Complete the online form below to have an address assigned. To adequately provide address assignment services, which may or may not include site visits, please plan for at least 5 business days for a complete review.

*Addresses assigned will remain as "pending" until plat is recorded or site plan approved.
CO's are not issued until final plat is recorded with Clerk of Court.*

APPLICANT INFORMATION

Type of Request:*

New Address(es) New Unit(s)

Additional Address(es) Additional Unit(s)

Applicant Name:*

Applicant Type: (Please select)*

Property Owner Architecht/Engineer

Tenant Developer/Contractor

Property Owner (if different from applicant):

Mailing Address:*

Phone Number:*

Fax:

Phone Number:

Email:

Method of Follow Up:
(Please select all that apply)*

Will Pick Up Mail

Email Fax/Phone

PROPERTY INFORMATION

Road Name:*

Tax Parcel Number: *Enter N/A if unknown**

Type of Structure:
**Please select from either of the following**

Residential:

Single Family Duplex Townhome Mobile Home

Secondary Unit Condo Apartment

Commercial:

Recreational Religious Retail/Office

Hotel/Motel Restaurant Educational

Name of Institution:

Miscellaneous:

Sign/Billboard Cell Tower

Utility Asset Monument

Other:

Is this a multistory building?*

Yes

No

If yes, how many floors?

Is the property a corner lot?*

Yes

No

If yes, provide intersecting road?

Will mail be delivered to this address?*

Yes

No

Are you seeking a:

Mobile Home Permit Building Permit

Certificate of Occupancy

Other Comments

Attachments:
*PDF of approved final plat or building layout*