Contact information for the individual filling out this form and applying for a new address
Contact information for the owner of the structure being addressed if not the same as the applicant
Name of the owner of the land/parcel on which the structure sits if not the same as the structure owner
Name of the individual or business that will be the occupant at this address if known and if not the same as the structure owner
Why is a new address being requested at this time? E.g., New Construction, Changing use of existing structure to business or residence, etc.
Type of structure on the property.
The name of the signed road from which the property is accessed and will be addressed.
How far is the structure from the access road specified above? I.e., how long is the driveway?
Please provide as much detail as possible to help us locate the structure. The easier it is to find your location, the faster and more accurately we can provide an address. E.g., Distance from an intersection, obvious landmarks, neighboring addresses, etc.
Zoom into the map to find the location of the structure for which you need an address.
You can use your mouse and scroll wheel to pan and zoom the map if using your computer. If on a mobile device with location services enabled, you can click the "Locate Me!" button below which will pinpoint your current location on the map.
Once you have found your structure location, click or tap on it and then click the "Update Location To Here" button that appears on the map. A red pin symbol will appear on the location. If the location is incorrect, you can can select a different location on the map through the same process.
You must select a location before submitting your request. Please be as accurate as possible and add any extra notes in the "Location Description" textbox above.