HomeMy WebLinkAboutOTH Address Requests - 8/11/2017 MASON COUNTY RECEIVED
COMMUNITY SERVICES AUG ?;,;7
Building,Planning,Environmental Health,Community Health
615 W• w�
Address Request Form/Application
Name: Michael and Leslie Blaisdell Phone: 253.226.7693
Mailing Address: 733E 57nd Ct W
City: ilniversity PlAce State:W_ Zip: 9R467 Prefer:AIW-or notification lcwl,owl
E-Mail Address: whitestagna mcn.com
Parcel Number:ir,_L21lit-50-00(W _ _ (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.
Take WA-3 N to E.Grapeview Loop Rood. Continue on E.Grapeview Loop Road. Turn right on Rauschert Rd and follow to th
cul-de-sac at the end. Property is on the right.
See attached map with adjacent address and driveway information.
E6 Application fee: 1$ 73.50 due at time of submittal The Mason County Addressing Ordinance
[Make checks payable to:Mason County Treasurer requires you to post your new address
[i'
/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 98584 Address must also be posted to any structure
within 30 days of its erection in a contrasting color,
Addressing questions?Call(360)427-9670 ext. 284 visible from the roadway or driveway.
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YOUR NEW ADDRESS IS:
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kfP1'J;A RECEIVED LOGGED IN,/ S DEMARK/ FIRE DISTRICT
p4' BILLED PAID41 -7 3. RECEIPT# S 2 Z Q 1 7 — 'Sq
Rev.1/27/2017