HomeMy WebLinkAboutADD2025-00147 - OTH Address Requests - 9/9/2025 (2) é9Z5OO/
RECEIVED
MASON COUNTY
COMMUNITY DEVELOPMENT SEP - 92025
Permit Assistance Center,Building,Planning 615 W. Alder Street
Address Request Form/Application
Name:��CQc ���� � Phone:
Mailing Address: dQ 2 St' S�
City: Z_,.4ci. " W'4 State: wig Zip: ?3 Prefer:Mail o e-Mail tification[Circle ones
E-Mail Address: f34cfl4 'Z&-6' t
Parcel Number: ?Z- '2—(— — aZ m i1 (12-digit number)
SITE MAP: PLEASE PROVIDE DRIVING DIRECTIONS TO THE PROPERTY(and most importantly a sketch).SHOW WHICH SIDE OF THE
ROADWAY YOU WILL BE BUILDING ON IF THE ROAD INTERSECTS YOUR LAND. LIST ANY ADJACENT ADDRESSES YOU ARE AWARE OF AND
NOTATE WHERE YOUR DRIVEWAY IS/WILL BE LOCATED ON THE PARCEL AND NEIGHBORING DRIVEWAYS.
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❑ Application fee: 185 due at time of submittal The Mason County Addressing Ordinance
❑ Make checks payable to:Mason County Treasurer requires you to post your new address
❑ Mail application to: within 30 days of assignment.
Mason County Permit Center It must be placed at your driveway entrance
Attn: Addressing Division clearly visible from the road in reflective
615 W. Alder St contrasting material.
Shelton,WA 98584 Address must also be posted to any structure
within 30 days of its erection in a contrasting color,
Addressing questions?Call(360)427-9670 ext. 365 visible from the roadway or driveway.
»:..»»».»»»»»»»»»»».»..».»»»»:»»...»»»»»».*THIS SECTION IS FOR OFFICIAL USE ONLY***"».»»»»:.»».:»..»»».»»».»*»»».»»..»..»»».»»»*
YOUR NEW ADDRESS IS: I E pan oy CA Z)V-
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RECEIVED LOGGED IN TIDEMARK FIRE DISTRICT
BILLED PAID RECEIPT#
Rev.12/27/18
' O `a `i S
0 MASON COUNTY
COMMUNITY DEVELOPMENT
Permit Assistance Center,Building,Planning
Address Request Form/Application
Name: r S-?7 4o Phone:
Mailing Address: ?02 /!� i 5�
City: L State: k ( Zip:SXs3 Prefer:Mail or e-Mail notification[Circle One]
E-Mail Address: II/1 t 72; c mAi l. w'-i
Parcel Number: i2'!Z/' (12-digit number)
SITE MAP: PLEASE PROVIDE DRMNG DIRECTIONS TO THE PROPERTY(and most importantly a sketch).SHOW WHICH SIDE OF THE
ROADWAY YOU WILL BE BUILDING ON IF THE ROAD INTERSECTS YOUR LAND. LIST ANY ADJACENT ADDRESSES YOU ARE AWARE OF AND
NOTATE WHERE YOUR DRIVEWAY IS/WILL BE LOCATED ON THE PARCEL AND NEIGHBORING DRIVEWAYS.
❑ Application fee: 185 due at time of submittal The Mason County Addressing Ordinance
❑ Make checks payable to:Mason County Treasurer requires you to post your new address
El Mail application to: within 30 days of assignment.
Mason County Permit Center It must be placed at your driveway entrance
Attn: Addressing Division clearly visible from the road in reflective
615 W. Alder St contrasting material.
Shelton,WA 98584 Address must also be posted to any structure
within 30 days of its erection in a contrasting color,
Addressing questions?Call(360)427-9670 ext. 365 visible from the roadway or driveway.
. .......+.. :. » w »»..». ... ....».»»*THIS SECTION IS FOR OFFICIAL USE ONLY************************************************
YOUR NEW ADDRESS IS: '27 I � p oyavna Dr
S\tDn4 Y\h\ ' 9SL{
RECEIVED LOGGED IN TIDEMARK FIRE DISTRICT
BILLED PAID RECEIPT# /� n
Rev.12/27/18 /; L - �, 26Z 01 4