HomeMy WebLinkAboutOTH Address Requests - 11/20/1998 NOV. 20 ' 98 (FRI) 10: 12 WINDERMERE/HIMLIE. INC. 3604262698 PAGE. 1/2
10/30/9A FRI 10:44 FAX 3804277798 MASON COUNTY BLD 3 id1002
DEPARTMENT OF COMMUNITY DEVELOPMENT-PLANNING DIVISION
P.O. Box 578, Shelton, WA 98584
Genie McFarland-Addressing, Ext. 291
There is a S5.00 fee for all new addresses issued.
Please allow 5 to 10 working days_
Address Request Form
Name:
Last First M.I.
Mailing Address:
Street City State Zip
Day or Message Phone: "xA)X ; Z�y.^ZV,6
Parcel No: L0�O� -
Legal Description: tof 4 6P W:: �
Please draw a diagram of your property including nearest existing named road and nearest existing
address. Draw your house and driveway; indicate northerly direction. Please have your driveway signed
or marked for easy identification. All above information is required to process your request.
yet �vf 'lt� Of
pate
FOR OFFICE USE ONLY B LOW THIS LINE
Your New Address Is: Ct_-
IMPORTANT: Please pace, 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.
Received: ���981-ogged In: ( I� �[� Tidemark: Answered:Answered: .La-I09S Fire District I