HomeMy WebLinkAboutAddressing Correspondence 1996-07-01D EV ELOP M E IIT S ERVI CES DE PARTME NT
July l,1996
William C Brougher
19l8 I Street
Springfield, Oregon 97 477
seatar'crtsuo
Springfield Utility Board
Lane Council of Covernments
9l I Dispatch, Public Safery
Lane County Elections DePartment
Sanipac
Rainbow Water District
Springfi eld News/Register Guard
225 FIFTH STREET
SPRiNGFIELD, OR 97477
(541) 726 s7s3
FAX (541) 726-s689
Springfield Police DePartment
Springfield Fire Department
U.S. Post Office
U.S. West Communications
Northwest Natural Gas
TCI Cable
United Parcel Service
This change will be effective beginning on August l, 1996. Please place your street address house
numbers and mailbox identification bythis date. If you have any questions, please feel free to phone me at
726-3'190.
Sincerely,
Lisa Hopper
Building Safety Coodinator
RE: Change of Street Address
Dear Mr. Brougher:
I am writing in response to your request that the street address ofyour residence located at282 ll2 l9th
Street, Springfield, Oregon, also known as Lane County Reference Numbe r 1703361 3, Tax Lot I 3901 ' be
changed. Your new address will be 290 l9th Street'
I will notifu the following companies and/or agencies of this address change by sending them a copy of this
letter:
I
.Property Owner:
fiiiri
Ci ty:
ng Address:
Person or
Phohe number vhere you can be contacted
tretveen !.:00 p.n. end 5:00 p.m.:
ADDRESS CHANGE REQUEST
^VW C VO her
S nl/
S ta te:
cy requesting change i f other than ovner:
Zipz 1y'
l,t//.3ls -7?o (
Address of property you are requesting to be changed:)3t+f\I (?+{
. Assessor M"p$_ Tax Lot $
Prease exprain speciflcarry vhy you feel tlre address neecl s to
OL zLSe j'r q (r be changed:
_/5
Proposed Adciress:
I
Signa ture:
Reference Number:
Approved
'If approved, nev address ls:
Date:f
0ffice Use
Tax Lot:
Revieved By:
Den i ed
Date:
7
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9rlrst-Class Mail
/ostage & Fees Paid
USPS
-:l)-.1 Permit No. G-10
o Print and ZIP Code in this box o
ELOPM E T SERVICES
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t'jR 91477
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loornplete items 1 e V for additional servic€s.Ialt,.
BUILDING
.ComDlete items 3, (
.Prinlyour name
card to you.
rAtlach lhis form
and address on lhe reverse o, this form so that we can return lhis
lo ths front of the mailpiece, or on lhe back if space does not
permt.
rwile'Return Receipt Requested'on the mailpiece bslow the articlerThe Retum Receipt will show lo whom the article was delivered and
number.
the date
deliv€r€d.
to:4a.Number
I a' fsh to receive thefol, .lg seMces (for an
extra fee):
1. E Addressee'sAddress
2. E Restricted Delivery
Consult postrnaster for fee.
D Registered @enifiedE Express Mail El lnsured
E RetumReceiptforMerchandise EI COD
and fee is paid)
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