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2. 

3. Natrona County Development Department
   200 N. Center St., Room 202
   Casper, WY 82601

5. Applicant Information
7. Applicant First Name*
8. Applicant Last Name*
10. Applicant Phone Number*
11. Applicant Cell Phone Number
13. Applicant Mailing Address*
15. City*
16. State*
17. Zip*
19. Property Use Information
21. Current Use*
23. Proposed Use (if different)
25. Legal Description(s)*
27. Type of Structure*

    1. Residential

    1. Commercial/Industrial

    1. Other
29. Description - Please describe your location, including miles to the nearest road, and other pertinent information.

31. The following items shall be submitted along with this application:

    1. Site plan showing your property and location of your driveway access.     

    2. Copy of recorded deed or ADMIN sheet from the Assessor's Office.     Link to Assessor Property Search

    3. Copy of recorded access easements showing legal access to your property.     Link to Zoning Lookup Map

    4. Latitude/Longitude coordinates (for communications towers, pipeline facilities, water disposal facilities, etc.).

    
    

    All new access/approaches onto County maintained roads require a Driveway Access Permit, which may be obtained through the County Road & Bridge Department. Please note that with the issuance of an address, Natrona County in no way accepts responsibility for the access or maintenance of the roadway of the property.

    
    

    I hereby affirm that the above information is true to the best of my knowledge.

33. Applicant First Name*
34. Applicant's Last Name*
36. Date*
    Date
40. For Use By Staff - Do Not Write Here

    	Date Received:
    Address Issued:	Added to GIS?
    Approved By:

    Access Easement Instrument No.:

    Notes

    
    

42. Upload Site Plan
    *
43. Upload Recorded Deed or ADMIN Sheet*
44. Upload Copy of Recorded Access Easements*
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field