Request Form

Name: Company/Agency:
Address:
City: State: Zip:
Phone Number: Fax Number:
E-Mail Address:
Please state what type of agency you are from:

Information Requesting
(check all that apply)

Traffic Counts

A Single Location
An Area or Township
All of Washtenaw County

Maps

A Single Location
An Area or Township
All of Washtenaw County

Library Information

 
 
 

Please include other information relative to your request or any comments you may have.

Note: There may be a cost associated for the requested information!

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