Application For Preliminary Long Plat Form - City Of Westport Page 4

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ADJACENT PROPERTY OWNERS LIST
PROJECT: ________________________________________________________________
Please submit an adjacent property owners mailing list.
Include all property owners within 300 feet of subject parcel.
Addresses are to be obtained from:
Office of Grays Harbor County Assessor
100 W. Broadway
Montesano, WA 98563
Phone: 360-249-4121
***Please be sure to also include the mailing information for the:
OWNER, APPLICANT, ENGINEER/ARCHITECT & REPRESENTATIVE.
SEE EXAMPLE BELOW
SAMPLE
Joe Jones
PO Box 1900
Westport, WA 98595
Effective Date: January 2009
4
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