Laserfiche WebLink
Specific Location/Rural Address Request <br /> (Entire Form To Be Completely Filled Out Before Staff Can Respond to the Request) <br /> Today's Date 5/L-4 /0 I <br /> 3qTownship/ Section of Needed Address / Q r 1 <br /> Specific Area/Nearby Roads W - 6{-lio V <br /> Parcel # d 3O 7 —344-- g4-1- - v <br /> ---e,,--\---e,,--\--Person/Entity making this request , stAazir1/43 (k <br /> Contact Information for requestor 61 r <br /> ev <br /> RO e SS(-e r <br /> Date of Original Request to this Agency(Date Stamp here) 6 0409 <br /> (To be filled in by Planning and Development Staff only) <br /> Short Narrative of what you know about this situation, and any collateral information that <br /> you have obtained in this matter. <br /> (Include any specific request or suggestion that may be important to Staff who are working on the Assignment of the Rural Address) <br /> d <br /> Vo.CO <br /> 501 a— (2--(5) <br /> v <br /> o <br /> ,�qqo —� <br /> 5 <br /> .,-----------)41'.° \( ), <br /> ())-tami-cyy <br /> 1. <br /> Staff person taking in this request V V v.0 A, '/ 1 1 <br /> Requestor shall for provide a site plan, drawn to a measurable cale, including lot lines & <br /> lot dimensions, and any existing or planned ingress/egress to the property, and the <br /> distance from the lot lines to the ingress. <br /> Filed by Town & Section <br /> Form 2006- A 10-10-06 <br />