HomeMy WebLinkAboutADD new TPN - OTH Address Requests - 3/21/1997 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: 0f 6Lr w
Last Arst M.I.
Mailing Address: IG 4 mil o— gi85g9
Street City State Zip
Day or Message Phone: k'_-)I1 3 ' 8a
Parcel No: 4 /2101'J -A 2,C/U/I /�
Legal Description: E— b nU) "�I✓
lease dra a gram of your p erty including nearest existing named road and nearest existing
a dress. raw yo r house a drive y; indicate n t e direction. P have you veway signed
or ark d for easy i ntifi tion. All ab a infor ation is re fired to rocess ur quest.
FOR OFFICE USE ONLY BELOW THIS LINE
Your New Address Is: w -A I sa_c'�
IMPORTANT: Please 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.
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Received: ? Issued: 3-,::-�iV Entered: Sal-9 I Answered: 3 01-�
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