HomeMy WebLinkAboutADD no attatchment - OTH Address Requests - 12/31/2024 ******* $173.50 FEE *******
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MASON COUNTY
` COMMUNITY SERVICES DEPARTMENT
ADDRESSING DIVISION
t a s 4 615 W.ALDER ST. SHELTON,WA 98584
(360)427-9670 ext. 284
NAME;__..j.,t t q i 1t U - Ck<S [ G 1 PHONE:
MAILING ADDRESS: 3 t CS fiV l 1 1�aTy: J e a R C e STATE:. W'4 ZIP;_9Bf 3
PARCEL NUMBER: i- J ® (tweive digit number)
LEGAL DESCRIPTION: r Cf ! a d`
Lr�re.ve(r�pec/ land
PLEASE PROVIDE DRIVING DIRECTIONS TO THE PROPERTY.WHICH SIDE OF THE ROADWAY YOU WILL BE BUILDING ON IF THE
ROAD INTERSECTS YOUR LAND.ANY AD3ACENT ADDRESS YOU ARE AWARE OF AND SIMPLE DIAGRAM OF WHERE YOUR
DRIVEWAY WILL BE LOCATED ON THE PARCEL.
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The Tvtason.County Addressing Ordinance mqulsesjon to post youtmew
-
address svtGhin;f0 am,of as$ignment.
It must be placed at your driveway entzance cleanly visible from the;oan �enarastnv g nutenat.It must b posted to
my stricture with 30 days of its erection in a contrasFutg color,visible from the roadway W dtivem,
.............................»...............«THIS SECTION IS FOR OFFICIAL USE QNLY•........«...................«..................,.
YOUR NEW ADDRESS IS:
E v t FW W.A g65-ko
RECEIVEpoe LOGGED IN� TIDEMARK.G7o' FIRE DISTRICT
BILLED PAID RECPT#
REV,Feb 2016 ADDRESS REQUEST FORM MLLABLE-ALDER.doc
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