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Mapping Request (Various sizes)

2. Fees
   Vary based on the size of the map:
4. Various size maps
   -- Select One --8 1/2" X 11" $ 2.0011" X 17" $ 5.0017' X 22" $10.00 (Black & White only)24' X 36" $20.00 (Black & White only)34' X 42" $40.00 (Black & White only)Additional copies 1/2 priceSHAPE Files $35.00

   Please choose the map size for your request.
6. Description
   Please specify the type of map you are requesting.
8. Contact Name*
10. Address*
12. City*
13. State*
14. Zip*
16. Telephone Number
17. E-mail
19. Today's Date*
    Today's Date
20. Upload Supporting Documentation*
    if applicable
22. 
24. DEPARTMENT OF PLANNING & CONSERVATION
    204 Ash Street | Fernandina Beach, Florida 32034 | 904 310-3480 | www.fbfl.us/planning
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

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