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HomeMy WebLinkAboutADD2019-00199 - OTH Address Requests - 10/14/2019 MASON COUNTY � � RE: COMMUNITY SERVICES 141, 19 ocl Building,Planning,Environmental Health,Community Health 615 W, Alder street Address Request Form/Application Name: o - Phone:�� Mailing Address: DO ` City: �i C k��a State: �lpl Zip: q�s �Prefer Mail or�e-Mail�notification �, <<o t i E-Mail Address: 16e3 00 Parcel Number: 3Z�[ D^0 ©G'� 3 Z' (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 NEIGHBOR G DRN_ SWAYS. !`Y� o No Cons �uc�toc� ef P-� ,11 tom„ 1 S �1 f MM E N� SUSS P, Zoo IV /Z,,,jA'c- R���- 121, Application fee: 185 due at time of submittal The Mason County Addressing Ordinance CA Make checks payable to:Mason County Treasurer requires you to post your new address 8- Mail application to: within 3030 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 solo Addressing questions?Call(360)427-9670 ext. 365 visible from the roadway or driveway. : + Nxx »xxxx . xx. *xarTHIS SECTION IS FOR OFFICIAL USE YOUR NEW ADDRESS IS: b, I(j VV ADS, it V r-] gS55 RECEIVED LOGGED IN& TIDEMARKJ/, FIRE DISTRICT 1-7 BILLED PAID c,i,� RECEIPT# Rev.12/27/18