HomeMy WebLinkAboutADD2022-00182 for BLD2022-00870 - OTH Address Requests - 8/25/2022 MASON COUNTY
COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health
Address Request Form/Application
Name: U-n n ail, 1 1 Lk) �1ir ►C-i s- Phone: 02 s3 •acl L4 - l 3 a a
Mailing Address: 3�LI S W ' Ave S V Y L4- 11- 6
Ci L UJ&,LA CSC-State: WA Zip: )3 Prefer Mail or e-Mail notification ta,&o-i
E-Mail Address: r'n n Y ` &C
Parcel Number: I Al fnA (12-digit number)
SITE MAP:PLEASE PROVID RMNG DIRECTIONS,TO THE PROPERTY(and most importantly a sketch).SHOW WHICH SIDE OF THE
ROADWAY YOU WILL BE BUILDING ON IF THE ROAD INTERSECTS YOUR LAND.LIST ANY ADJACENT ADDRESSES YOU ARE AWARE OF AND
NOTATE WHERE YOUR DRIVEWAY IS/WILL BE LOCATED ON THE PARCEL AND NEIGHBORING DRIVEWAYS.
❑ Application fee: 185 due at time of submittal �:. Tlie Mason County Addressing Ordinance~;'
❑ Make ch-ecks payable to:Mason County Treasurer I .re_quires.-you to post your new address-.::
❑ Mail application to thi i_30 days;of assignment ?. :.
Mason County Permit Center I It mustbe glaced_at your.dnveway entrance
Attn:Addressing Division clearly.v sable:from the road in reflective-..
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615 W.Alder St + '., =contrastutgat
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Shelton,WA 98584 Address must also be posted to any structure
i*ithin.30 days o.jts_erection m a contrasting color,;
Addressing questions?CaU(360)427-9670 ext. 365 l visible from the roadiva_of drivewa
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YOUR NEW ADDRESS IS:
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RECEIVED❑ LOGGED IN❑ TIDEMARK❑ FIRE DISTRICT
BILLED PAID RECEIPT#
Rev.12/27/18 � ZOZ L-Dv 6 rl D