HomeMy WebLinkAboutADD2019-00124 - OTH Address Requests - 7/11/2019 f •
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MASON COUNTY E/V
COMMUNITY SERVICES JUZ
Building,Planning,Environmental Health Community Health
Address Request Form/Al2yli� Atderstree
Name:��", 1\arjA- lyasLQ n Phone: 360 110 Oqq
Mail'n Address: !/
City:_� K!��L State \Nkn Zip: 3b Prefer:Mail o e-Mail fication tcw>Po e1
E-Mail Address:
Parcel Number: �ZZ c1 Q o (12-digit number)
SITE MAP:PLEASE PROVIDE DRIVING DIRECTIONS TO THE PROPERTY(and most importantly a sketch).SHOW WHICH SIDE OF THE
ROADWAY YOU WILL BE BUILDING ON IF THE ROAD INTERSECTS YOUR LAND. LIST ANY ADJACENT ADDRESSES YOU ARE AWARE OF AND
NOTATE WHERE YOUR DRIVEWAY IS/WILL BE LOCATED ON THE PARCEL AND NEIGHBORING DRIVEWAYS.
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❑ Application fee:$185 due at time of submittal The Mason County Addressing Ordinance
❑ Make checks payable to:Mason County Treasurer requires you to post your new address
❑ Mail application to: within 30 days of assignment.
Mason County Permit Center It must be placed at your driveway entrance
Attn: Addressing Division clearly visible from the road in reflective
615 W.Alder St contrasting material.
Shelton,WA 98584 Address must also beposted to any structure
within 30 days of its erection in a contrasting color,
Addressing questions?Call(360)427-9670 ext. 365 visible from the roadway or driveway.
.. .� ... »�,�. . ................THIS SECTION IS FOR OFFICIAL USE ONLY....
YOUR NEW ADDRESS IS: 94n1 NF- -�'a�,t , ,a , V� ��
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RECEIVED K LOGGED INY TIDEMARK FIRE DISTRICT ,
BILLED PAID — RECEI T#
Rev.12/27/18
• - Mason County WA GIS Web Map
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7/11/2019 3:34:44 PM 1:1,531
0 0.01 0.03 0.05 mi
i County Boundary 0r.0T�f
0 0.02 0.04 0.08 km
° Site Address (Zoom in to 1-5,000)
-� Tax Parcels (Zoom in to 1-30,000)
Source Esri, DigitalGlobe, GeoEye, Earthstar Geographies, CNES/Airbus
IDS,USDA.USGS,AeroGRID,IGN,and the GIS User Community
Mason County WA GIS Web Map Application
Richard Diaz I Earthstar Geographies