Fill - Free fillable CherokeeCountyBoardofCommissioners ADDRESSANDSTREETNAMEAPPLICATION (P)6784936050 addressing@cherokeega.com Note:Bysubmittingthisrequestinwriting,youcertifythatyouarequalifiedtomakethisrequestandaretak PDF form



CherokeeCountyBoardofCommissioners

ADDRESSANDSTREETNAMEAPPLICATION

(P)678‐493‐6050

addressing@cherokeega.com



Note:Bysubmittingthisrequestinwriting,youcertifythatyouarequalifiedtomakethisrequestandaretaking

responsibilityforanychangesmade.Signature:________________________________Date:_______________



Applicant:





ContactName:  Phone:





MailingAddress:



 



City: State:Zip:







EmailAddress:



 



Iam:

 Requestinganewaddressnumber.

 Requestinganewstreetnameof_____________________________________ _____.

 Requestingtochangemyexistingaddressnumber

ExistingAddressNumber:_________________

 Requestingtochangemyexistingstreetname

ExistingStreetName:_________________________________________________

ProposedNewStreetName:___________________________________________

Pleaseindicatereasonforrequest:________ ____________



TypeofAddress:

Residential: _____ Commercial: ______ Other(pleasespecify):__________________________________________



SubdivisionName(ifapplicable):_______________________________________________________________________________



LandDistrict:_________ LandLot:________MapNumber:__________________ParcelNumber:______________________



CherokeeCountyOfficeUseOnlyDateReceived:______



DateReviewedbyGIS: By:







DateConfirmedbyE911: By:







BOCApprovalDate:________________AgendaItem:______________



Comments:____________________________________________________________________________________________



click to sign

signature

click to edit



Instructions:





Pleaseprovideasurveyofthesitelocation withyourapplication.



Applicationsformultiplestreetnamesfornewdevelopmentmaybesubmittedononeapplicationwithanattachedlist

ofStreetNamesproposed.



Applicationsrequestingchangetoexistingstreetnamesmustbesubmittedbygoverningagencyandincludecopyof

petitionand/orresolution.



Requestsrequirea5business‐daynoticetoresearchandroutethroughEmergencyServices.



Note: FinalstreetnameapprovalwillrequiremajorityvoteatregularlyscheduledmeetingoftheCherokee

CountyBoardofCommissioners.



Thankyouforyourrequest,theresultsofthisapplicationwillbeemailedtotheaddressspecifiedabove.



Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

CherokeeCountyBoardofCommissioners ADDRESSANDSTREETNAMEAPPLICATION (P)6784936050 addressing@cherokeega.com Note:Bysubmittingthisrequestinwriting,youcertifythatyouarequalifiedtomakethisrequestandaretaking (Cherokee County, Georgia)

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank CherokeeCountyBoardofCommissioners ADDRESSANDSTREETNAMEAPPLICATION (P)6784936050 addressing@cherokeega.com Note:Bysubmittingthisrequestinwriting,youcertifythatyouarequalifiedtomakethisrequestandaretak Form

Related forms

Fillable CherokeeCountyBoardofCommissioners ADDRESSANDSTREETNAMEAPPLICATION (P)6784936050 addressing@cherokeega.com Note:Bysubmittingthisrequestinwriting,youcertifythatyouarequalifiedtomakethisrequestandaretak

Fill Online, Printable, Fillable, Blank CherokeeCountyBoardofCommissioners ADDRESSANDSTREETNAMEAPPLICATION (P)6784936050 addressing@cherokeega.com Note:Bysubmittingthisrequestinwriting,youcertifythatyouarequalifiedtomakethisrequestandaretak Form

Related forms

First 20 documents completely FREE!