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Phone: _ Email: Jurisdiction: __________McDuffie City of Thomson City of Dearing Parcel Most current recorded plat: FOR OFFICE USE ONLY: Nearest numbers to property being addressed: EAST: _ Name: Reserve: McDuffie/ Thomson / Dearing Census Block: Signature Date [ ] ADD [ ] CHANGE [ ] DELETE Assignment NUMBER ( EVEN/ODD) ROAD NW NE SW SE Structure Description: [ ] Single Wide [ ] Double Wide [ ] House [ ] Block [ ] Brick [ ] Barn [ ] Hunting Camp