HomeMy WebLinkAboutOTH Address Requests ******* $173.50 FEE WILL BE APPLIED *******
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�°' DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESSING DIVISION
PO Box 279, Shelton WA 98584
- - (360) 427-9670 ext. 281 & 284
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NAME: LLi y 1 C�1 `� I ,i ►-c ► I���i / ' PHONE: YC� U Spa 6 " I36�
MAILING ADDRESS: 7 Sa 6. U',re-&A vle-w l o CITY: Sh��lri;� STATE: ZIP: 9f 519
PARCEL NUMBER: '?01/07 7-5"30 0 I a (twelve digit number)
LEGAL DESCRIPTION: L Q k,- L' vVi P v► c /c /)� IV y LO / /a
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.
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KEEP WITH
YOUR PROPERTY
RECORDS
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The Mason County Addressing Ordinance requires you to post your new
address within 30 days 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.
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YOUR NEW ADDRESS IS: -5co) ) G 1 , Lm oor Ir.
RECEIVED LOGGED IN 0 TIDEMARK FIRE DISTRICT
BILLED PAID RECPT#5Z-j ] a>— � (�;-2--,
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