Address Request Form - Town Of Leland

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Development Services
102 Town Hall Drive
Address Request Form
Leland, NC 28451
P: 910.371.3390
F: 910.371.1073
All pages must be completely filled out before application is
accepted. For assistance filling out this application, contact
Development Services.
New construction
Commercial
Suite assignment
Industrial
Single Family
Existing verification
Multi Family
Change of Address
Duplex
Other
Reason for your request (i.e. no address previously, address assigned is wrong, duplicate address, etc):
Property information:
Parcel #:
Property Owner:
Name of development:
Lot # (if applicable):
Adjoining or nearby addresses:
Be advised that if this is a newly created lot, a copy of a signed, approved plat showing the entrance to the lot and/or structure bring
addressed must be submitted with this form For all commercial developments, a building location plan and/or site plan showing the
entrance to the lot and/or structure being addressed must be submitted.
Applicant information:
Name:
Mailing address:
Email:
City/St/Zip:
Phone:
More information:
Requests may be made in person, by email or by fax. Phone requests will not be accepted. Addresses will be issued within 5-7 business
days and the applicant will be notified if more time if there is an issue and more time is needed to process the request.
Office Use only
Address notification sent to:
Date received:
Applicant
GIS
Date completed:
Post Office
Inspections
Page 1

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