HomeMy WebLinkAboutADD - OTH Address Requests - 2/18/1998 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: �V►U i Ictf)
Last First M.I.
Mailing Address: &P IA 5E Of ICE-Y1dn '?"' riaauo
Street City State Zip
Day or Message Phone: ( ) �?LOO — Pr] I — '75 4n
Parcel No: 22.16 2l - 00500
Legal Description: 115 Le J
Please draw a diagram of your property including nearest existing named road and nearest existing
address. Draw your house and driveway; indicate north dire n. Please hay driveway signed
marked for easy identificati�All above informati is required to process,your request.
® SUL, V, -For PAIL
,ego
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FOR OFFICE USE ONLY BELOW THIS LINE
Your New Address Is: 350 i_ On dzy- h n i- "Hoad
IN8528
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
tithe site.
1 lon 15
Received: -18-98Tidemark.NzD•Ie�.�Answered:0-18 Fire District