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HomeMy WebLinkAboutADR2008-00136 RECEIVJE,D ADDRESS REQUEST JEFFERSON COUNTY PERMIT CENTER JAN 1 4 2008 621 Sheridan, Port Townsend, WA 98368 (360)379-4450,_ APPLICANT: Please fill out item 1 through 8. Fee as per Jefferson COUiiiy.'- ''nFletIll ilitiDieDED 1.0 New Address U Correction 0 Change 0Review Din LEVI MP. RIGHT. OUR 2. Applicant Name: 3. Mailing Address: 3 'a erut)..e. ,--1(_ -\-- Town/ State/Zip -TO (V \Cu.)nS-0-1 \-) u01' 3-1q- 5 aoc) t 4. Telephone: Work Home: 5. Location: Attach a Detailed Drawing or Map. Additional Fees May Be Required if More Than One Site Visit Is Necessary ... *******PLEASE FLAG YOUR DRIVEWAY.******* Date Flagged: / / Flagging Color 0 ra Nine Digit Tax Parcel Number 9 1-0 1 Plat Name --17(0 f...Dc1/4.4.5L_ Block !B Lot Jp-11,0 6. Road Name: "E.. .-. ,1 u.....k____ Is this a PRIVATE or COUNTY road? CIRCLE ONE Nearest Cross Road: 7. Neighbors Address if Known: Name/Address: , Name/Address: 86)9 You Need To Construct a Driveway? YE 2or NO CIRCLE ONE - 9. , a his Submitted With A Building Permit? 1 aZrror NO CIRCLE ONE --.1,--4----4,,,;-•;;,v '1::`.4%,P.J. ' ' '-' ', ,•% ,,;‘,11,,t;": 1 sc ,-- ,;,- ■-4104 =,,,iy=. - = = NI* ..4---,• "1- ?., ‘"V-"-'-' `, ' .!''''' P‘, 1) tD-1--- -I ,r,i,,,e,,-N; , fi , Ft r ,..— ,., : ; ',t,4,:i,..,....,i.: ,: :,, - , a. , -.--. .., ., - • - , '--- -D C)7).- 1'3 (:)3 - I - . / ,ftstiowa.vw .7'^tr'+' "`'fe, AI II '• e , 09 ( kit ' - ,■.,-''`,7-'4' ' -:''';':''' ', ,4---11 ''''': -:-,.I, ' ,, '-' - ' - - '-,'k- „I, ' ' ',. , \ 1 I,4 is- aiit , ,l, ;i10ii 1 . '"- ii#ii141,.. ,,, .,-7, ;"CD1,--'1,\-, V, '5 !°- .4 .17..,::. - n n ' '''',/-': :/;6:.,., -. '''''.''''0,•'-.': . - <'.'''''' , , ',.' -'.- s.. ' i ' , ,. -T,,- ",,i'' ' ,— ' ' 9 Plate r4tt /* *At~r-. s,,*.e t - -',---' , ,'-,,...--- - ' ' ,; q ding Permit C), --‘ $01tt i ir3 10`b I -, - , ,..;''''' '„ '' ,2::"*'..*' ''',,:: '''''-'1••4' '77. '`7.' 7.' '' '- ,_.., _ ' °' ev,,, -•,,,,,t1s,', , .7,t Y., = `-.,'iti „„, 4: , ),,,c- ,.., ,‘N--.ek,114,4, 44:40,iocciptw (-1 -is p 1 pato ill col:apts. 1 it 1/)3 ,f,'=":2--,10:" : 4 ' ''''...i '"9":, ;-•.';': ..- T'.''''' ' \on - l -.D-, --)lei --3 S L[11 \ ( L(`6 . )L± 3G 3\ - -- 1