HomeMy WebLinkAboutOTH Address Requests DEPARTMENT OF COMMUNITY DEVELOPMENT-PLANNING DIVISION
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
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Name:
Last F#st M.I.
Mailing Address: enAoxc2oton W6
Street City State Zip
Day or Message Phone: 1 1 40n o -000
Parcel No:
Legal Description: CQ '�
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Please draw a diagram of your property including nearest existing'named road and nearest existing
ddress. our house and drivew ; ' to northerly dir ' n. ha ur 'maway signed
r mar d for easy tificatio above Info quired to process your request.
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P� 6 Lax) d iC,4 ol�q 44t� raad
FOR OFFICE USE ONLY BELOW THIS LINE
Your New Address Is:
U)&., 9858+
IMPORTANT: Please place, within 60 days, your assigned address number in a conspicuous location
on your structure if visible from the named toad; or at the principal place of access (driveway entrance)
if the house is not visible from the named road. 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.
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