HomeMy WebLinkAboutOTH Address Requests - 10/29/2001 Mason County Permit Assistance Center �1 w
Address Request Form
o P.O. Box 578, Shelton, WA 98584
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co Genie McFarland, Addresser, (360)427-9670, ext. 29
There is a $15.00 fee for all new addresses issued.
Please allow 5 to 10 worki nq days for processing
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Name:^ ,�
Mailing Address:
Street City State Zip
Parcel Number: 2:2 3 y
Legal Description: I ,P5
please dra /6-di gram of your operty including t1h nearest existing county or
private r fid and Barest exi ing ddress. Kee fn mi d that we ically visit
! be clearly ma ed. ease n2� e any
cri st s tes. Your pp opose riveway�must y
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FOR OFFIQAL USE ONLY BELOW THIS LINE
Your New Address Is: U .
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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NOV 0 8 2001
PERMIT ASSISTANCE CENTER
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SKETCH OF PROPERTY SET UT IN ATTACHED ORDER
To assist in locating the premises. It is not based on a survey, and the company
asstunes no liability for variations, if any, in dimensions and loc2Lion_
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