HomeMy WebLinkAboutADD-98 - OTH Address Requests - 3/13/1998 DEPARTMENT OF COMMUNITY DEVELOPMENT-PLANNING DIVISION
P.O. Box 578, Shelton, WA 98584
Genie McFarland-Addressing, Ext. 291
There is a $5.00 fee for all new addresses issued.
Please allow 5 to 10 working days.
Address Request Form
Name: 5 Pr
Last Fi t M.I.
Mailing Address: I Sh
Street C y State Zip
Day or Message Phone: (T )
Parcel No: aZ -1/1 o
Legal Description: �UYV
lease drw a %svi
of your prop 'ty including dearest existi named road and nearest existing
dress! Draw use and eway; indicate no?ther(y direC ion. Please-have your dr'r'vgway signed
or a ed for etifica n. All above information is re quir d to process your request.
F -k
FOR OFFICE USE ONLY BELOW THIS LINE // ,,�
Your New Address Is: (fz �)�� Wt5_
a.. 8 g�-
IMPORTANT: Please place, within 60 days, your assigned ad ress number in a conspicuous location
on your structure if visible from the named road; or at the principal place of access (driveway entrance)
if the house is not visible from the named road. This will allow the most timely service in case of
emergency. In addition, please post the address with the building permit when construction begins on
the site.
Received:• 1 Logged In: j Tidemark: J•)3-98Answ red: 3•13-c1�5 Fire District '"