APPLICANT INFORMATION

Brief Description Of Structure (Example: 2 Story, White, Wood Frame, House with Blue trim)

Name

Address

Zip

State

City

Phone

Daytime Phone

Email

(Select one that Applies)

Building Permit Number

Address Requested For

Type of Structure

Request Info

Property Owner/Location Information

Property Owner Name

Subdivision/Mobile Home Park Name

Tax Map ID

(If Available)

Lot No.

Name of Road or Route # Driveway comes off of

Russell County E-911

Mapping & Addressing

 

PO Box 338

656 Clydesway Dr,  Suite B

Lebanon Va 24266

 

Phone (276) 889-8232

Fax      (276) 889-8250

 

· PLEASE MAKE SURE YOU’RE NAME, ADDRESS, AND A PHONE NUMBER IS ON THE APPLICATION,  SO WE CAN CONTACT YOU TO PROVIDE A 911 ADDRESS

· ALL HOUSES, SINGLEWIDES, DOUBLEWIDES, AND/OR MANUFACTURED HOMES SHOULD HAVE THE FOOTERS POURED OR DUG BEFORE YOU WILL BE PROVIDED A 911 ADDRESS.

· NO RAW PROPERTY WILL BE ADDRESSED

· BEST INFORMATION YOU CAN GET IS THE CLOSEST ADDRESS NEAR YOU

· ALL ADDRESSES ARE DONE ON TUESDAYS AND THURDAYS

· ALLOW UP TO THREE WORKING DAYS TO COMPLETE PROCESS OF APPLICATION