Online Address Request Form

Fill out and submit the form below if you need a new address, or a change to an existing address. Please allow two weeks for processing.

1. Tax Parcel Number(s)(required)

Look up tax parcel number.

2. Subdivision Name (If known.)

3. Lot Number(s) (If known.)

4. Current Property Address (Only fill in if property has an address.)

5. Reason for Request

6. Full Name of Street or Road which will be used to access the property. (Include SE, NE, NW, Road, Court, etc. for accuracy.)

7. Choose one

This is an existing road. This road is proposed, but not yet built.

8. Property Owner Name

9. Property Owner Mailing Address

10. Property Owner Phone Number

11. Property Owner Email Address (Only provide if emailed info is okay.)

12. Requestor Name (Only provide requestor information if different from property owner.)

13. Requestor Mailing Address

14. Requestor Phone Number

15. Requestor Email Address (Only provide if emailed info is okay.)

16. Contact Person (Only provide contact person information if different from property owner or requestor.)

17. Contact Person Mailing Address

18. Contact Person Phone Number

19. Contact Person Email Address (Only provide if emailed info is okay.)

20. DISCLAIMER: I am hereby requesting a new or changed address. I certify that I am familiar with the information in this Online Address Request Form, and to the best of my knoweldge and belief, the information is true, complete and accurate. I further certify that I possess the authority to undertake the proposed activities. I hereby grant to the agencies to which this request is made or forwarded, the right to enter the above-described location to inspect the proposed, in-progress or completed work. I agree to start work only after all necessary permits/approvals have been received.

I agree to this disclaimer. I don't agree to this disclaimer.