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OTH Address Requests - 3/6/1997
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 u,�. A . Name: � C Last First M.I. Mailing Address: E off© P6jLL Lon l,� q , 4 Street City State Zip Day or Message Phone: Parcel No: /� U Legal Description: of6ovoQ 15/itsv Please dr diagram of y roperty including nearest existing named road and nearest existing ,7res Dra your hous and d 'yeway; indic�n rtherly dire oto . Please have your driveway signed m ed fore sy iden 'fication. above ' formatio is re ' ed proces ou��quest. FOR OFFICE USE ONLY BELOW THIS LINE Your New Address Is: 6L- G 8 9-- 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. �ddg7-0-;L11 �iIIed?P'tmJ_' Received:540-9 Logged In:3-11-�11 Tidemark:3'1 Answered: 3' Fire District I LP _