HomeMy WebLinkAboutADD - OTH Address Requests - 1/17/2011 ******* 173.50 FEE WILL BE APPLIED *******
6oN CDUNT
DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESSING DIVISION
Addressing Technician
_ PO Box 186, Shelton WA 98584
1 8 5 d (360) 427-9670 ext.
NAME: tl'5 p Lonna onna PHON _- 2�-
MAILING ADDRESS: CITY STATE` V''` ZIP li
PARCEL NUMBER: -2-A-q 00 3 E-MAIL ADDRESS r 1 o ma� 2 o 10 ( _
LEGAL DESCRIPTION: Lot 7J 61 Sp4 L0 91 , PTn ►r1'k2- .� 'h Y)F, MOU � l <-0 yn
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 IFACCESSr5rMPEDED BYA GATE!
KEEP WITH
YOUR PROPERTY
RECORDS
Tlie Mason ounty Ad sing 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.
s.sa�rr .r.*arsk* *rrs :arw. sa�.r*.�r:wa**rsrIITI$SECTION IS FOR OFFICIAL USE C11�1LYs*rwwrrrr.ssww*rrxrsrrs�wswrrr**srrwrsr�s+r*ram*�*s■
YOUR NEW ADDRESS IS:
.40
RECEIVED I L LOGGED IN )C TIDEMARK k FIRE DISTRICT
BILLED CASE PAID RECPT # S.J Z(_/