HomeMy WebLinkAboutOTH Address Requests - 11/19/1998 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: BUJ
Last First M.I.
Mailing Address:
iStreet City State Zip
Day or Message Phone: 421 --1*11
Parcel No: /a/ f3 6-41/ /1 /
Legal Description: O
Please dra a ram of your proper luding nearest exis ' named road and arest existing
ddress. raw you ouse and driv ay; in ate northerly irecti Please h e yo drivew signed
o mark for easy ide fication. II above info ation i required to ce your reque
4q ro E--
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FOR OFFICE USE ONLY BELOW THIS LINE
Your New Address Is:
��Ijj
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.
Ieeived:1 � Log, g_e�A `4 Tidemark: 11116 Answered: Fire District