HomeMy WebLinkAboutOTH Address Requests - 10/30/1997 DEPARTMENT OF COMMUNITY DEVELOPMENT-PLANNING DIVISION
P.O. Box 578, Shelton, WA 98584
Genie McFarland-Addressing, Ext. 291
There is a $5.00 fee for all new addresses issued.
Please allow 5 to 10 working days.
Address Request Form
Name: I X 3 1qryt_v - I cl rl CJ e-
Last n First M.I.
Mailing Address: `I✓) I' Cam- 1183 0 -6
Street City State Zip
Day or Message Phone: ( )?li-M Ar
Parcel No: -_n[ - 00/0 G/O
Legal Description: �r?.� n� n-/2, S4
P ease w a diagram of your property includinR nearest existing named road and nearest existing
a dres aw your ho e a drivewajvi
in 'cate ortherly directio lease have your driveway signed
or a ed f easy ide ificatio All anformati is require to pro ess your r qu t.
FOR OFFICE USE ONLY BELOW THIS LINE
Your New Address Is: ED 1= C6_XP-5 oou
�\_5 he ter n , (, a_ 1985r�4---
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:I 00-1-ij Logged In: 10-3C�7Tidemark: 106D9-l (Answered: ,Fire District