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CherokeeCountyBoardofCommissioners
ADDRESSANDSTREETNAMEAPPLICATION
(P)678‐493‐6050
addressing@cherokeega.com
Note:Bysubmittingthisrequestinwriting,youcertifythatyouarequalifiedtomakethisrequestandaretaking
responsibilityforanychangesmade.Signature:________________________________Date:_______________
Applicant:
ContactName: Phone:
MailingAddress:
City: State:Zip:
EmailAddress:
Iam:
Requestinganewaddressnumber.
Requestinganewstreetnameof_____________________________________ _____.
Requestingtochangemyexistingaddressnumber
ExistingAddressNumber:_________________
Requestingtochangemyexistingstreetname
ExistingStreetName:_________________________________________________
ProposedNewStreetName:___________________________________________
Pleaseindicatereasonforrequest:________ ____________
TypeofAddress:
Residential: _____ Commercial: ______ Other(pleasespecify):__________________________________________
SubdivisionName(ifapplicable):_______________________________________________________________________________
LandDistrict:_________ LandLot:________MapNumber:__________________ParcelNumber:______________________
CherokeeCountyOfficeUseOnlyDateReceived:______
DateReviewedbyGIS: By:
DateConfirmedbyE911: By:
BOCApprovalDate:________________AgendaItem:______________
Comments:____________________________________________________________________________________________
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