MAP & IMAGERY LABORATORY
DAVIDSON LIBRARY
UNIVERSITY OF CALIFORNIA SANTA BARBARA

IMAGERY SEARCH REQUEST FORM

Please complete this form and attach it to a copy of a map (U.S. Geological Survey topographic quadrangle or Thomas Bros. Street Atlas page preferred), with your area clearly marked. Please be as specific as possible in filling out this form.

1. Geographic location of area:

State_________________ County_____________________ City__________________________

Latitude and Longitude____________________________________________________________

OR

Township and Range (give baseline and meridian)________________________________________

2. Time frame of imagery that will be useful to you: (Example: 1950-1973): _________________

3. Scale of imagery: (Example: 1:20,000-1:40,000; or 1"=2000', etc.) :________________________

4. Size and type of objects you need to be able to identify:

_____________________________________________________________________________

5. Requirements as to imagery characteristics: (circle any that apply):

color            black and white             color infrared

stereo           oblique                         other (specify)______________________________________

6. If you have any information regarding imagery covering your area, please note it here.
    Include flight number, date, scale, agency and any markings on the photographic frames:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

7. Any additional information that may expedite our research:

______________________________________________________________________________

______________________________________________________________________________

8. Your name, agency or company (if any), address, telephone, and FAX numbers:

_______________________________________________________________________________
Name
_______________________________________________________________________________
Agency or Company
_______________________________________________________________________________
Address
_______________________________________________________________________________
City,                                                                             State,                                                 Zip Code

_______________________________________________________________________________
Area Code        Telephone number
_______________________________________________________________________________
Area Code        FAX number

_______________________________________________________________________________
E-Mail address

I understand that unless otherwise specified, the UC Regents hold the copyright to the images in their collection and that these images remain the property of the UC Regents and any resale, trade or transfer to another person or entity is prohibited. Any publication of these images incurs additional fees and requires prior written permission. Posting images on the web is considered publication. Any reproductions obtained are for ONE-TIME-USE ONLY.

The Regents of the University of California disclaim any applicable implied warranties, including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose. In addition, no warranty whatsoever accompanies the data available herein, and it is provided on an “as is “ basis. The Regents of the University of California shall not be liable for any direct, indirect, special, incidental, or consequential damages arising out of the use of this data or from making this data available, even if it has been informed of the possibility of such damages.

SIGNATURE DATE

SIGN AND MAIL THIS REQUEST TO:          OR SIGN & FAX TO:

Map & Imagery Laboratory                                (805) 893-8799

Davidson Library
University of California OUR TELEPHONE NUMBER IS:
Santa Barbara, CA 93106-9010 (805) 893-2779

The Map & Imagery Laboratory does not accept unsolicited advertisements at any fax number.

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