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Community Development Department Revised November 2025 Address Assignment Request Form A site plan or other form of visual representation is required alongside any address assignment request covering multiple lots. Please plan for adequate time in your project timeline to provide for address assignment services; requests may take up to 10 business days to process. Fee: □ $228 for one lot □ $4 per additional lot; total additional lots = Applicant Information Name: □ Property owner □ Tenant □ Architect/Engineer □ Developer/Contractor Mailing Address: Phone Number: E-mail: Property Owner Information Name: Mailing Address: Phone Number: E-mail: Request Information □ One- and Two-Family Residential □ Commercial or Multifamily Residential Related Planning File(s): Existing Address(es): Preferred Address(es): Signature: Date: Disclaimer: By signing this request form, the applicant acknowledges that the act of assigning an address does not constitute a land use decision by the City.