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2. Disclaimer

   Denison, Texas by receiving or accepting this form does not guarantee an address to be assigned to the property. Denison reserves the right to deny any request made by the applicant on this form. Denison requests up to five business days for the address to be assigned. Property owner will receive an email with 911 address for the above-mentioned property once it is assigned.

   Please complete all required fields.

4. Full Name*
6. Mailing Address*

   Street Address

8. Email*
10. Contact Phone Numbers
12. Subdivision Name
14. GCAD Property ID or Property Number
16. Legal Description

    SEC, BLK, LOT

18. Type of Structure*

    1. New construction
    2. Existing structure
    3. Other
19. Other
21. If it is a corner LOT tell us which way the main entrance will face.

    1. North
    2. South
    3. East
    4. West
23. Road Name or Closest Address to Construction Site
25. Project Description

    Building Purpose (Warehouse, MFG, Single Family, Etc.)

27. Attachment

    Files must be less than 5 MB.
    Allowed file types: gif jpg jpeg png txt html pdf doc

29. Notes
31. Disclaimer and Signature*
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field