HomeMy WebLinkAboutADD-93 - OTH Address Requests - 12/31/1993 DEPARTMENT OF COMMUNITY DEVELOPMENT-PLANNING DIVISION
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P.O. Box 578, Shelton, WA 98584
' Genie Pettit-Addressing, Ext. 291
There is a $5.00 fee for all new addresses issued.
�P Please allow 5 to 10 working days.
Address Request Form
Name: G ` dILIA L ,7-- _JTT�
Last ,��^" ��F,irst Aa'�
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Current Mailing Address: � ?�&U-d qKL l� q 773p
Street City State ip J
Day or Message Phone: f ) '5 0 3 c5 3 co /D_ a
Parcel No: '7'1 -
Legal Description:
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Sury 15/100 , T� 3 'p
Please draw a diagram of your p perty including nearest ex is ing famed road and nearest
existing address. Draw your house and driveway; indicate northerly direction. Please have
your driveway signed or marked for easy identification. All above information is required
to process your request.
O J 04/jor
FOR OFFICE USE OtJLY BELOW THIS LINE
Your New Address Is: 6
L hP,L71Y1
IMPORTANT: Please place, within 60 days, your assigned address 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:*�) Issued: 341� Entered:: qj) Answered: jwi
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