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Phone: (303) 621-3101 Address: 221 Comanche Street, P.O. Box 26, Kiowa, CO 80117 Email: [EMAIL REDACTED] Website: Situs Address Application Date: Property Owner: Phone: Applicant (if not owner): Phone: Schedule # or Parcel ID or Subdivision and Lot: Note: Contact Info: Note: Situs plot with a clear indication of the driveway’s access to the road must be attached. The address assigned depends on the location of the driveway. If the driveway location changes then the address might need to change. Please email this form with your Situs plot to [EMAIL REDACTED] Print Name Signature ELBERT COUNTY OFFICE OF THE COUNTY ASSESSOR