House Number Assignment Form
Morrow County Office of House Numbering
80 N. Walnut St., Suite C
Mount Gilead, OH 43338
Date:
Applicant Name:
Address:
Phone Number of Applicant:
Proposed Property Use Type: Township:
Road Property Located On:
House Number to the Left of
Property:
House Number to the
Right of Property:
Required Documents: Health Dept. On-site (new residential)
Recorded deed or land contract
Plot Survey (optional but helpful)
Office Use Only
Paid: $
House Number Assigned:
House Numbering Agent's
Signature:
Date Assigned: