HomeMy WebLinkAboutOTH Record Requests - 3/1/2018 ******* $173.50 FEE *******
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J� MASON COUNTY
COMAUNITY SERVICES DEPARTMENT
p 5 ADDRESSING DIVISION
K ; , � 615 W. ALDER ST. SHELTON, WA 98584
(360)427-9670 ext. 284
NAME: S\ W, O leYl PHONE: 3A0 o A-7 s - 9 3 3
MAILING ADDRESS:% &-x CITY:{,1A0, WL-STATE-WA.-
TATEWA_ZIP:q 33?6
PARCEL NUMBER: t a W 5-,)2-Q Q0 P 8 (twelve digit tax parcel number)
LEGAL DESCRIPTION: �O I I W. Ti a f r k T r qce -Fv-(XfS ,VdLW, I OF f f a is
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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 DIAGRA OF WHERE YO
DRIVEWAY WILL BE LOCATED ON THE PARCEL.
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The Mason County Addressing Ordinance requires you to post your new address within 3030 davS of assignment.
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.
************************************.***`***TEAS SECTION IS FOR OFFICIAL USE
YOUR NEW ADDRESS IS: Zc) r
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RECEIVED LOGGED IN TIDEMARK FIRE DISTRICT
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BILLED PAID 173— RECPT# 53 2--01 V6 d 0Z1
REV. Feb 2016 ADDRESS REQUEST FORM FILLABLE-ALDER.doc