HomeMy WebLinkAboutOTH Address Requests - 7/27/1998 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: f �-
L st First M.I.
Mailing Address: �61 DU) n O CA— 9 50
Street City VState Zip
O DO
1�J Day or Message Phone: � '93Lo'
Parcel No: 3/�yo/36 - 4 0-
Legal Description: nE 51= 2 0t —a Pl�c25I I
Please raw a diagram o ur property includi earest existing ed road and rest existing
addr ss. raw your h use a driveway; in 'cate n therly di tion. ase h you driveway signed
r arked easy ' entificatio All ab information ' quired to
proce s your request.
2from
5 -
FOR OFFICE USE ONLY BELOW THIS LINE
Your New Address Is: (Q
t,
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 egins on the site.
IM o71 a r�
Received: Logged In:l'Z7-96 Tidemark: -Z'1-9&nswered: 2 98 Fire District
7.21-95