale:

OR Size:

Other size:

Required GIS layers: (Property, Zoning, 2" Contours, Buildings, 2009 Aerial Imagery, Street Centerline, Transportation, Municipality, Hydro Area, Hydro Centerline, Wetlands, Tree Canopy, etc.)

Project Site:

Location Details (address, WSSC tile(s)

Map Title: