HomeMy WebLinkAboutOTH Address Requests - 7/15/1998 DEPARTMENT OF COMMUNITY DEVELOPMENT-PLANNING DIVISION
l UJ W P.O. Box 578, Shelton, WA 98584
Uj Genie McFarland-Addressing, Ext. 291
WThere is a $5.00 fee for all new addresses issued.
Please allow 5 to 10 working days.
Address Request Form
Name: �D '/�L17L�1
Last First yM� .I.
Mailing Address: lklkl C a 1,1zC�S���
Street City State Zip
Day or Message Phone: L&)
Parcel No: Q
Legal Description: 0;1V I, � Via
lease dra a ' gram of your propert uding nearest existing d road and near sting
dress. Draw yo house and driv ay; indi northerly di ction. P e have ur drive signed
r ar d for easy i tificatio All above inform i quired to process our request.
FOR OFFICE USE ONLY BELOW THIS LINE
Your New Address Is: Aom 6, OWL L J
IMPORTANT: Please place, within 60 days, your assigned address number in a conspicuous location on
your structure if visible from the named road; or at the principal place of access (driveway entrance) if the
house is not visible from the named road. 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: Id!M Logged In-16S Tidemark: 715 8 Answered: ?-1598 Fire District