HomeMy WebLinkAboutOTH Address Requests - 8/8/2013 ******* 173.50 FEE WILL BE APPLIED *******
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400 co DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESSING DIVISION
PO Box 186, Shelton WA 98584
(360)427-9670 ext.281 &284
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NAME: 1 0/e S 1 GC �/SCCl Yt �e 4e V it;-5 C�CC.k/ ,,PHONE: 3,. -rd0- )2 4 Z.
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MAILING ADDRESS: 160 /V F Sun 1-2!f /I WIITY /�f t STATE Vt/ZIP!
PARCEL NUMBER: .?/ /Z A3� e o E-MAIL ADDRESS so�4�0,re
LEGAL DESCRIPTION: U T/ 'V 6O!/ �Orf 3 Ce>ft,/* 3/--:�3-
PLEASE PROVIDE DRIVING DIRECTIONS TO THE PROPERTY.WHICH SIDE OF THE ROADWAY YOU WILL BE BUILDING ON IF THE
ROAD INTERSECTS YOUR LAND.ANY ADJACENT ADDRESS YOU ARE AWARE OF AND SIMPLE DIAGRAM OF WHERE YOUR
DRIVEWAY WILL BE LOCATED ON THE PARCEL.PLEASELETU5KNOWIFAGGESSZ5IMPEDED NYA& 7Er
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KEEP WITH
YOUR PROPERTY
RECORDS
The Mason County Addressing Ordinance requires you to post your
address within 30 days of it being issued to you,
It must be placed at your driveway entrance clearly visible from the road in reflective contrasting material.It must be posted to
any structure with 30 days of its erection in a contrasting color,visible(Tom the roadway or driveway.
......**********..»»*****THIS SECTION IS FOR OFFICIAL USE ONLY***********»»»»****».»
YOUR NEW ADDRESS IS:
22Q i n E �t+6-4-E72ao4-C ,.300
RECEIVED LOGGED IN 3 TIDEMARK - 3 FIRE DISTRICT
BILLED CASE PAID RECPT 4k f)I a�013 - 1(�