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2. Note: Addresses are essentially assigned to livable structures such as mobile homes and houses, or commercial buildings. Since vacant parcels/tracts of land do not include livable structures and future plans for placement of livable structures is uncertain, addresses will no longer be assigned to vacant parcels or tracts of land. An exception for assigning addresses to small subdivision lots that cannot be subdivided in the future, may be made at the discretion of Emanuel County. Other “structures” that can be assigned addresses due to third party requirements such as power/utility companies, are things such as power poles, water meters, cell towers, utility equipment, and electrically powered wells.
4. Your Name
5. Date*
   Date
7. Your Connection to Property*

   1. Owner
   2. Builder
   3. Renter
   4. Other
9. If other please explain
11. Property Owner Legal Name (as recorded on deed)*
13. Approximately how long has the property been in this person’s name?*
15. Parcel Tax ID if available
16. Parcel Size (Acres)
18. Your Contact Information:
    Both forms of contact information are preferred, but we must have at least one of the following:
20. Phone Number
21. Email Address
23. You’re requesting an address for (select one):*

    1. House
    2. Mobile Home
    3. Commercial Building
    4. Other
25. If other please explain:
27. Road Name*
    The Road Name portion of addresses will be determined by which named road the driveway begins at. If you have road frontage on more than one road, the road name for your address will be based on the driveway location, not the front of the building. Please be exact when providing the road name. Distinguish between such names as Brookview Dr, Brook View Dr, Brookview Ln, Brook View St, etc. Please use the name as seen on road signs if they are present.
29. Is a road name sign(s) present on your road?*

    1. Yes
    2. No
31. Driveway Location and House Location
    Address numbers are assigned based on building location and/or driveway location. Describe the driveway location and structure location as best you can. You can refer to distance in feet from nearby addresses, distance from road intersection, distance from property boundary or other landmarks that might be visible in aerial photos such as an existing gate/entrance that has been there for years, etc.
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field