HomeMy WebLinkAboutOTH Address Requests - 5/6/1997 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:
Last First M.I.
Mailing Address: L-+�- � \,_ L&Y? ��j8gr
Street City State Zip
Day or Message Phone: ( ) 64-Ol/;u If M 431.0 - qO I
Parcel No:
Legal Description: W U71. 3L�� fit' �� 1¢ . L)W 6,160
a?Z
Please draw\a diagram of you�property includiN nearest ex'istin named road and nearest existing
address. Draw your house e n an"riveway; indicatortherly directs n. Please have your-driveway signed
or marked for easy identification. All abode information is required to process your request.
briVLW6A� Jw&+.uy) a6),� - �opotq
'. /FOR OFFICE USE ONLY BELOW THIS LINE
Your New Address Is: UV �o , 11)y QA6j rLo6e—
wa- g8s64
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.
�eceived: � Issued. �� �{ , Entered: Answered6"�P `1LP