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Gaylord, MI 49735

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APPLICATION FOR STREET ADDRESS

There is a $25.00 charge for a property address. Payment must be made to the Equalization Department prior to issuing the house number. Please complete the form below and you will be instructed on your payment options. For questions, contact the Department of Equalization.

Monday-Friday: 8:00 A.M.- 4:30 P.M.
Telephone: 989-731-7414

* Denotes required field

Business Information
* Property Owner
* Applicant or Contractors Name
Current Mailing Address
Street
Apt #
City
State
Zip
Phone
Fax
* Email
* Property Code	- - - - -
This parcel is part of a property split occuring since the first of January	Yes
	If Yes, please include date of land division approval.
Approval date	/ /
Type of structure to be built
Approximate start date of construction	/ /
* Name of Access Road
Briefly describe the property boundaries and location of the driveway
Distance of driveway from property line (ft.)
Side of property
Are there any other existing drives or easement roads on this property?	Yes
If yes, where are they location
	*Enter the letters you see

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