Purcellville, VA · Loudoun County
Data and Mapping Services Request Form
Residents, businesses, and other users can request GIS data, printed maps, or specialized map services from the Town of Purcellville using this form.
What this form is
Use this form to request GIS data, a printed map already on file, or specialized map services from the Town of Purcellville. Select the applicable request section and describe the data or map area, requested features, and output details. The form states that all requests require a minimum of five days; specialized map requests require at least 15 business days and may take longer.
Who needs it
Anyone requesting GIS data, a printed map, or specialized mapping services from the Town of Purcellville should complete the applicable section.
How to submit it
The form names the Department of Engineering, Planning & Development, Attention: Andrea Broshkevitch, at 221 S. Nursery Ave., Purcellville, Virginia 20132. It also lists [email protected] and phone 540-751-2353.
About notarization
This document is signed without a notary; the requester signs and dates the form to acknowledge and agree to the stated conditions.
How to submit this form
- 1
Download The Form
Download the Data and Mapping Services Request Form.
- 2
Choose A Request Type
Select data, printed map, or specialized map services, then complete the applicable section.
- 3
Describe Your Request
Provide the requested location, features, and output details applicable to your request.
- 4
Sign And Date
Sign and date the form to acknowledge and agree to its stated conditions.
- 5
Submit To The Town
Use the Department of Engineering, Planning & Development contact details shown on the form.
Frequently asked questions
- What can I request with the Purcellville Data and Mapping Services Request Form?
- The form is for GIS data, printed maps, or specialized map services. It provides separate sections for each request type, so complete the section that applies to your request.
- Do I need a notary for the Data and Mapping Services Request Form?
- No. This document is signed without a notary. The requester signs and dates the form to acknowledge and agree to the conditions stated in it.
- How do I submit the Data and Mapping Services Request Form?
- The form identifies the Department of Engineering, Planning & Development, Attention: Andrea Broshkevitch, at 221 S. Nursery Ave., Purcellville, Virginia 20132. It also lists an email address and phone number for questions.
- How much time does Purcellville need to process a mapping request?
- The form says a minimum of five days is required for all requests. Specialized map requests require a minimum of 15 business days, and processing may take longer depending on workload and staff availability.
Need something notarized?
This Data and Mapping Services Request Form doesn’t need a notary — but if you have another Purcellville form that does, a commissioned online notary can help.