Planning & Inspections Department
811 Texas | P.O. Box 1890 | El Paso, Texas 79950-1890| (915) 212-0085
ADDRESS REQUEST APPLICATION
DATE: FILE NO.
1. Type of Application requested:
(Select One): ☐ Address Assignment ☐ Change of Address ☐ Address Verification
Reason for Request:
2. Property Identification:
Subdivision or Survey Name:
Lot (Tract): Block: PID or Geo #:
Number (if applicable): Street:
Existing Use:
3. Property Owner Information:
Property Owner Name:
Property Owner’s Current Mailing Address:
City: State: ZIP:
Phone: E-mail:
Representative (if different from property owner):
Representative Phone: E-mail:
4. Signature of Property Owner:
PROPERTY OWNER SIGNATURE
(Note #2)
: DATE:
NOTES:
1) SUBMITTAL OF AN APPLICATION DOES NOT CONSTITUTE ACCEPTANCE FOR PROCESSING
UNTIL THE PLANNING DEPARTMENT REVIEWS THE APPLICATION FOR ACCURACY AND
COMPLETENESS.
2) YOU MAY SKIP PROPERTY OWNER SIGNATURE WHEN REQUESTING AN ADDRESS
VERIFICATION.
