HomeMy WebLinkAboutADD - OTH Address Requests - 3/3/1999 DEPARTMENT OF COMMUNITY DEVELOPMENT-PLANNING DIVISIOr�
P.O. Box 578, Shelton, WA 98584
Genie McFarland-Addressing, Ext. 291
There is a $5.00 fee for all new addresses issued.
Please allow 5 to 10 working days.
Address Request Form
Name: C.�
Last Firs M.I.
Mailing Address: Shy-h y— Wes- �4—
reet City State Zip
Day or Message Phone: , 40-ku - 43cp4---
Parcel No: 0V O I -�4 - qO/O/o/O
Legal Description:
Please draw a diagram of your property including nearest existing named road and nearest existing
address. Draw your house and driveway; indicate northerly direction. Please have your driveway signed
or marked for easy identification. All above information is required to process your request.
FOR OFFICE USE ONLY BELOW THIS LINE
Your New Address Is:
Jh
+J�
4—
IMPORTANT: Please place, within 60 days, your assigned address number in a conspicuous location
on your structure if visible from the named road; or at the principal place of access (driveway entrance)
st uc
if the house is not visible from the nam
ed road. This will allow the most timely service in case of
Y
emer enc In addition, please post the address with the building pe
rmit when construction begins on
emergency.
the site.
Received;�aj Logged In: Tidemark: _ Answered: 3.3.9 Fire District _