HomeMy WebLinkAboutADD - OTH Address Requests - 1/21/1998 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:
Last First
Mailing Address: C I,UCt,YI�,Yl f ► lCi.r l .C�-�"I� '118 0 L-'
Street City ate Zip
Day or Message Phone: L ) X 4.�5 1 LoatI
Parcel No: 62/O/ /8-4/-
�70/010/1 /O
Legal Description:
eas r w d' am propert ing n r st i n med r nd ne st xistin
a es ra you se a driv ; i dic nort rly 'r tion. se ur d ' signed
r ed e tlentification. above in or n i require process your request. //
-F6ti )e.'&!e ord5 -
a-1o,
FOR OFFICE USE ONLY BELOW THIS LINE
Your New Address Is: 9jD t
. , Il n IC k(d
98s84—
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.
Receivedd_:. -�9�Logged In: Tidemark: ��E-vnswered: LLLI-b Fire District
0d138 - W D