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Surveying Services Quote Request Form

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Please Check Here if Your Request is a Status Update of an Existing Order.

Service Desired

Boundary Survey -- Rule 12 Survey

Land Title Survey -- ALTA/NSPS Survey

Topographic Site Survey

Floodplain Determination, Certification, and/or LOMA request

Land Development

Minor/Major Subdivision

Surveyor Location Report

Survey Information

Subdivision:

Other Subdivision...

Section:

Phase:

Part:

Lot Number:

Brief Legal:

***If available, please email copy of legal description to laura@rwgross.com ***

Street Address:

City/Town:

When Ready (Fill in One of the Following):

Call (Phone Number):

Fax (Fax Number):

Deliver (Downtown Lafayette Address):

Mail (Address):

Special Instructions or Requirements

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