HomeMy WebLinkAboutFORM 250 Community Drive Assignment Address Gun & Archery Club 2023-10-12Path: Page 1 of 2 Revised 7/18/2019
L:\Comm Dev\AddressFiles\1.AddressChanges\Address Change Application.doc
Received Date Town of Estes Park
Received By ASSIGNMENT OF ADDRESS
Community Development 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
General Info (970) 577-3717 ▪ FAX (970) 586-0249 ▪ E-mail: planning@estes.org ▪ www.estes.org
Owner Name: Parcel Number:
Address:
Legal Description:
(Lot) (Block) (Tract) (Subdivision)
Phone #: Email:
Fax #: Preferred Contact: Phone Fax Email
Mailing Address:
City: State: Zip Code:
OWNER’S SECTION:
I am officially requesting my current address, ,
be changed to .
I certify that I am the legal owner of said property.
Print Name
Signature Date
Owner responsibilities are on the back side of this sheet.
*** Office Use Only ***
Effective Immediately the current address, ,
has been officially changed to .
Reason for change:
Fee $100.00/hour (one hour minimum)
Building Official Date
Total
200 4th Street; Museum
220 4th Street; Museum Annex
1125 Rooftop Way; Event Center
375 Community Dr.
Water Dispenser 380 Community Dr.
Ball Fields
250 Community Dr.
EP Gun & Archery Club