ADDRESS REQUEST FORM

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Fill out and submit this form if you need a new address, or a change to an existing address. Please allow 10-12 business days for processing.

PLEASE NOTE: if this request is for future construction, addressing is part of the normal permitting process. No need to use this form.

1. PROPERTY & PROJECT INFORMATION

Tax Parcel Number(s)

To lookup your Tax Parcel Number if you do not know it, use either Parcel Search or the GeoData Map (instructions for using GeoData).

Subdivision Name & Lot Number(s) (if known)

Current Property Address (if applicable)

Reason for Request

2. PROPERTY ACCESS

How will this property be accessed? (Please provide the road/street name,
and where the existing or proposed driveway is located)

Is the access existing or proposed?

Existing

Proposed, but not yet built

3. REQUESTOR INFORMATION (your information)

Are you the owner of the above-referenced property?(required)

Yes, I am the owner.

No, I am NOT the owner.

If NOT the Property Owner, what is your relation to the Property Owner?

Name

Phone

Mailing Address

Do you prefer contact over phone or email? (If not selected, email will be the default)

Phone

4. PROPERTY OWNER INFORMATION (only fill out if you are NOT the property owner)

Property Owner Name

Property Owner Mailing Address

Property Owner Phone or Email

Do they prefer contact over phone or email? (If not selected, email will be the default)

Phone

5. DISCLAIMER

DISCLAIMER: I am hereby requesting a new or changed address. The information submitted is true, complete, and accurate to the best of my knowledge and belief. I 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 inspection any proposed, in-progress or completed work. I agree to start work only after all necessary permits/approvals have been received.

Do you agree to the above disclaimer?(required)

I agree to this disclaimer.