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Client Survey Request Form

Surveyor and Client may be referred to individually as a "Party" and collectively as the "Parties."

1. SCOPE OF SERVICES

Surveyor agrees to perform professional land surveying services as selected by Client below (the "Services"). Client shall indicate the requested service(s) by initialing next to each applicable item:

A. Boundary Survey Client Initials

A Boundary Survey locates, establishes, or reestablishes the corners, boundary lines, and limits of a parcel of land based on the record title description, physical evidence, and applicable surveying standards. This service includes:

• Field location and recovery (or setting) of all property corners;

• Marking of all property corners with permanent monuments (iron rods, pipes, or other durable markers as appropriate);

• Marking of property lines (typically with stakes, flagging, or other visible markers along the lines as needed for clear identification);

• Preparation of a certified survey plat or map showing the boundaries, monuments, and relevant features; and

• A written surveyor's report or certificate as required by applicable standards.

B. Land Subdivision Survey Client Initials:

A Land Subdivision Survey divides a larger tract into two or more smaller parcels in accordance with local subdivision regulations, zoning requirements, and applicable law. This service typically includes preparation of a subdivision plat, monumentation of new corners and lines, and coordination with local planning/approving authorities as reasonably necessary.

Mortgage / Loan Survey (Location Survey)  Client Initials:

A Mortgage Survey (also commonly called a Location Survey or Lender's Survey) is a limited survey performed primarily for lending or title insurance purposes. It generally shows the location of major improvements relative to the apparent boundary lines and may identify certain visible easements or encroachments. It is not a full Boundary Survey and does not typically include setting or resetting all corner monuments unless specifically requested and agreed in writing.

Topographic Survey Client Initials:

A Topographic Survey maps the existing ground elevations, contours, and significant natural and man-made features on a site (or portion thereof). It is commonly used for design, drainage analysis, site planning, and engineering purposes. Vertical and horizontal control will be established as appropriate for the project.

Additional / Other Services Client Initials

Describe any additional services requested (e.g., ALTA/NSPS Land Title Survey, construction staking, elevation certificates, as-built surveys, etc.):

2. PROJECT LOCATION / PROPERTY DESCRIPTION

The Services will be performed for the following property (the "Property"):

Property Address / Location
Tax Parcel / PID / Lot & Block:
Legal Description:
Approximate Acreage / Size

3. CLIENT RESPONSIBILITIES

Client agrees to:

1. Provide Surveyor with reasonable and safe access to the Property during normal business hours (and after hours if mutually agreed);

2. Furnish all relevant documents in Client's possession, including deeds, prior surveys, title reports, easements, plats, and any known boundary disputes or claims;

3. Disclose any known hazards, restricted areas, or special conditions on the Property;

4. Obtain any necessary permissions from adjacent landowners if access across neighboring property is required.