HomeMy WebLinkAboutOTH Address Requests - 4/6/1992 li
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ov/� yy °y Address Request Form
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V Name:
Last First .I.
1 Curent .tailing :address: �����► I�� k�Ul✓ �L- v
vDav or Message Phone: A.iq -A-4—
Parcel No:
Leal Description:
Please draw a diaSrarn of your property including nearest existing vaned road and nearest existing
address. Draw your house and driveway; indicate nor`Lhe;ly direction. Please have your driveway
signed or marked for easy identification. All above information is required to process your
request.
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FOR OFFICE USE ONLY BELOW THIS LINFE
Your New .address Is: U E 13-4 (
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Reside^ts shall place, wit~,in sixty (60) days, td� e address or, cht mailbox and place die add.` � :ss
in a cOnsoicu0us location on to sz,-:c:ure if visible (To,�l !, e nam
ed road; or at the princic:2 place of
access (dr vewa;; encrarce) if --e house is not visible ":om u`:e na,7e
Lt
t d road.
rime:? an addr�-Ss is aSSi-::ed Wi,,h a ou11Lln; 7er:nit, the new address sh�fll be posted at :_•`.e orinci-I
place of access :e the corst-.:c:icn site at the time corsc,-uc:ion be;irs -Zd shall be placer' on the
maiibo:Y uc�,o�n''oc��c;ioancv.
Rece:ved:fit 1I i, - Issued: f '_ Entered:4 ' answered: 4 -I
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