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DAVIE COUNTY PLANNING AND ZONING <br /> <br />123 S. Main St., Rm. 307; Mocksville, NC 27028; 704-336-3340 <br /> <br /> GEOGRAPHIC INFORMATION SYSTEMS <br /> <br />DIGITAL DATA REQUEST FORM <br /> <br />All data purchased or otherwise distributed will be sold as-is, without warrantY of <br />merchantability or fitness for a particular purpose. Davie County makes no other <br />warranties or guarantees expressed or implied. Use of the data purchased or <br />distributed shall be at the purchaser's or user's own risk. <br /> <br />Select Coverages from list: <br /> <br />F'lCensus Tracts <br />[] Driveways <br />[Hydrology <br />[]Railroads <br />FISubdivisions <br /> <br />[]City Boundaries [County Boundaries <br />[]Emergency Response Districts r"iFire Departments <br />r'-lMap Book Index Pages []Parcels <br />[]Street Centerlines []Structures <br />[]Township Boundaries FIZoning (in progress) <br /> <br />Select Export Format: <br />[] Arclnfo export file (.e00) <br />[] Drawing Interchange File (.dxf) <br /> <br />[] ArcView shapefile (.shp) <br /> <br />Select Transfer Medium (requestor must provide new medium): <br />[]CD ROM r-Il00 mb lomega Zipdisk F18mm Tape <br /> <br />ORDER DATE: <br /> <br />Base Rate $50.00 + 1hr $ <br />__ hrs @ $10.001hr $ <br /> <br />Total Cost $ <br /> <br />Please Read Before Siqning <br /> <br />I understand and agree that Davie County makes no warranties, express Or <br />implied as to the data purchased. I agree to fully and unconditionally release <br />Davie County and employees of Davie County in their official and individual <br />capacities, now and in the future, for any and all liability or claims, whether at law <br />or in equity, arising from the purchase or use of data purchased. <br /> <br />Signature: Date: <br /> <br />Name: <br /> <br />Organization; <br /> <br /> <br />