new address & private road naming · change road name: to change the name of an existing...
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Ferry County E-911 GIS Mapping 350 E. Delaware Ave #3 Republic WA 99166 (509) 775-5225 ext. 1152 [email protected]
New Address & Private Road Naming Application Form
New Address or Road: For new addresses and or road names please fill out pages 1
and 2 of the following document.
Change Road Name: to change the name of an existing private road please request a
“Private Road Name Change Request Form”.
Appeals: to appeal an address or road name please contact the Ferry County
Commissioners at 290 E Tessie Ave, Republic, WA 99166, (509)775-5225 x 2508 for the appropriate form.
For your information please read carefully the Ferry County Road Naming & Addressing
Ordinance 2019-03. A complete copy of the ordinance is available at: https://www.ferry-county.com/Commissioners under 2019 Ordinances, the Commissioner’s
office at 290 E Tessie Ave, Republic, WA 99166 or from this department.
Page | 1
Return to: Ferry County E-911 GIS Mapping
350 E. Delaware Ave #3
Republic WA 99166
(509) 775-5225 ext. 1152
Name: _______________________________________________________________________
MailingAddress:_______________________________________________________________
______________________________________________________________________________
Home phone: __________________________________________________________________
Cell phone: ___________________________________________________________________
Email address: ________________________________________________________________
Are you requesting?
Address off of an existing road
Name a private road
I certify that the information provided on this form is accurate and that I have the right to request
changes to the address/road name etc.
Signature:________________________________________________Date_______________
Property information
Ferry County Parcel No: ________________________________________________________
Owners Name(s): _______________________________________________________________
Date property purchased: ________________________________________________________
Page | 2
Road naming:
Please carefully read through the Ferry County Road Naming & Addressing Ordinance 2019-03. A complete copy of the
ordinance is available online at: https://www.ferry-county.com/Commissioners under 2019 Ordinances. Write below your
desired road name. Remember that the road name, descriptor and spaces must be 15 characters or less. If none of your
chosen road names meet the criteria of the ordinance, you will be requested to provide additional road names.
First choice: _____________________________________________________________________________
Second choice: ___________________________________________________________________________
Third choice: _____________________________________________________________________________
Driveway information for addressing: Is there a driveway?
Yes
No
If yes, does it have a locked gate?
Yes
No
Driveway access road: _______________________________________________________________
Which direction is the driveway, in relation to the road? Please circle one:
NORTH SOUTH EAST WEST
Please give detailed directions to the driveway. Describe any nearby landmarks, buildings or unique features in
relation to the driveway access. Accurate distance measurements (Example: “Driveway is 7 feet east of white
mailbox, and 8 feet across.”) are extremely helpful in assigning the correct address, and substantially diminish the
possibility of having to be reassigned a different address later on. A map or sketch can be attached to this
application (Optional).
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
______________
Address site information: Dwelling
Shop
Commercial
Undeveloped land/Other_________________________________________________________________