2. PROPERTY INFORMATION
3. Permit Number*
5. Existing Address(es):*
6. New Address(es): to Assign:*
8. Legal Description:*
9. Assessor Parcel Number (APN):*
11. APPLICANT INFORMATION (IF DIFFERENT THAN PROPERTY OWNER)
13. Name:
14. Address:
16. Phone:
17. Email:
19. PROPERTY OWNER INFORMATION (REQUIRED)
21. Name:*
22. Address:*
24. Phone:*
25. Email:*
27. PROPERTY OWNER'S STATEMENT (REQUIRED)*

    1. I declare that I am the owner of the property.
29. SUBMITTAL REQUIREMENTS
31. Floor plans showing showing each proposed unit on all floors (for multi unit buildings only)
32. Fee of $437.05

    The Address Assignment Application Fee will be collected once a City staff member has reviewed your application for completeness, and it has been approved by the Building Official.

34. ADU/JADU Addressing Policy Memorandum
    ADU/JADU Addressing Policy Memorandum
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit Submit and Print

* indicates a required field