HomeMy WebLinkAboutADD-2010 - OTH Address Requests - 3/30/2010 e, ******* 173.50 FEE WILL BE APPLIED *******
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�ayy-�r _ _DEPARTMENT OF COMMUNITY DEVELOPMENT
' Ll V ADDRESSING DIVISION
MAR 2 9 2010 Tracy Moore,Addressing Technician
6 W. CEDAR ST. PO Box 186, Shelton WA 98584
(360)427-9670 ext.291
NAME: q
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PHONE:._ - I
MAILING ADDRESS: 4 - 0 b h-il R6 k� C CITY (,� STATE _ZIP q�J
PARCEL NUMBER: 1 1 -75-`q0jj-,)6- E-MAIL ADDRESS
LEGAL DESCRIPTION:(}l - �, E 5 p 1 Uj 03 =21 N .T r. 1 l' Of 5 I-I j D r �C' y
PLEASE PROVIDE DRIVING DIRECTIONS 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.PLEASFLET U KNOWIFACCESSI IMPEDEbBYA GATE
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The Mason County Addressing Ordinance requires you to post your
address within 30 days of it being issued to you.
FItt 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 ONLY
YOUR NEW ADDRESS IS:
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RECEIVED 5D Dl D LOGGED IN D TIDEMARK
SIRE DISTRICT
BILLED CASE PAID RECPT