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HomeMy WebLinkAboutOTH Address Requests - 3/17/2004 Mason County Permit Assistance Center Address Request Form PO Box 186, Shelton WA 98584 Genie McFarland, Addresser, (360) 427-9670 ext. 291 There is a $140.00 fee for all new addresses issued. Please allow 5 to 10 working days for processing . ........................................................0 0 4,0 0 ................... Name: PlYA PL Phone: 3U0 Mailing Address: Z I E LIu►)c1 prtue =:�ha!&L, (,L)Ce_- q&5�5-4 Street City State Zip Parcel Number: Z f 3l� /_`7,5 ha ee� I Legal Description: �e- '-1 1 Please draw a diagram of your property including the nearest existing county or private road and nearest existing address. Keep in mind that we physical.ly visit most sites. Your proposed driveway must be clealry marked. Please note any physical characteristics (i.e. trailer, brush pile, picnic table). Ulph�l,(_ (,un� Ctr ors , 64 Ernc, on 11J For official use only below this line Your New Address Is: 1 1 I L L_on d O rt tAr- N:/�he.,L z✓- Lc 1 A ghse;;�4 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. dI/QI 1 V V V / eceivedV z0 5-04 Logged In -I to- Tidemark - In-O Fire District �_