Fillable 9-1-1 Address Request Form (City of Marble Falls)

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9-1-1 Address Request Form (City of Marble Falls)

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The 9-1-1 Address Request Form (City of Marble Falls) form is 1 page long and contains:

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  • 25 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Marble Falls

BROWSE CITY OF MARBLE FALLS (TX) FORMS

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DEVELOPMENT SERVICES DEPARTMENT
GIS
PLANNING
CODE ENFORCEMENT
BUILDING INSPECTION
801 Fourth Street Marble Falls, Texas 78654 Phone 830- 798- 7095 Fax 830- 798- 8558
www.marblefallstx.gov
9-1-1 Address Request Form
Check one of the following:
New address Change address
Please print the following information:
Date received: ________________________ MPN: _____________________
Address assigned: _____________________ Date sent: _________________
OFFICE USE ONLY
Requestor’s Name:
___________________________________________________________________________________
Mailing Address: _____________________________________
City: ______________ State:
______ Zip: ___________
Email: _______________________________________________
Telephone: _____________________________________
Property
Owner’s Name:
_____________________________________________________________________________
Mailing Address: _____________________________________
City: ______________ State:
______ Zip: ___________
Email: _______________________________________________
Telephone: _____________________________________
Legal Description of Property:
Subdivision: ______________________________ Block: __________ Lot: __________
Property ID: ______________
Existing Address (if
requesting change): ______________________________________________________________
Reason for Request: __________________________________________________________________________________
_______________________________________________________________________________________________________
*
REQUIRED:
Please attach a plat/survey of area and mark access to property from road (driveway)
*
Printed Name: ______________________________ Signature: _____________________________ Date: __________
Please email signed
form
and
plat/survey
to
nhicks@marblefallstx.gov
click to sign
signature
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9-1-1 Address Request Form (City of Marble Falls)

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Completed 23 January 2021

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