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Map Request Form

Karen R. Bushart
Property Valuation Administrator
(859) 745-0250
34 S. Main Street
Winchester, KY 40391
Price $ 5.00 per map

Print this form, fill it out and mail it with a check made payable to:

Clark Co PVA
34 S. Main Street
Winchester, KY 40391

Parcel Requested

Owner or Property _____________________________

Address of Property: ____________________________

Map # _________________________________________
Address and/or map number must be given.
Payment must be received prior to receipt of map.

Mail Map to:

Company Name:_______________________________   Date:______

Name:________________________________________

Address:______________________________________

City:__________________________________________

State:_______   Zip:__________

Phone:____________________________

Disclaimer
Maps are for Parcel Identification ONLY. Maps are not survey quality nor should they be considered legally binding in any way. Map requests will be fulfilled promptly.


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