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HomeMy WebLinkAboutADD2021-00192 - OTH Address Requests - 6/24/2021 Lb l MASON COUNTY RECEIv D COMMUNITY SERVICES JUN 2 4 2021 Building,Planning,Environmental Health,Community Health 615 W. Aber Street Address Request Form/Application Name: LL 2- t' /C rr =otne J�Q -�1-7s—�r� Mailing Address: / S l'©/(1 Q re-e t pw City:13l° l j Cnl State:W ) Zip: Prefer:Mail or e-Mail notification rcinie Dei E-Mail Address: S ire r Parcel Number. /:z 312 9 - 123 - 200_30 (12-digit number) SITE MAP:PLEASE OVIDE DRIVING DIRECTIONS TO THE PROPERTY(and most importantly a sketch).SHOW WHICH SIDE OF THE R ADWAY YOU WILL B BUILDING ON IF THE R AD INTERSECTS YOUR LAND. LIST ANY ADJACENT ADDRESSES YOU ARE AWARE OF AN NOTAT WHERE YOUR DRIVEW IS/WILL BE LOCATED PN THE PARCEL AND NEIGHBORING DRIVEWAYS. / , Lo L 2 / 1 �s0AJ Application fee:$185 due at time of submittal The Mason County Addressing Ordinance 11 Make checks payable to:Mason County Treasurer requires you to post your new address I/Mail application to: within 30 days of assignment. Mason-County Permit Center It must be placed-at your driveway enftwnce 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?Call(360)427-9670 ext. 365 visible from the roadway or driveway. »»»»»»»»»»»»»»»»»»»»»*»»»»»»»»»»»»»»»»»»»»»THIS SECTION IS FOR OFFICIAL USE ONLY»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»» YOUR NEW ADDRESS IS: 3 1„ ( N—t- P I ' l S(o n Lv RECEIVED C LOGGED IN 0 TIDEMARK =l FIRE DISTRICT__________ RECEIPT # Rev.12/27/18