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2. 
3. Laurens County E-911 Address Request Form

   Please fill out the required information below.

   Thank you!

5. Name*
6. Email Address*
8. Cell Phone Number*
9. Other Contact Number

13. Please fill out with as much information as possible to help us locate where you are needing an address at. 

    You MUST have a new E-911 address BEFORE able to fill out a building permit.

    The driveway MUST be marked with ribbons, flags, etc.

    Allow 3-5 business days for an address to be completed. You will be notified via phone call or email of your address. 

    If you need an address verification for the post office, power company, or utility company, please call 478-275-7099 to speak with one of the address clerks.

    Please call 478-275-7099 with any questions prior to filling out this form.

15. Address Before & After*

    Please list the addresses your property is before and after. Specify whether it is on the same side of the road, across the street, etc. Please provide the nearest intersection.

17. Property Description*

    Please describe how the driveway is marked. The driveway MUST be marked with either reflector tape, flags, etc. in order to properly find it. If your property will have a long driveway, gates, security code, etc., please describe it here.

19. Map Parcel*

    Please provide the Map and Parcel Number, These can be acquired by visiting the Laurens County Tax Assessors Website.

    Addresses will remain as "pending" until plat is recorded and Parcel number is provided 

20. Laurens County Tax Assessors Website

    Visit here to search for Map and Parcel Number

24. For 911 Personnel Only
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

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