The PDF file has been created using the AdobePDF Printer?
If so, you could try to print to a file (VERY IMPORTANT: use a Postscript printer) and use Distiller to create the PDF. does that one print correctly?
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I contacted the county that prepared the document. The individual I spoke to admitted that he caused the problem in his setup. I'm not sure how it could show on screen and not print, but that was enough information for me to stop wasting my time chasing this issue.
It's possible to have a layered PDF where some of the layers are set for viewing but not printing.
In Acrobat you can show the layers by clicking on the "pancake icon", if you don't see the icon, go to View> Show/Hide> Navigation Panes> Layers.
If you select the layer, then right click (or control-click) you can show the layer properties, where you can find the "never prints" setting.
Non-Adobe viewers (like Chrome) might not respect the layer settings, which would explain why they print.
Flattening the PDF by saving as PDF/X-1a may also fix your issue.