| Elk River to Usmate Velate | 4,594.91 mi (7,394.79 km) |
| Elk River to Vaiano | 4,737.26 mi (7,623.88 km) |
| Elk River to Valdagno | 4,664.72 mi (7,507.15 km) |
| Elk River to Valdobbiadene | 4,674.80 mi (7,523.37 km) |
| Elk River to Valeggio sul Mincio | 4,658.53 mi (7,497.18 km) |
| Elk River to Valenza | 4,598.48 mi (7,400.54 km) |
| Elk River to Valenzano | 5,087.45 mi (8,187.46 km) |
| Elk River to Valguarnera Caropepe | 5,172.84 mi (8,324.88 km) |
| Elk River to Valmadrera | 4,586.19 mi (7,380.76 km) |
| Elk River to Valmontone | 4,907.45 mi (7,897.77 km) |
| Elk River to Vanzago | 4,587.70 mi (7,383.20 km) |
| Elk River to Vaprio d'Adda | 4,605.35 mi (7,411.59 km) |
| Elk River to Varazze | 4,625.93 mi (7,444.72 km) |
| Elk River to Varedo | 4,590.58 mi (7,387.82 km) |
| Elk River to Varese | 4,568.61 mi (7,352.47 km) |
