HomeMy WebLinkAboutADD- - OTH Address Requests - 12/31/2012 49
******* 173.50 FEE WILL BE APPLIED *******
cb COU.,�
� t DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESSING DIVISION
Addressing Technician
_ PO Box 186, Shelton WA 98584
t s s 4 (360) 427-9670 ext.
NAME: 10 PHONE: - - r
MAILING ADDRESS: 2&,(1i CITY i�C.' STAT _Z
PARCEL NUMBER:� 2-P02- -�- E-MAIL ADDRESS
LEGAL DESCRIPTION: ` -�
PLEASE PROVIDE DRIVING DIR ONS 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 USKNOWIFACCESSISIMPEDED BYA GATE!
KEEP WITH
I� YOUR PROPERTY
RECORDS
The Mason County Addressing Ordinance requires you to post your new
address within 30 days,of it being issued'to you.
It must be placed at your driveway entrance clearly visible from.the road in reflective contrasting material_It must be posted to
any structure with 30 days of its erection in a contrasting color,visible from'the roadway or driveway.
SECTION IS FOR OFFICIAL USE
YOUR NEW ADDRESS IS:
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RECEIVED LOGGED TIDEMARK FIRE DISTRICT
BILLED CASE PAID ZRECPT #