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HomeMy WebLinkAboutOTH Address Requests - 4/13/2006r Mason County Permit Assistance Center T . o• Address Request Form P.O. Box 578, Shelton WA 98584 13 2006 Genie Mcfarland, Addresser, (360) 427-9670 ext. 291 MASON COUNTY There is a $140.00 fee for all new addresses issued. Please allow 5 to 10 working days for processing Name: Le�C" � ��G C `l 0,7 —30,5� Mailing Address: F I© W r �-o rL Street City State Zip Parcel Number: 1 a�10 / 75-/ 9©R492 Legal Description: 94 �� r'Ue � I 7 b'7 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 clealry marked. Please note any physical characteristics (i.e. trailer, brush pile, picnic table). ea t9r V,na�nr For official use only below this line Your New Address Is: 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 ILogged In Tidemark Fire District