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GIS-Data-License-for-Digital-Products-Application - HW GIS Data APPLICATION

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BROWSE CITY OF HOPEWELL (VA) FORMS

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Mail to: Department of Development, 300 N. Main Street, Hopewell, VA, 23860
The City of Hopewell, Virginia
Department of Development
APPLICATION FOR
OBTAINING GIS DATA LICENSE FOR DIGITAL PRODUCTS
Applicant Name: _______________________ Date: __________ Phone: _____________
LICENSEE Name: ____________________________________________________________
LICENSEE Street Address: ___________________________________________________
BINDING AUTHORITY Name & Title: _________________________________________
Check LICENSING LEVEL & FEE Provided: $_____________, Check No._________
Licensing Level Requested Digital Planimetric Fee Color Orthophotography Fee
Private Sector Organization $25/tile or $500 city-wide $25/tile
Local Franchised Utility $FREE $10/tile
Local Government Agency $FREE $FREE
Public Schools $FREE $Not Available
State Government Agency $FREE $Not Available
For what specific PURPOSE: _________________________________________________
_____________________________________________________________________________
PRODUCT Requested: Planimetric Data Orthophotography Both
COVERAGE Requested: city-wide or by tile (check tiles below)
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Completed 13 July 2020

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