-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathownerInfo.html
249 lines (218 loc) · 9.63 KB
/
ownerInfo.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
<!doctype html>
<html>
<head>
<title>Bayfield County - Address Application</title>
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="http://code.jquery.com/mobile/1.2.0/jquery.mobile-1.2.0.min.css">
<script src="http://code.jquery.com/jquery-1.8.2.min.js"></script>
<script src="http://code.jquery.com/mobile/1.2.0/jquery.mobile-1.2.0.min.js"></script>
</head>
<body>
<div data-role="page">
<div data-role="header">
<!--<h1>Bayfield County - Address Application</h1>-->
<div align="center">
<img src="images/BC_header.jpg" class="ui-btn-center" />
</div>
</div><!-- /header -->
<div class="content-primary">
<form action="#" method="get">
<h2>Owner Contact Information</h2>
<div data-role="fieldcontain">
<label for="name">Name:</label>
<input type="text" name="name" id="name" value="" />
<br />
<br />
<label for="name">Mailing Address:</label>
<input type="text" name="mAddress" id="mAddress" value="" />
<br />
<br />
<label for="name">City:</label>
<input type="text" name="city" id="city" value="" />
<br />
<br />
<label for="name">State:</label>
<input type="text" name="state" id="state" value="" />
<br />
<br />
<label for="name">Zip:</label>
<input type="text" name="zip" id="zip" value="" />
<br />
<br />
<label for="name">Telephone:</label>
<input type="text" name="phone" id="phone" value="" />
<br />
<br />
<label for="name">E-Mail:</label>
<input type="text" name="email" id="email" value="" />
<br />
<br />
<label for="name">Tax ID No. (from tax statement):</label>
<input type="text" name="parcelPIN" id="parcelPIN" value="" />
</div>
<!--<div data-role="fieldcontain">
<label for="textarea">Textarea:</label>
<textarea cols="40" rows="8" name="textarea" id="textarea"></textarea>
</div>
<div data-role="fieldcontain">
<label for="search">Search Input:</label>
<input type="search" name="password" id="search" value="" />
</div>
<div data-role="fieldcontain">
<label for="slider2">Flip switch:</label>
<select name="slider2" id="slider2" data-role="slider">
<option value="off">Off</option>
<option value="on">On</option>
</select>
</div>
<div data-role="fieldcontain">
<label for="slider">Slider:</label>
<input type="range" name="slider" id="slider" value="50" min="0" max="100" data-highlight="true" />
</div>
<div data-role="fieldcontain">
<fieldset data-role="controlgroup">
<legend>Choose as many snacks as you'd like:</legend>
<input type="checkbox" name="checkbox-1a" id="checkbox-1a" class="custom" />
<label for="checkbox-1a">Cheetos</label>
<input type="checkbox" name="checkbox-2a" id="checkbox-2a" class="custom" />
<label for="checkbox-2a">Doritos</label>
<input type="checkbox" name="checkbox-3a" id="checkbox-3a" class="custom" />
<label for="checkbox-3a">Fritos</label>
<input type="checkbox" name="checkbox-4a" id="checkbox-4a" class="custom" />
<label for="checkbox-4a">Sun Chips</label>
</fieldset>
</div>
<div data-role="fieldcontain">
<fieldset data-role="controlgroup" data-type="horizontal">
<legend>Font styling:</legend>
<input type="checkbox" name="checkbox-6" id="checkbox-6" class="custom" />
<label for="checkbox-6">b</label>
<input type="checkbox" name="checkbox-7" id="checkbox-7" class="custom" />
<label for="checkbox-7"><em>i</em></label>
<input type="checkbox" name="checkbox-8" id="checkbox-8" class="custom" />
<label for="checkbox-8">u</label>
</fieldset>
</div>-->
<!--<div data-role="fieldcontain">
<fieldset data-role="controlgroup">
<legend>Choose a pet:</legend>
<input type="radio" name="radio-choice-1" id="radio-choice-1" value="choice-1" checked="checked" />
<label for="radio-choice-1">Cat</label>
<input type="radio" name="radio-choice-1" id="radio-choice-2" value="choice-2" />
<label for="radio-choice-2">Dog</label>
<input type="radio" name="radio-choice-1" id="radio-choice-3" value="choice-3" />
<label for="radio-choice-3">Hamster</label>
<input type="radio" name="radio-choice-1" id="radio-choice-4" value="choice-4" />
<label for="radio-choice-4">Lizard</label>
</fieldset>
</div>-->
<!--<div data-role="fieldcontain">
<fieldset data-role="controlgroup" data-type="horizontal">
<legend>Layout view:</legend>
<input type="radio" name="radio-choice-b" id="radio-choice-c" value="on" checked="checked" />
<label for="radio-choice-c">List</label>
<input type="radio" name="radio-choice-b" id="radio-choice-d" value="off" />
<label for="radio-choice-d">Grid</label>
<input type="radio" name="radio-choice-b" id="radio-choice-e" value="other" />
<label for="radio-choice-e">Gallery</label>
</fieldset>
</div>
<div data-role="fieldcontain">
<label for="select-choice-1" class="select">Choose shipping method:</label>
<select name="select-choice-1" id="select-choice-1">
<option value="standard">Standard: 7 day</option>
<option value="rush">Rush: 3 days</option>
<option value="express">Express: next day</option>
<option value="overnight">Overnight</option>
</select>
</div>-->
<!--<div data-role="fieldcontain">
<label for="select-choice-3" class="select">Your state:</label>
<select name="select-choice-3" id="select-choice-3">
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>-->
<!--<div data-role="fieldcontain">
<label for="select-choice-a" class="select">Choose shipping method:</label>
<select name="select-choice-a" id="select-choice-a" data-native-menu="false">
<option>Custom menu example</option>
<option value="standard">Standard: 7 day</option>
<option value="rush">Rush: 3 days</option>
<option value="express">Express: next day</option>
<option value="overnight">Overnight</option>
</select>
</div>-->
<div class="ui-body ui-body-b" style="padding-left:20px">
<!--<fieldset class="ui-grid-a"></fieldset>-->
<!--<div class="ui-block-a"><button type="submit" data-theme="d">Cancel</button></div>
<div class="ui-block-b"><center><button type="submit" data-theme="a">Submit</button></center>-->
<a href="index.html" data-role="button" data-transition="slidefade" data-inline="true">Back</a>
<a href="buildingLoc.html" data-role="button" data-transition="slidefade" data-inline="true">Next</a>
<div style="padding-right:20px;float:right"><!--float="left" -->
Step 2 of 5
</div>
</div> <!-- ui-body -->
</div>
</form>
</div><!--/content-primary -->
<!--<div style="width:90%;text-align: center;">
<div data-role="fieldcontain">
<label for="name">Name:</label>
<input type="text" name="name" id="name" value="" />
</div>
<center><fieldset class="ui-grid-a">
<div class="ui-block-b"><button type="submit" data-theme="a">Submit</button></div>
</fieldset></center>
</div>-->
</div><!-- /page -->
</body>
</html>