The URL can be used to link to this page

Home My WebLink AboutADR2008-00113 ADDRESS REQUEST JEFFERSON COUNTY PERMIT CENTER 621 Sheridan,Port Townsend,WA 98368 (360)379-4450 APPLICANT: Please fill out item 1 through 8. Fee as per Jefferson County Fee Schedule 1. ®New Address ❑ Correction ❑Change ❑Review DIFF LEFT M.P. RIGHT DIFF 2. Applicant Name: ►V L 6 RaN W - 3. Mailing Address: Z(.) Y.-044.4 PT- _ Piz. Town/State/Zip W.. 0 • W A 99 i lbo 4. Telephone: Work "MK'-'(t 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:'q /9 /o? Flagging Color iP1tlG F Nine Digit Tax Parcel Number -7 Z.( oq S o (o Plat Name {V P4 giro ( lock Lot y *-- ' 6. sg,r 6. Road Name: itio11.NV . 7J 4 Is this a PRIVATE UNT ad? CIRCLE ONE U'`�,2,C 'r cl Nearest Cross Road: S._ er- go p p `BbJ ,Lt 7. Neighbors'Address if Known: Name/Address: Name/Address: 8. Do You N:...• To Construct a Driveway? YES or 0 CIRCLE ONE " P+- 1 PbMa•• FIELD NOTES 9.Xhis Submitted With A Building Permit? or NO CIRCLE ONE SHADED AREAS OFFICE USE ONLY ( r ' / New Address: J Ilia_ • 1"J qq iv\ ©Z5` 1 Li ' V Postal District: P©Y-' L[)k 10e1,0 c- Real Milepost: t Road#: eft Right Fire District 3 Building Permit# Plate Sent r'4 / Odd Even Date Paid 1/ 8 108 Check# (Za2)(4, Receipt# 9 7RO1 Date in Computer{ /1 /O$ lan -laalQ 7t- APR 8 2008 s4.°► , 4 s) Sg539 Map Output Page 1 of 1 ArcIMS HTML Viewer Map it 1 II l l rJ i / 72109.4,...:' r 721s.7tr tj . _v..• i \ 721 if 6...4 , -1 ro i Legend `,g�,' 0 I Towns t s�o ..�._. i._.' ( *. Pas*Cobs _.,...721t§9d4�06 p� 1 t a/ Road System 721093021 1 J .4 p„�10_ (;r, p Ir°'�I Parcels-H Tfi6958{ '� r5l"� 1 \ ,�1,, f --?-4)11/4) Boundaries b 50 721095009 721096004 ."=%=a+1,1 I\------,.. � n O (�. I , 1f`._ 1 721f1t96",,.. I Weer —Ii 721095403 , 721096010 721093020 11 1[---- -------1 /1 1 ', 721096002 /,��-� 933340003 I( _ 963300998 721093019 7210451001 I� i( II 935404005°"-835100010,1 J 04 .— — .r :"," t,C) -+_ 435400004— t1 935100017 934500013 n1093002-----\)- u.xe.x,w.r.1trr.2as.,on cweycsvdsser:,t�G1"x-P330.2100 1 0 ' . ' ,n FOR INFORMATIONAL PURPOSES ONLY- Jefferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect to its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Tue Apr 08 16:02:51 2008 http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceN ame=ovmap&Cl ientV ers ion=4.0... 4/8/2008 4aith poilA P(nJ M ' +lN Kei • i APR - 8 2008 gc S1'Or\)M 2IA Nom; N.._ I" - 60' • Z Owner V Taal Gronwall 41 Magazine Street "0' Bedford, NH 511048 Prnperhi Lot # 6 Acmiral'5 oJ' • Sec 9-5W I/ 4-27N-I Parcel #721095006 ® _ N n 1 Ir=nri rarfnr '\-- Kelley Shields Inc. 260 Kala Point Pr, 'V Port rownsenc, WA 9868 ck \• vPr� ,of b■tr ry �` ° -�f F�cQ, 92, 5 a / N SapFAr Sic m a 5P95-00469 11 s, Lot #6 drainfield on #721095004 �R cs- f —,0� - ` �;` -.-; a EOn�well• to serve #721095006 i wo Gi rank a�ly permit required 1 ri i d//M v/'l / G °RI '. . . blase ,-, r., JJ y Concrete ',Ton I H Sep,ik Ir , Prv.irk t ti t O N s Al AGM6r N it.''Is • ' ,., e.t.Sewer Add° Key m " r Vert / I A' .4 1 ' E `i I 4 �... /; 'fW •1 ,:y a: . .} Y '4••1-•-•-•:-• ry :'�' h .',••• 4: �-;, .. . ! 4 ..'`I;� tr i :!k...,.- 5t w 4 -* # �yv� ". ate �. l ''' ''lj ` if`�}�,°- r ]ti✓ .a T n A"3'4 'x'L ., ` ^ • K r k.....% v`7" ""'" .:47.-.1',...2. if"i iii-4, 444„,,,, •�a � A> 01F ,4'yY.g j . n. t- +• 'yy :tr... a R� j - . Y "1f - y` :� ri e A,i x Y 't A4: I, 'b9° n m-; Tr. ,., M '3- arl4 '>.4i„ ;a _ .. ., . ?, . .v,,•1..: �A �• i i I I r 1 1 <� % `. E •qt. , key. tiK ' w y � T ' .. »p' ro k y,.. rte-. T.. ./ ' . • 1, -- . - ..-`tw - --- '•*4'4 7 "A A.'". .: CH,. ',,,' — " . .4. . 0 -.....---- -40 " ' 1."`!'A' ''4•.4..,, . i: ,/.? - 47,fp. •.- - 7"A .''.'" : .,, :AO': ' ''''-'.'n--" A, ._ . t • --.1L- ' 11. ,, , ; , , - ..:.."4"...,.4;4';,•1,...It .^., i'''‘,•'' +,.):,$, . -.-7,-' . ', .. "...:,- 'SC, -1.• ... . . ;. •.:-.-, '..:'.• -,r 1", •'. ' p ,,;t, t ,-,tt- . , , if---7,..4,0 . - ., ... ... , . •■...,, . 1':'.7 111.44174,! ":AA,1'5 . ,s"- ' - I . . 'r • •.. .,. '4%.1'k':. ',"- it...14.‘'," A "t - - - ' , . . . . A -.. .., ..- . . . .. . vr .A.. - . . A , - i 1 1 a _.