HomeMy WebLinkAboutADD - OTH Address Requests - 2/2/2012 1
******* 173.50 FEE WILL BE APPLIED *******
DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESSING DIVISION
PO Box 186, Shelton WA 98584
(360) 427-9670 ext. 281 & 284
NAME: `�C_ n �Cf IC�Qt'Q (,-h, ,SLpje(SoffPHONE: 1 Z
MAILING ADDRESS: vZ (c �.� ��Ea%,i�� /'• CITY�C r STATEZIP�t�S�
PARCEL NUMBER:7_-y2- 0 E-MAIL ADDRESS &4 pjU '!�1 DG -CU1'yl
LEGAL DESCRIPTION: II D�N eF,5�5/J#/ e geJAW.Sec /' TalAZen Fn I wwgi
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 IF ACCESS IS IMPEDED BY A GATE!
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The Mason County Addressing Ordinance requires you to post your
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.
SECTION IS FOR OFFICIAL USE ONLY**»**»***••**: •• •• » »»»* �..* .. » .». »
YOUR NEW ADDRESS IS:
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