HomeMy WebLinkAboutOTH Address Requests - 11/1/2002 - Mason County Permit Assistance Center
Address Request Form
P.O. Box 578, Shelton WA 98584
Genie Mcfarland, Addresser, (360) 427-9670 ext. 291
There is a $15.00 fee for all new addresses issued.
Please allow 5 to 10 working days for processing
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Name: l omm ', U 6--- lcnscn Phone: 2 5J-(� 44
Mailing Address: 121 �JE ROffi(. ICI , K1. S'ehlr USA 98528
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Parcel Number: ?23 O 2 i -1~7i E�0 a 10 rip,
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Legal Description: uar-�er SOu`�heas�- hoi 1 LQr e. Lo t yb-4)
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Please draw a diagram of your property including the nearh1t existing county or
private road and nearest existing address. Keep in mind that we physically visit most
sites. Your proposed driveway must be clealry marked. Please note any physical
characteristics (i.e. trailer, brush pile, picnic table).
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For official use only below this line
Your New Address Is: �j Ao i n E I � _r�� f� �I . P -, 1 ��L�� RECEIVED
1 OCT 16 2002
426 W. CEDAR ST.
Important: Please place, within 60 days, your assigned address number at your
driveway location and on your structure. 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.
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