HomeMy WebLinkAboutOTH Address Requests - 9/17/2007 154.00 FEE WILL BE APPLIED *******
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� ' 7 DEPARTMENT OF COMMUNITY DEVELOPMENT
O� T ADDRESSING DIVISION
Brenda Jantz,Addresser
- PO Box 186, Shelton WA 98584
18 5 4 (360) 427-9670 ext. 291
NAME: l PHONE:-aA0
MAILING ADDRESS: \ ,�\ Cam( a�� CITY STATZIP
PARCEL NUMBER:3Q1 _- -
LEGAL DESCRIPTION: f 7 L \ C
PLEASE PROVIDE DRIVING DIRECTIONS OR DRAW A MAP TO YOUR PROPERTY.DESCRIBE LAND MARKS,ADDRESSES ETC.
CLEARLY MARK YOUR PROPOSED DRIVEWAY WITH FLAGGING OR STAKES.
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The Mason County Addressing Ordinance requires you to post your new
address within 60 days of it being issued to you.
It must be placed at your driveway entrance clearly visible from the road.
SECTION IS FOR OFFICIAL USE ONLY*/*,••*� *»* .»» »*� ..« .**,.„.,»..** ...».*...*»
YOUR NEW ADDRESS IS: �,
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RECEIVED(-1 l d
LOGGED IN TIDEMARK c FIRE DISTRICT
BILL BILLED CASE PAID