HomeMy WebLinkAboutOTH Address Requests - 9/13/1994 ucrF1rA I IVI!-'\I I Ul- UUMMUNITY DEVELOPP "NT-PLANNING DIVISION
P.O. Box j78, 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: .�1Y)I�'f4 p7 iL)V-
Last First M.I.
Mailing Address:
Street City State Zip
Day or Message Phone:
Parcel No: ,��/1 /3/4.- _
Legal Description: 2 Ot` 4-7 8
Plese draw iagram of your property including nearest existing n me road and nearest existing
ad ss. a ur h e d driveway; indicate northerly di n. Ple your driveway signed
or m d for ea i entiy�atio ove i ation is required to process your request.
FOR OFFICE USE &
ONLY BELOW THIS LINE
Your New Address Is: �o M h K_01� 11,., aJ
IMPORTANT: Please place, within 60 days, your assigned address number in a conspicuous location
Dn your structure if visible from the named road; or at the principal place of access (driveway entrance)
f the house is not visible from the named road. This will allow the most timely service in case of
:mergency. In addition, please post the address with the building permit when construction begins on
he site.
3eceived:�'13'g4[ogged In: -/3.9+ Tidemark: q-13'54Answered: -13:i+Fire District