HomeMy WebLinkAboutOTH Address Requests - 12/19/2007 ******* 154.00 FEE WILL BE APPLIED *******
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DEPARTMENT OF COMMUNITY DEVELOPMENT
Y� ADDRESSING DIVISION
C r 3?0 Brenda jantz,Addresser
0? PO Box 186, Shelton WA 98584
1 n 5 ' covNr�, (360) 427-9670 ext. 291
NAME: (i v.t PC,- l �}IF r- PHONE:
MAILING ADDRESS: %1/02 C"CpI'Y 4(r Ve v'k1(,` STATE L�-��ZIP 9�4 u
PARCEL NUMBER:
LEGAL DESCRIPTION: C-0 I i
PLEASE PROVIDE DRIVING DIRECTIONS OR DRAW A MAP TO YOUR PROPERTY.DESCRIBE LAND MARKS,ADDRESSES ETC.
CLEARLY MARK YOUR PROPOSED DRIVEWAY WITH FLAGGING OR STAKES.
The Mason County Addressing Ordinance requires you to post your new
address within 60 days of it being issued to you.
It must be placed at your driveway entrance clearly visible from the road.
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YOUR NEW ADDRESS IS: /P E / 17
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RECEIVED LOGGED IN TIDEMARK ./?/l C�� FIRE DISTRICT_��
BILL----_ BILLED CASEX_ PAID