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Home My WebLink AboutOTH Address Requests - 7/29/2009 ******* 173.50 FEE WILL BE APPLIED ******* yON CQU4,, �P l DEPARTMENT OF COMMUNITY DEVELOPMENT ADDRESSING DIVISION Tracy Moore, Addressing Technician - - . PO Box 186, Shelton WA 98584 (360) 427-9670 ext. 291 NAME: Lo4,14/2I PHONE: — — MAILING ADDRESS: 1q I�� Ir/ CITY to STATE ZIP PARCEL NUMBER:E — -5� E—MAIL ADDRESS fC LEGAL DESCRIPTIO :_ofro S w . �2� a2 &W .70 AZ AAW 1,-( a L-r C z z 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 IFACCESSISIMPEDED BYA GATE. r l• ©eom 0'oZ irv2 it S . 3 rh tp-5 (To Q6 I�D('�Dtv 34 ldr-N (�o PAY (S EN U ri (SOOT*, s�K c r� 'M� `r Ac�,�� wT 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 road 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. .+r.r..r.rrrrr+rrrrrtwrrrrrrrrrrrrrrrrrrrrrrr rTHIS SECTION IS FOR OFFICIAL USE ONLyr»»»»r»»»r»r»»r»»»»»»»rrrrrrrrrrrrrrrrrrrrrrr»r»»»» YOUR NEW ADDRESS IS: 6 _��r,�d e""Aa d )Wfoy) U)A (! 8355 RECEIVED q Z! 0 LOGGED IN aq I Oq TIDEMARK rl Uq 109 FIRE DISTRICT BILLED CASE PAID RECPT# IaiDUq 'y�9S