HomeMy WebLinkAboutOTH Address Requests - 6/3/1999r
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f21Mason County Permit Assistance Center a f
Address Request Form
P.O. Box 578 Shelton WA 98584
Genie McFarland, Addresser, (360)427-9670, ext. 291
There is a $15.00 fee for all new addresses issued.
Please allow 5 to 10 working dais for processing
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Mailing Address: 1 -( I
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Parcel Numb /--M-/
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,eqal Description / 1- �` '�r�
Please draw a diagram of your property including the nearest existing county or
private road and nearest existing address. Keep in mind that we physically visit
most sites. Your proposed driveway must be clearly marked. Please note any
physical characteristics i.e. trailer, brush pile, picnic table.
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FOR OFFiaAL USE ONLY BELOW THIS LINE
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Your New Address Is: �I n E- ''cruel -4/ 11 7aaaI--
Important: Please place, within 60 days, your assigned address number at your
driveway location and on your structure. 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.
Received Logged Ins' Tidemark: Fire District
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