Forms • Flagstaff • CivicEngage

New Address Request

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Applicant Name *
Applicant Contact Information (Email and/or Phone) *
Applicant Address
Applicant City, State, Zip
Are you the owner of the property? *
What is the current Property Address or APN (parcel number)? *
Reason for requesting a new address: (ex: "we're adding a rear unit, and want to receive the mail separately")*
Description of the location of the entryway which will be used for access: (ex: "this new unit is accessed by the rear entrance, from the alley on the south side of the building")*

* indicates required fields.