HomeMy WebLinkAboutOTH Address Requests DEPARTMENT OF COMMUNITY DEVELOPMENT-PLANNING DIVISION
P.O. Box 5.78, 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:
Last / First M.I.
Mailing Address: • 02� -6 �51
Street / City State Zip
Day or Message Phone: (I(A �"��02
Parcel No: rvZ 2 _ J U 6 1
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Legal Description: _Dr,), �� �0`rL
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Please draw a diagram of your property including nearest existing named road'and nearest existing
address. Draw your house and d veway; indicate northerly direction. Please have your driveway signed
or marked for easy identification. rill above information is required to process your request.
FOR OFFICE SE ONLY BELOW THIS LINE
Your New Address Is: �' 8O EE b Le!a_ eou e+-
5hgL� UJC, ge684—
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)
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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Received:�'a5•y� Iss � Entered:� a��� Answered: �O�o?5.4