HomeMy WebLinkAboutADD-87 - OTH Address Requests - 10/29/1987 RETURN TO: Department of General Services PLEASE ALLOW AT LEAST 5 WORKING
P. 0. Box 186 DAYS FOR YOUR NEW ADDRESS TO
Shelton, Washington 98584 REACH YOU.
ADDRESS REQUEST FORM �cc)
NAME:
CURRENT MAILING ADDRESS:
TELEPHONE NO:
HOME WORK (WORKING HOURS)
IF PROPERTY IS PLATTED AREA GIVE:
DIVISION
PLAT NAME: & BLOCK LOT NO.
IS THIS A NEW RESIDENCE? (CONSTRUCTED WITHIN THE LAST ONE YEAR)
LEGAL DESCRIPTION FROM TAX STATEMENT. (IF NO TAX STATEMENT IS AVAILABLE, THE MASON COUNTY
ASSESSOR'S OFFICE AT,427-9670CAN HELP YOU OBTAIN THIS INFORMATION) (A LEGAL DESCRIPTION
FROM YOUR CONTRACT OR DEED WILL NOT HELP US)
IF SHORT PLATTED: NUMBER I C?
KNOWN OLD ADDRESS, IF ANY:
ADDRESS OF NEAREST PROPERTY AND SIDE OF ROAD IT IS LOCATED (NORTH - FACING YOUR PROPERTY,
SOUTH - ACROSS THE STREET, ALLEY OR EASEMENT, EAST - RIGHT HAND, WEST - LEFT HAND)
SIDE OF ROAD WHICH YOUR RESIDENCE IS LOCATED ( NORTH, SO t
H, EAST, WEST) :
NAME OF NEAREST COUNTY ROAD: q-, z
A MAP WOULD SPEED YOUR REQUEST (SKETCH, XEROX, ETC.)
* THE MORE COMPLETELY THIS FORM IS FILLED OUT,THE QUICKER HE RESPONSE TIME WILL BE. . . . . . . .