HomeMy WebLinkAboutOTH Address Requests - 12/22/2010 173.50 FEE WILL BE APPLIED *******
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�P DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESSING DIVISION
CURYM
Addressing Techn�
- - . PO Box 186, Shelton WA 98584 [C 12 20ic
' 8 5 a (360) 427-9670 ext.
NAME: LC�C u l PHONE:.-SW - 87 6- Z?S L
MAILING ADDRESS: T -0. R06- 5Y72, —CITY-1-4 LQ STATE WZIP 8-Vo
PARCEL NUMBER: 3 2�7 s- -?s,-loll Z E-MAIL ADDRESS W�SLt/�s(" 4�oe/!• CIO,,
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LEGAL DESCRIPTION: `O f m(' ✓ 7
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 USKNOWIFACCESSISIMPEDED BYA GATE!
The Mason County Addressing Ordinance requires you to post your new
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""""""""""""""""""""""•""""""""""."""»"""""►""r"r"r
YOUR NEW ADDRESS IS:
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RECEIVED 2-�-2-'1 6 LOGGED IN YC TIDEMARK Y FIRE DISTRICT
BILLED CASE PAID RECPT # 51X I O Q
05/10/2010 08:36 FAX 360 427 7798 MASON CO PERMIT CTR 0 005
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DECLARA"fIOI�'OF PARCEL COMBINATION FOR DECLAF ATION OF PARCEL COMBINATION OF
(name and mailing address): (abbreviated legals):
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PARCEL NO.'&
APPROVED DATE:
Director of Community Development
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