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HomeMy WebLinkAboutADD-97 - OTH Address Requests - 12/12/1997 DEPARTMENT OF COMMUNITY DEVELOPMENT-PLANNING DIVISION P.O. Box 578, Shelton, WA 98584 Genie McFarland-Addressing, Ext. 291 There is a $5.00 fee for all new addresses issued. Please allow 5 to 10 working days. Address Request Form Name: IrUrYI ohY'�1 I Last First MCI. G� Mailing Address: QI.PU� k (4�' PV� � �2,.� YYI DIYI , , I, a_ I U ) 1G 6 Street City State Zip Day or Message Phone: (c� � vl�`l — 4621 Parcel No: 4/,;�/©io /01.--7/.,5- n p of in Legal Description: °l— S [l T" 6Ury- 1 :3/ 1 Please draw a diagram of your property including nearest existing named road and nearest existing address. Draw your house and driveway; indicate northerly direction. Please have your driveway signed or marked for easy identification. All above information is required to process your request. PIS . .� �.l � � + . 40(► 1 UP v'l�)+ Le #' .. t� 1 FOR OOFFI E USE ONLY BELOW THIS LINE aYour New Address Is: m 0 . , 111�d,kgn . L)c, '1868 - IMPORTANT: Please place, within 60 days, your assigned address number in a conspicuous location on your structure if visible from the named road; or at the principal place of access (driveway entrance) if the house is not visible from the named road. This will allow the most timely service in case of emergency. In addition, please post the address with the building permit when construction begins on the site. �� ( � �� _ 11 Received:06-9� Logged In: �2 1 �7Tidemark: I Cl �f Answered: 1a' 'W'C./Fire District