HomeMy WebLinkAboutOTH Address Requests - 6/20/2023 1
MASON COUNTY
COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health
Address Request Form/Application
Name: LENNAR NORTHWEST INC Phone:1.253.294.1322
Mailing Address: 33455 6TH AVE SOUTH UNIT B-1
City: FEDERAL WAY State: WA Zip: 98003 Prefer:Mail or a-Mail notification rci,�i�ou]
E-Mail Address: SAM.MARnN@LENNAR.COM
Parcel Number: -telr-- I aR W 8 —5 1 —do 10 (12-digit number)
SITE MAP:PLEASE PROVIDE DRIVING 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 The Mason County Addressing Ordinance
❑ Make checks payable to:Mason County Treasurer requires you to post your new address
❑ Mail application to: within 30 days of assignment.
Mason County Permit Center It must be placed at your driveway entrance
Attn:Addressing Division clearly visible from the road in reflective
615 W.Alder St contrasting material.
Shelton,WA 98584 Address must also be posted to any structure
within 30 days of its erection in a contrasting color,
Addressing questions?Call(360)427-9670 ext. 365 visible from the roadway or driveway.
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YOUR NEW ADDRESS IS: Sp ( Yl ��� Po� A L/
UA C1862
RECEIVED❑ LOGGED IN ❑ TIDEMARK❑ FIRE DISTRICT
BILLED PAID RECEIPT#
Rev.12/27/18 �/y� l 2-6 Z;� L