HomeMy WebLinkAboutOTH Address Requests - 8/22/2011 ******* 173.50 FEE WILL BE APPLIED *******
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a" DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESSING DIVISION
(� PO Box 186, Shelton WA 98584
- J (360) 427-9670 ext. 281 &284
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NAME:(Tb,Q_ A,-_,09.t CA,'EY PHONE:3CU - 4` 75 - O 7,70
MAILING ADDRESS: j'D. X4 u _ `1 -CITY—Al L 7-� —STATE 4,-IA ZIP 983��.�
PARCEL NUMBER /Z.2 2 1) -SD- 2 704 S E-MAIL ADDRESS�c CTr (1� :K e fs C�,� 0-1
LEGAL DESCRIPTION: A Z ,•,, 13 Z_K 7 jl!:�G L el-A h /'w
PLEASE PROVIDE DRIVING DIRECTIONS TO THE PROPERTY.WHICH SIDE OF THE ROADWAY YOU WILL BE BUILDING ON IF THE
ROAD INTERSECTS YOUR LAND.ANY ADJACENT ADDRESS YOU ARE AWARE OF AND SIMPLE DIAGRAM OF WHERE YOUR
DRIVEWAY WILL BE LOCATED ON THE PARCEL.PLEASE LET US KNOW IFACCESS 1S1MPEQEQgYA FATE!
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The Mason County Addressing Ordinance requires you to post your
address within 30 days of it being issued to you.
It must be placed at your driveway entrance clearly visible from the mad in reflective contrasting material.It must be posted to
any structure with 30 days of its erection in a contrasting color,visible from the roadway or driveway.
.,:::.:.....:..:..:.......*•*••••'••**•• ***"THIS SECTION IS FOR OFFICIAL USE ONLY`* ...
YOUR NEW ADDRESS IS:
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RECEIVED 11 ( LOGGED IN A TIDEMARK e� X9-I Z10 I FIRE DISTRI
BILLED CASE PAID RECPT #
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