JACKSON COUNTY 9-1-1 OFFICE JACKSON COUNTY, NORTH CAROLINA
Phone: (828) 586-7537 / Wanda Hall ADDRESS REQUEST FORM
(828) 586-7534 / Zeb Holland
Mail to: 401 Grindstaff Cove Rd.
Sylva, NC 28779
Fax to: (828) 586-7573 or
Email: email@example.com Date of Application: _________________
The following information is required in order to assign you a permanent house number and road name. This
address is necessary for Jackson County to provide you, the homeowner, with adequate emergency service when
a 9-1-1 call is made. Your address will be assigned as soon as possible after your request is made. (The driveway
must be cut in on the property before the address can be generated). This form must be filled out if you are
building a new home or placing a mobile home on your property. Leave this form at the Building Permit office.
The assigned address must be posted on your home or at your driveway before a Certificate of Occupancy can be
Homeowners Name: _____________________________ Telephone: ______________________
Contractor’s Name: _____________________________ Telephone: _______________________
Road Name: ___________________________________ PIN #___________________________
Parcel Identification Number
Building Permit # ______________________________ Lot # if applicable:________________
Directions to building site: _________________________________________________________
Name of nearest neighbor: _________________________________________________________
Description of new home: (example: 2-story gray house) ________________________________
Attach a drawing of the proposed location of the structure and driveway. You can create this drawing
on the Jackson County Parcel Viewer. Go to the following link: gis.jacksonnc.org/rpv. Check the
disclaimer box and click OK. Click map layers on top right green bar, click aerials, then 2019 aerials.
Then, type the PIN number or owner name (formatted "last name, first name") in the box in the top
left corner and hit enter to bring up your parcel. You should see your parcel highlighted (click on it if
it’s not). You can click and drag the map to move around or use your mouse scroll to zoom in and out.
To draw on the map, click on the button with the wrench in the upper right corner, then click "Draw".
You can place a point on the map where the structure will be and use one of the line options to draw
the driveway (freehand polyline works best; just click and drag along the map to draw). Afterwards,
you can click on the printer button on the green bar at top to download your parcel drawing to a PDF.
Once this file is downloaded, you can print it as normal (through Adobe or your internet browser).
If this home is not to be your permanent full-time residence, please list an out of town mailing
address and telephone number where you can be reached.
Mailing Address: ___________________________________ Telephone: ___________________
(FOR OFFICE USE ONLY) NEW HOME ADDRESS: ________________________________