Name *

Phone *
Please enter as: (xxx) xxx-xxxx

Email *

Mailing Address *
(House Number Street, Apt.
City, State Zipcode)

Is this address the same as the survey's location?

 Yes   No

Location (or address) *
Please describe the location
(or address if different than
mailing address)...

Current Owner(s) Name(s) *
Please use owner's
full legal names

County *

Fayette Madison Franklin Ross Highland Greene Clark Clinton Pickaway Other

Township

Name(s) of Road(s)
Please name all
adjoining roads...

Acreage (approx.)
(to be surveyed)

Is this a...

 new survey  or   resurvey?

Property Adjourners
Please name all adjoining
property owners' names...
(if known)

Number of corners

Number of parcels

Parcel number(s)
(if known)

The following information will help us determine the difficulty of location corners, new or existing, and help determine a more accurate estimate for your survery...

Does the property have...
(Please check all that apply)

 Wooded Area (if yes, see below)
 Railroad Track
 Freeway
 Flood Plain
 Crops
 Creek or River
 Drainage Easement
 Right-of-Way Easement

Land contour
Please describe the
contour of the property
(i.e. flat, sloped,
rolling hills, steep, etc.)

Wooded Area
(On a scale of 0 to 5,
how dense is the underbrush
of the wooded area?)

 0- No wooded areas
 1- Not dense, completely clear
 2- Partly dense, partial visibility
 3- Moderately dense, moderate visibility
 4- Mostly dense, low visibility
 5- Completely dense, very low visibility