HomeMy WebLinkAboutOTH Address Requests - 8/12/1996 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: C�•L/-S �`LJood GJ
Last First
Mailing Address: 12r/>7&e Sp,elv6-S
Street city State Zip
Day or Message Phone: ( 1'4' 976-930,F
Parcel No: I P.13 // /u - 2/Y -9 /0/g /f/d
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Legal Description: S.u.rµ ot..r/FE ks7"5itc,A-�2Tf� �
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Please-draw a diagram of ;lour 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.
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FOR OFFICE USE ONLY BELOW TNIS LINE
Your New Address Is: _. CX L R K E Dri v tr 0uo+A__
IMPORTANT: Please place, within 60 days, your assigned address number in a conspicuous location
on your structure if visible from the named road; cap 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.
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Received:g�LP Logged In: Iv1 I(0 Tidemark: �"1��— Answered: �a Fire District _,�