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Last Name: First Name:
Alternate Phone Number or Email Address:
Is this your property or are you representing someone else:
Address of Property:
Legal Description (can be found on tax papers, appraisals, realtor papers, deeds):
City or Township:
Type of Survey Needed:
Please list if you have anything additional on your property, such as drains, ditches, woods, brush, crops, fences, buildings:
Any additional questions or concerns: