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2. ONTARIO COUNTY CUSTOM MAP REQUEST
   Please complete the information below as completely as possible. Turnaround time for map completion is typically one week from receipt of the request, but this may vary depending on complexity of the map and staff availability. Special instructions (e.g., unusual paper type, authoritative signature inclusions, etc.) can be included at the end of the form. If this is a PRIVATE SECTOR request, please note that map service fees are applied ($50.25/hour plus printing cost, as well as shipping cost if not picking maps up at the Information Services Office located at 70 Ontario Street in Canandaigua). PAYMENT MUST BE SUBMITTED BEFORE MAP PREPARATION BEGINS! This policy ensures County staff time and material resources are not wasted.
4. AFFILIATION*

   1. Government
   2. Non-Profit

   1. Educational Institution
   2. Private (Company or Individual)
6. First Name*
7. Last Name*
9. Address 1*
11. Address 2
13. City*
14. State*
    -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
15. Zip*
17. PHONE:*
18. EMAIL:*
22. DELIVERY METHOD(S):*

    1. Pickup (at 70 Ontario St, Canandaigua)
    2. Postal Mail

    1. Email (digital map)
24. GEOGRAPHIC AREA*
    Please indicate the location/extent to show on the map (e.g., Town of Victor; Ontario County; Honeoye Lake; particular tax parcel).
26. MAP SCALE:*

    1. NO

    1. YES

    (e.g., 1"=400'; 1:24000)
27. Desired Scale:
31. BASIC LAYERS TO SHOW ON MAP:

    1. Parcels
    2. Roads

    1. Political Boundaries
    2. Aerial Photos
32. ADDITIONAL LAYERS TO SHOW ON MAP:
34. MAP PRINTING (dimensions in inches):
    Please indicate the number of copies needed for each paper size.
36. 8.5 x 11
37. 17 x 22
38. 34 x 44
40. 11 x 17
41. 22 x 34
42. Custom Dimensions
43. # Copies
45. SPECIAL INSTRUCTIONS:
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

* indicates a required field