FULTON COUNTY PLANNING DEPARTMENT
GPS REQUEST FORM
CONTACT PERSON : DATE:
DEPT./ORGANIZATION :
ADDRESS :
PHONE :
FAX :
E-MAIL :
I. BACKGROUND/PURPOSE:
______________________________________________________________________________________
______________________________________________________________________________________
II. DATA/ITEMS TO COLLECT:
Digital Image/
Picture of
Item Type Information About Data/Items Data/Item
(i.e. Fire Hydrant) (condition, color, manufacturer)
1. ___Yes ___No
2. ___Yes ___No
3. ___Yes ___No
4. ___Yes ___No
5. ___Yes ___No
6. ___Yes ___No
III. GIS MAP REQUEST:
Yes ____ No _____
If yes, please fill out attached “Fulton County Planning Department Map Request Form”.
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For Planning Department Use Only
ESTIMATED # OF HOURS:
TOTAL ESTIMATED COST OF DATA COLLECTED (BASED ON $20/HOUR):
Signature Line:
click to sign
signature
click to edit