Please complete the form. Save it to your computer. Email to warel@clareco.net
ADDRESS REQUEST FORM
Clare County Community Services
225 W. Main St., P.O. Box 438, Harrison, MI 48625 • Office: 989.539.2761
Fax: 989.539.8877 •
“Our goal is to provide a safer place to live, work and play”
Fee $30.00
Receipt#
Issued Address
Date Requested:
Date Issued:
Number
Street
Applicant:
Owner:
Applicant’s Current Mailing Address:
City
Zip
Daytime Ph. Number:
Alternate Ph. Number:
Official
Site Location:
Township:
Road Name:
Section Number:
Parcel/Lot#:
THE TAX ROLL NUMBER IS IMPORTANT IN LOCATING THE PROPERTY. IT MUST BE INCLUDED ON EACH APPLICATION.
THE APPLICATION WILL NOT BE ACCEPTED WITHOUT THE TAX ROLL NUMBER.
Instructions:
1. Sketch parcel with location of driveway in relation to property line in feet.
2. Make all observation for diagram when facing the property in question.
3. As you face the property indicate the compass direction on your sketch. (North, South, etc)
4. Indicate the crossroads in both directions.
5. Indicate the nearest addresses.
6. Land Division Certificate or if lot established prior to 1997 the original Tax Roll Card.
7. If a subdivision, you must provide the name of the subdivision and a plot map.
8. Registered Deed or Land Contract.
Address Posting (Section 27.0)
1. When a new address is created and fees are paid, a green sign and white reflective numbers
will be provided to the person applying for the new address.
2. Each primary structure shall display the green sign and house number.
1 . The green sign and numbers shall be displayed on a six (6) foot steel “T” type post or stronger within ten (10) feet of the
driveway and outside of the road right of way. The top of the sign shall be at no less than four (feet) above ground level
and the top shall be no higher than six (6) feet. The sign shall be free of visual obstruction and be placed perpendicular to
the road.
2.
No mailbox shall be used for displaying the official house numbers as mailboxes do not provide identification of the
location of the residences.
Equal Housing Opportunity
Equal Opportunity Employer
This Institution is an Equal Opportunity Provider