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Addressing Request Form - 03-2010Addressing Request Form Assignment or Verification of Property Address * Address requests may take a minimum of ten (10) business days to process. Requester Contact Information (Name & Phone Required): Name: Phone: E -mail: Fax: Signature: Date: Geographic Information Systems 1400 Schertz Parkway Schertz, Texas 78154 Request (check all that apply): New Address Verification Suite Assignment Single Family Multi - Family Commercial Other: Property Information: Owner (if different): County: Property ID: Subdivision, Lot & Block: Current Address (if applicable): Property Details (please provide as much information as possible): Nearest Intersection: Distance of drive /access way to nearest intersection: Street with which the drive /access way will connect: Phone: 210- 619 -1184 Fax: 210- 619 -1769 www.schertz.com Property Map (please sketch or attach an accurate depiction of the property including nearest intersections and adjacent property addresses. For Subdivisions and new construction, please attach a completed site plan):