HomeMy WebLinkAboutADD - OTH Address Requests - 2/14/1997 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
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Name:
Last First M.I.
Mailing Address:
Street City State Zip
Day or Message Phone: 1 ) 4a U- I 7 to
Parcel No: /Z Z - _oe),6 Z /0
Legal Description: �� 2.. t)
Oledraw a ' gram of o property nc ding nea s xisting ed road nd earest x ting
aw y rho a an drive y; in ate n rtherl dire ion. eas have y r rive si ed
for easy tification. above in tion is re ' ed to process your request.
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i A FOR OFFICE USE
' ONLY BELOW THIS LINE
Your New Address Is: VV Q)QA �/uc.u(/Y 1 V K66ca
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.
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Received: 4qTogged In: d-14fTidemark: -I44 el Answered: Fire District I