Chuck Wooley
Building Official
Name of Person Requesting Address:
__________________________________________________
Phone Number of Person Requesting Address: ___________________________________________
ADDRESS APPLICATION
Larissa
George
Greene
County
EOC/E-9-1-1
Phone:
706-453-1821
FAX:
706-453-1259
Please provide as much information as possible and return this application to:
Map/Parcel Number: ________________________________________________________________
Name of Street, Hwy or Road: ________________________________________________________
Property Owner's Name: _____________________________________________________________
Phone #: _______________________ Email: ____________________________________________
Previous Owner: ___________________________________________________________________
Is there a structure on property? __________ If yes, describe: ______________________________
________________________________________________________________________________
Is there an existing driveway? __________ If yes, will you be using it as the access? ____________
If no, identify the access location in the form of a plat, site plan or map.
How many feet of road frontage? _______________
Landmarks. i.e. water towers, bridges, creeks, mile markers, etc. close to property. ______________
_________________________________________________________________________________
Power Company: ____________________ Phone Company: _______________________________
Is the address for business? Yes No
If yes, do you have a permit? Yes No
If yes, attach approved copy of permit from the Planning and Zoning Office.
FOR GREENE COUNTY USE
Address assigned: _________________________________________________________________
Person Assigning Address: ___________________________________ Date: __________________
1034 Silver Dr., Ste 103, Greensboro, GA 30642 Telephone - (706) 453-3333 - FAX (706) 453-2579
www.greenecountyga.gov/building
Greene County Building and Zoning Department
