HomeMy WebLinkAboutOTH Address Requests - 9/11/2013 ******* 173.50 FEE WILL BE APPLIED *******
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eP DEPARTMENT OF CONINIUNITY DEVELOPMENT
ADDRESSING DIVISION
Addressing Technician
PO Box 186, Shelton WA 98584
1 8 5 4 (360) 427-9670 ext.
NAME: 1 a-ci 60 AV,, PHONE: - -
M All ING ADDRESS: 1 CITYt-t YSTATE ZIP-
PARCEL NUMBER la 33 3,0 _ 0 ooe�- E-MAIL ADDRESS.�ka r e�12sT��Q ms h .cc��ln
LEGAL DF§=TION:_ /� �5 cq E �1 U�7 L3 1,(
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 PLEASE LET USKNOWIFACCES'SISIMPEDED 5YA GATE!
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KEEP WITH
YOUR PROPERTY
RECORDS
i}ie Mason CciuAly Addressing Oi$mance re
guisrs you to.,post yvux new 7
address wcfTua 30 days of it'beingiss¢edto you
ifmust be placed atyour darecvay entrance rlearty.visible from#he xoadaxi reflecfaue contra tea sting ziaat If must W$posted Lro
nPLY.stmcture snth`30 days of its erection is a cgnfrasfxng rnloi c�sible from t_e roadway or drive
SECTION IS FOR OFFICIAL USE ONLY*...
YOUR NEW ADDRESS IS: e
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RECEIVED LOGGED IN - TIDEMARK FIRE DISTRICT Z
... BILLED CASE PAID_ RECPT ?�01=2:t-- �20