DICKSON GIS
201 W Chestnut Street, Dickson, TN 37055
615-441-9502
Instructions:
1. Driveway must be marked or roughed in with applicants name posted.
2. Mark the corners of the structure, this step will also be used when perk testing.
3. If you have site plans or drawings e-mail them to: DICKSON_GIS@DICKSONPD.ORG
4. The GIS office will have (7) working business days to assign the address if all the above information has been
completed. The reason for marking driveway/structure is that all the points are gathered by using GPS and the address
assigned is based off of this.
AFTER THE ABOVE STEPS HAVE BEEN COMPLETED CALL OR EMAIL FOR STAFF TO COME OUT TO ASSIGN THE ADDRESS.
Date of Application:______________________
_____________________________________________________________________________
Name and Address of person requesting address:
Daytime Phone#:_______________________ Alternate Phone#:_______________________
E-mail:_______________________________________________________________________
Street Name for Property: _______________________________________________________
Subdivision:__________________________________________ Lot #: _________________
Map: _______________ Group: _______________ Parcel: _______________
Person Living / Business at new location: _____________________________________________
Please give directions to the property:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
List addresses near your property: Left:_______________ Right:_______________ Across:_______________
Latitude/Longitude of Driveway:_______________________________________________________________
Latitude/Longitude of House Center:____________________________________________________________
Date/Person receiving application: _______________________________________________
ADDRESS ASSIGNED TO PROPERTY:
____________________________________________________________________________
ESN: __________ Inside City Limits of: _________________________________________
Assigned by:______________________ How Notified:__________________________ Date:________________
