HomeMy WebLinkAboutOTH Address Requests - 5/19/1993 DEPARTMENT OF COMMUNITY DEVELOPMENT-PLANNING DIVISION
r-Q P.O. Box 578, Shelton, WA 98584
0 Genie Pettit-Addressing, Ext. 291
r•n There is a $5.00 fee for all new addresses issued.
Please allow 5 to 10 working days.
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v�-- Address Request Form
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Name: NNA�C\ji KI(�k R
Last First M.I.
Current Mailing Address: 610 DT14 57. EREM MFON I wA 9`d 310
Street City State Zip
Day or Message Phone: A '- '176 — 5-0C33
Parcel No: O Q13/O/1 - '715- 0,010 l4-/
Legal Description: P_ 9- un!
Please draw a diagram of your property including nearest existing named road and nearest
existing address. Draw your house and driveway; indicate northerly direction. Please have
your driveway signed or marked for easy identification. All above information is required
to process your request.
LJ Lt'1 bu-C, e-A oss I n �� PA�tttitZ
L.A`E+E
FOR OFFICE USE ONLY BELOW THIS LINE I
Your New Address Is: n ce�U�`� �c�LL(' l !1 1 � �(� (� t OCc c
:t )rQ 00 a!L17_lYl
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:? Issued: i8 93 Entered: 19 G3 Answered: ��j3