HomeMy WebLinkAboutAddressing Application 1995-3-23
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ADDRESS REQUEST
Property Owner: ;3~ 1(/ .j II cK <y-- ?'t9.%;4-!/C,-(.r1 /2K'
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Mailing Address: 7.79 k,e,;9 tV I :..r I Pt. .
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City. S.p~iN6-;:,L. 1-'0
State: OR.
Zip: YT-f/?7
Person or Agency requesting address if other than owner:
Phone number where you can be contacted: -7#.17;2 ~
Assessor Map I: /1-o'5-}t/~/~
Tax Lot #: C; S-I 2-
Properties are generally assigned addresses when application is made for a
permit to improve the property. Please explain specifically why you need an
address assigned prior to the property being improved:
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Proposed Address: , A ~J] A - r ~dur-~
Property Owners Signature:-=:25~.~~~
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Date Received: ,"). I?) '-1 0 _;y'ceived By: (_ ~u:o. _
Rderence Number. 11n':),~1 Lf Tax Lot- i: -/\flJ.5 I 11
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Approved: Denied'
If approved, ney address is: f!-Ir;, ( kAO~rit) ~()J1V /'
Reviewed by: \tro) (_cNe..b).J~tZ .-/ Date:.~ . 13 .q~
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