HomeMy WebLinkAboutADD-2011 - OTH Address Requests - 11/28/2011 4 OVL C0U4,
' DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESSING DIVISION
Addressing Technician
PO Box 186, Shelton WA 98584
( & s a (360) 427-9670 ext.
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NAME'-" I'L .. R161 M&6r CtJl. PHONE.366 - &1ont
MAILING ADDRESS: r7 U48 hore-ACAk5 DCoTy STATEL_JA ZIP
PARCEL NUMBER: -_� V E-MAIL ADDRESS
LEGAL DESCRIPTION:
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.PLEASE LET US KNOW IFACCESSISIMPEDED 5YA GATE!
KEEP WITH
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 11 LOGGED IN 11 XI I TIDEMARK 1 ZG4 I FIRE DISTRICT