City of Lake Forest 100 Civic Center Drive, Lake Forest CA 92630 www.lakeforestca.gov
Telephone (949) 461-3491 Fax (949) 461-3512 04/10/20
APPLICATION #: ADDR-______________________________
ADDRESS ASSIGNMENT APPLICATION
*FOR ADDRESS ASSIGNMENT REQUESTS INVOLVING 8 OR MORE ADDRESSES, PLEASE COMPLETE APPLICANT, PROPERTY OWNER AND
PROJECT INFORMATION FIELDS ABOVE, AND USE SUPPLEMENTAL FORM/TABLE/SPREADSHEET FOR PROPOSED ADDRESSES. SUBMIT
TABLE/SPREADSHEET ON CD, FLASH DRIVE OR VIA E-MAIL TO PROJECT PLANNER
DATE:
APPLICANT INFORMATION
NAME:
ADDRESS
TELEPHONE NO.
CITY
STATE
ZIP CODE
E-MAIL
SIGNATURE:
PROPERTY OWNER INFORMATION
PROPERTY OWNER:
ADDRESS
TELEPHONE NO.
CITY
STATE
ZIP CODE
E-MAIL
NAME:
PROJECT INFORMATION
PROJECT NAME
TAX ASSESSOR'S PARCEL #(S):
SELECT APPLICABLE
PERMANENT
TEMPORARY
ATTACH AN 8½" x 11" OR 11" x 17" EXHIBIT DEPICTING THE
LOCATION OF THE BUILDING(S), STRUCTURE(S) AND/OR
METERS TO BE ADDRESSED, THE ADJOINING STREET(S) AND THE
PROPOSED ADDRESSES
BUILDING
STRUCTURE
UTILITY METER
OTHER
EXISTING ADDRESS: N/A
PROPOSED ADDRESS(ES)*
TRACT # LOT # STREET # STREET NAME
STREET
SUFFIX
SUITE/
UNIT #
APPR-
OVED