GIS DATA PRODUCTS ORDER FORM

This form and a GIS DATA PRODUCTS LICENSE AGREEMENT must be completed and signed
before submitting to:

Information and Publications Date:___________________________________

M-NCPPC – Montgomery County
8787 Georgia Avenue
Silver Spring, Maryland 20910-3760
(301) 495-4610 or (301) 495-1306 (fax)

GIS DATA PRODUCTS For: Project Name:________________________________________

Location:____________________________________________
GIS DATA PRODUCTS
Requested By: Name:______________________________________________

Company:___________________________________________
Address:_____________________________________________
_____________________________________________
Phone:______________________ Fax:___________________

DIGITAL DATA
WSSC Tile Numbers:__________________________ Base Map (Select):

(i.e. 220NW03) __________________________ ‰ Planimetric/Topographic

__________________________ ‰ Property

__________________________

Transfer Medium:
Paper Plot: ‰ Digital File(s) (Select One): ‰ 3.5 Floppy
(Specify size under MapMaker Map Plots) ‰ CD-ROM

Digital Format(s) (Select One):

‰ DWG ‰ DXF ‰ Arc Export ‰ Shape File

rev. 09/15/04
 PAPER MAP PLOTS
Location Name for Tile (maximum of 55 characters for portrait and 70 characters for landscape):
_________________________________________________________________________________________
Map Center Point: (i.e., street intersection or subdivision, etc.):
_________________________________________________________________________________________
Located on WSSC Tile Number:______________________________

Map Scale (Select One): 1”= ‰ 100’ ‰ 200’ ‰ 400’ ‰ 800’ ‰ 1000’ ‰ other ____ <1000’
Orientation (Select One): ‰ Portrait ‰ Landscape
Paper Size (Select One): ‰ 8 ½” x 11” ‰ 18” x 24” ‰ 34” x 40”

‰ Orthophotography (best if used below 400’ scale)

‰ All Planimetrics Features Items (1 to 6) ‰ Master Plan of Bikeways

‰ 1. Transportation (roads, parking lots) ** ‰ Wetlands
‰ 2. Centerlines
‰ 3. Buildings (show as:) ** ‰ Watersheds / Sub Watersheds
‰ Filled ‰ Outlines ‰ Water Service Categories
‰ 4. Hydrologic Features (lakes, streams) ‰ Sewer Service Categories
‰ 5. Natural Features (woodlands, open lands) ** ‰ Preliminary Plans
‰ 6. Other Misc. Features (fields, utility) ** ‰ Approved ‰ Pending ‰ All
‰ Contours ‰ Site Plans
‰ 5 ft ‰ 25 ft ‰ Municipalities (shaded polygons?)
‰ Property Lines (with addresses?) ‰ No ‰ Yes
‰ No ‰ Yes (Max scale – 200) ‰ Homeowner Associations
‰ Forest ‰ Citizen/Civic Associations
‰ All ‰ Interior ‰ Community Analysis Zones
‰ Parks Shade Parks? ‰ Policy Areas
‰ Existing ‰ Proposed ‰ All ‰ No ‰ Yes ‰ Planning Areas
‰ Park Trails ‰ Council Districts
‰ Park Facilities ‰ WSSC 1” = 200’ Base Map Grid

** Only available on maps without orthophotography

Please sign and date a

GIS DATA PRODUCTS LICENSE AGREEMENT
And attach it to this form.