By signing below I am agreeing to JotForm's Privacy Policy and Security Policy and the following statements:
- I understand that the 911 GIS Address Coordinator will assign an address based on the information I have furnished herein (Legal Description, Site Plan, Plot Plan). I further understand if the information which I provided is subsequently found to be in error, a change in address may be required.
- I understand that it is my responsibility to inform any agencies (Permits Office, Clerk of Courts, Parish, LADoT, and possibly others) of the address change. The St Tammany Parish Communications District is not resonsible for any costs that may be involved.
- I hereby agree to hold St Tammany Parish Communications District and its officers/employees harmless in the event of such an address change.
- I also understand that issuance of an address is not to be interpreted as approval to build on the lot specified on this application.
- I also understand that St Tammany Parish Communications District uses a third-party form-hosting site in order to receive Address Request Forms.
- The St Tammany Parish Communications District will not sell nor distribute your information.
- The St Tammany Parish Communications District is not liable for loss of data outside of JotForm's Privacy and Security Policy.