Gis Map Request Form - Northumberland County
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1
2Northumberland County
555 Courthouse Road
Cobourg, Ontario K9A 5J6
905-372-3329• 1-800-354-7050
905-372-1696 (Fax)
GIS Map Request Form
Name: _____________________________________
Date of Request: _____________
Organization (if applicable): __________________________________________________________________
Address: __________________________________________________________________________________
Telephone and Email: _______________________________________________________________________
Delivery Method:
Pick-up
Mail
E-mail
Describe Area to be Mapped: (Municipal Address, lot and concession, major intersection, roll number)
Map Title: _________________________________________
Check Data to be included:
Parcel Fabric
Watercourse
County Roads
Municipal/County Boundaries
Northumberland
Lot & Concession
Wetlands
Trails
Hamlet Limits
County Attractions
Contours
Waterbody
Bridges
County & Municipal Facilities
Aerial Photos
ORM Planning
Road Network
Select Output Format:
PDF
B & W
Hard-Copy (Printed)
Colour
Select Output Size:
8.5x11 (Letter)
11 x 17 (Tabloid)
17 x 22 (C)
22 x 34 (D)
Custom ____________________________________________________________
Select Labels to be included:
Street Names
House Numbers
Other ___________________________________________________
Description of Request: (explain additional information not addressed as above)
I acknowledge by submission of this research request that fees may be associated with the completion of this request. I
understand that payment must be made in full to Northumberland County prior to receiving the request.
Waiver for receipt of Maps & Mapping Information:
By receiving this mapping information, the user acknowledges its agreement with the following disclaimer and waiver of liability:
Mapping provided is for personal and non-commercial use only. Data displayed is approximate and is not necessarily accurate for
mapping, engineering standards and is not a substitute for a legal survey. The County of Northumberland, its employees, or
agents do not undertake to guarantee the validity or accuracy of the contents of mapping information and assumes no liability for
errors, omissions, commissions, or inaccuracies in the information provided.
(see reverse)
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