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Map Reproduction / Electronic Data Form

You may pickup requested items at 220 N 4th Street. The requested items will be ready for pickup 3 working days from now. Payment is due at that time.

NOTE: You will be billed for any requested items that are not picked up within 7 working days of the original request. You may also be contacted by phone so we may confirm your order.

Request Will Be Submitted To: Contact Person:
City of Kingman Engineering Dept. Roger Conrath
Mailing Address:
310 N Fourth St, Kingman, AZ 86401
Phone Number:
928-753-8129
Physical Address:
220 N Fourth St, Kingman, AZ 86401
FAX Number:
928-753-8118
 
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Data Request Form


Requested Information (Check all that apply) 

CD
Paper Print
Channel Map
Water/Sewer Map
Topographical Map
Zoning Map

NOTE: If the property is a Metes and Bounds Legal, please provide the appropriate information, i.e. Parcel Number, Legal Description, and Streets Bounding the area

In the area below please enter the applicable information:
Use this format (Notice the brackets in front an behind: Section, Township, Range, Lot, Block, Street, Subdivision, Assessors Parcel No., Desc. of Area )

Name
Firm
Street
City
State
Zip
Email
Phone
Fax
     

Enter the code shown above:
     

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