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OTH Address Requests - 7/29/2009
173.50 FEE WILL BE APPLIED ******* DEPARTMENT OF COMMUNITY DEVELOPMENT ADDRESSING DIVISION Tracy Moore, Addressing Technician PO Box 186, Shelton WA 98584 (360) 427-9670 ext. 291 NAME: Cari(I e. -+'J 6 yu p AVl S PHONE: 3&0 -Z7 5 - � MAILING ADDRESS:d I U )UE g iy CTY b44t STATEXI 2 PARCEL NUMBER: 9 - 33 E-MAIL ADDRESS Ca hoo.(oni LEGAL DESCRIPTION: e("L- Z o�, L 01 D r T`AJ 0- N 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 IFACICESSIS IMPEDED 8YA GATE. FVai �o u �o� " yZ M' (0- dam. 01 LD -tv,rA R`�1X+ vh R ►v ,/�kdo-- P� Jo dowr'. pave rcy'j -R- 2-L4 0 l o4 i 5 heA-je vAP1 Z g 2 4- Z YO �OuSe. !�i vt q L1 Z L-(© On Le J �'� 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. »»»»»»»»»»»»»»»»»»»»»»»»»»»»»*»»»»»»»»»»»»»»»»THIS SECTION IS FOR OFFICIAL USE ONLY***********»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»» YOUR NEW ADDRESS IS: LOGGED IN 4;6 �9 TIDEMARK q FIRE DISTRICT RTI I Fn rACF PATfI Pprp-r A 4�3 I