Address Request

Address Request Form

In order to receive a 911 address there must be a current or planned structure (house, mobile home, recreational vehicle) on or to be placed on the property, or the property must be used for agricultural purposes. Vacant land without a structure will not be assigned an address.

Normal turn-around time for addresses is 7-10 business days, weather permitting.

Required *

Name

Phone

Business Name

Parcel Number

Structure Type

Access Road

Closest left side address

Closest right side address

Latitude (decimal)

Longitude (decimal)

Structure Status

I agree the driveway and structure corners are plainly marked and ready for addressing.

I agree to give 911 employees permission to enter the property to collect location data necessary to issue the address

Locked gates are on the property and will require contact with someone for entry to address the structure.

Other

Color

I understand this request for an address may take 7 to 10 business days to complete.

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Address Request Form