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Gis Request Form Fillable

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File type: PDF

U.S.A. forms for Town of Culpeper

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Town Of Culpeper GIS
400 SOUTH MAIN STREET, SUITE 305
CULPEPER, VA 22701
GIS SERVICE REQUEST FORM
Our GIS services are limited only to the GIS data and maps that the Town of Culpeper manages. This service is a courtesy. Although
substantial efforts have been made to ensure accuracy of mapping data, GIS is merely a visual representation of town land records.
Please reference recorded deeds/plats at the Courthouse for any legal information.
REQUESTOR INFORMATION:
Department
Date
Name
Telephone
( ) - Ext#
E-Mail
Address
City
State
Zip Code
Request Type
Hardcopy
Map Size
8.5x11 36x42
11x17 Best Fit
24x36 Other:_________
Color
Black and White
Full Color
Digital
Format Type
DWG JPG
PDF TIFF
SHP Other:__________
Data
List/Describe in Notes
Analysis
List/Describe in Notes
Delivery Options:
E-mail FTP Web Pickup
Other:
✔
Area of Interest:
Please describe the geographic extents of the requested product :
Notes:
Please provide additional details that pertain to your request:
GIS USE ONLY
Log #:
Date Completed:
Tech:
Hours:
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Completed 12 July 2020

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