City Of Kingman (Engineering)

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Map Reproduction / Electronic Data Form
Requested Items To Be Picked Up
220 N Fourth St.

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. (Please see the fee schedule below)

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

Requested information (Check all that apply):

CD 3.5 Floppy Paper Prints Channel Maps
Water/Sewer Maps Topographical Maps Zoning Maps

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] )

About You:

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Fee Schedule

Map Reproduction Fees	Fee	Electronic Data Fees	Fee
Digital scanned maps with paper print:		CD Format	$10.00
Black and White		3.5" Disk	$ 2.00
18" x 24"	$2.50
24" x 36"	$3.00
36" x 36"	$4.00
Color Maps
18" x 24"	$9.00
24" x 36"	$18.00
Misc Sizes	$3.00 Sq. Ft.

600 Scale Water/Sewer Maps (B&W)	$10.00 Each
Sepia Mylar / Cut Sheets	$5.00 Sq. Ft.
Zoning Maps (Black & White)	$6.00
Zoning Atlas (Black & White)	$25.00

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