HomeMy WebLinkAboutADD - OTH Address Requests - 12/31/2018 MASON COUNTY
COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health
Address Request Form/Application
Name 046Phone:425- 551-
M g Address: A 5a 19 5 E '1-1-':h'
City. W1Ct,iM lS Y 1 State:IA Zip: '9810 Prefer:Mail or e-Mail notification Ic k o„,j
E-Mail Address:
Parcel Number. (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.
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❑ Application fee: $173.50 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 98594 Address must also be posted to any structure
within 30 days of-its erection in a contrasting color,
Addressing questions?Ca11(360)427-9670 ext. 284 visible from the roadway or driveway.
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BILLED PAID RECEIPT#
Rev.1/27/20Z7