Loading...
HomeMy WebLinkAboutADD2022-00085 - OTH Address Requests - 4/26/2022 • - bib MASON COUNTY RECEIVED COMMUNITY SERTVICES Building,Planning,Environmental Health,Community Health APR 2 6 2022 Address Request Form/Application 615 W. Alder Street Name:_� �i�� Zi'VI,)5A' Phone: 34�16 �l� c�� ✓ Mailing Address: � � City: SEZ_ �i,� -�State: W' -Zip: Prefer:Mail or a-Mail notification iciraeo„el E-Mail Address: Co/'7rt/ Parcel Number: !��� r 17 gO©p20(12-digit number) SITE MAP:PLEASE PROVIDE DRIVING DIRECTIONS TO THE PROPERTY(and most importantly a sketch).SHOW WHICH SIDE OF THE ROADWAY YOU WILL BE BUILDING ON IF THE ROAD INTERSECTS YOUR LAND.LIST ANY ADJACENT ADDRESSES YOU ARE AWARE OF AND NOTATE WHERE YOUR DRIVEWAY IS/WILL BE LOCATED ON THE PARCEL AND NEIGHBORING DRIVEWAYS. h V/, �r k ❑ Application fee: 185 due at time of submittal The Mason County Addressing Ordinance ❑ Make checks payable to:Mason County Treasurer requires you to post your new address ❑ Mail application to: within 30 days of assignment. Mason County Permit Center It must be placed at your driveway entrance Attn: Addressing Division clearly visible from the road in reflective 615 W.Alder St contrasting material. Shelton,WA 98584 Address must also be posted to any structure within 30 days of its erection in a contrasting color, Addressing questions?Cal](3bQ)427-967Q ext. 365 visible from the roadway or driveway. SECTION IS FOR OFFICIAL USE ONLY»rr»rrr»r»rrrr»rr»»»»»rr»»»»»»»»»»»»»»»»rr»rr»»» YOUR NEW ADDRESS IS: C' S(OoS N'E St-t2 RECEIVED : LOGGED IN TIDEMARK FIRE DISTRICT---------- BILLED----------- PAID______________ RECEIPT # ____________________________ Rev.12/27/18