Address Request & Site Plan890089126
NEW ADDRESS REQUEST FORM
Date: 07/14/2023
Name: Thomas Dunning
Building Permit Number: RN-2023-00163
Legal: 10-18-11
Subdivision: Lot#: 214 Block#:
Checklist:
Newly issued address:
Added to map in 911 Township book
Make a copy of map and give to Teresa to create a sign (HOLD)
Entered address number into Data Base
Entered address into BluePrince
MSAG notified for newly created Street name
Final inspection completed
Sign installed (contacted the Road Dept.)
Cadastral Current mailing address;
Rural Living in WA, Co. Brochure
Spread Sheet
Send Letter, e-mail,
or fax to:
Faxed map and new address info to City or Village
Owner
Post Office
School
Fire Department
American Broadband
Black Hills Energy
OPPD
PSAF / County Dispatch
Assessor
Election Office
NRD
General Contractor