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OTH Address Requests - 6/16/1999
0 ma CountyPermit Assistance Center Addrw Request Form P.O. Box 578, Shelton, WA 98584 Genie McFarland, Addresser, (360)427-9670, ext. 291 There is a $15.00 fee for all now addresses issued. Plans allow 5 to 10 world for essi Name: i Phone• Mailing Address: 1O1)_�31 E' ZnrAJ6 1 L (�a6J&1 &L k 1 9&5b --- Street city State Zip Parcel Numbers 4A i e 10126 ?12m+ -4) =TP_g-1t of5urV Legal Description:JU 4 �Sr,wi,.d.-3r1 . ► I-A '. Please draw a diagram of your property including the nearest existing county or private road and nearest existing address. Keep in mind that we physically visit most sites. Your proposed driveway must be clearly marked. Please note any FSic4aldharacteristics ie. trailer brush ile icnic t ale.Won G l ►� ' lace, 266 c, 1109� E M" LAk FOR ©pna.4L USE owy "WW THIS�Mp Your New Address Is: E EV Important: Please place, within 60 days, your assigned address number at your driveway location and on your structure. This will allow the most timely service in case of emergency. In addition, please post the address with the building permit when construction begins on the site. Rec°eivr`ved ���l L.0 n -Ig q� Tidemark: �4'� •`1`1 ire bistrict