HomeMy WebLinkAboutOTH Address Requests - 4/15/2013 ******* 173.50 FEE WILL BE APPLIED *******
rP- DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESSING DIVISION
PO Box 186, Shelton WA 98584
(360)427-9670 east. 281 &284
RCS/ ;
NAME: )),)Q P -ttr V rV C OK— PHONE: 2S 3 -31 _ 7 Z
MAILING ADDRESS: CITY .SUrI L ran%( ^^ STATE ZIP_ -�_
PARCEL NUMBER: 13 o - 1 Z.- U0 3 O E-MAIL ADDRESS D0 t1l lam.V 1 N1 Gt"J7 Fr1 K • C
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PLEASE PROVIDE DRIVING DIRECTIONS TO THE PROPERTY.WHICH SIDE OF THE ROADWAY YOU WILL BE BUILDING ON IF THE
ROAD INTERSECTS YOUR LAND.ANY ADIACENT ADDRESS YOU ARE AWARE OF AND SIMPLE DIAGRAM OF WHERE YOUR
DRIVEWAY WILL BE LOCATED ON THE PARCEL.PLEASE LET US"VW IFACCESSISIMPEDED AYA CA7E�
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The Mason County Addeemung omtnance mpures you FD post your
address within 30 days of it being issued to you.
It most be placed at your driveway entrance Beady viable fume the road in reflective contrasting ruata.iat-It mast be Posted to
any structure with 30 days of its erection in a contrasting color,viable from the madway or ddveway.
»»»,••••.........•••»•••,.......••••••*••...IMS SECTION IS FOR OFFICIAL USE ONLY........•»••,•••«.........»»,»•,••••..............
YOUR NEW ADDRESS IS:
2210 e 11k ,r'RECEIVED)( LOGGED IN X TIDEMARK
�� r�k FIRE DISTRICT
BILLED CASE PAID RECPT #.�bfO2i t3