New 911 Address Request

New 911 Address Request

Lawrence County, Tennessee
Application Date*

MonthDayYear
Requestor's Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Pick One:

CellHomeWorkOther
Email*
example@example.com
Where? - Enter the name of the road that the driveway will connect to:*

Road/Street Name

Street Address Line 2

CityState / Province

Postal / Zip Code
How many structures are planned for this location?*
NOTICE: Lawrence County Emergency Communications District does not address just land only. We will only give an address for a structure going onto the property.
New Construction or Existing*

NewExisting
Which Power Company Connection?*

Lawrenceburg Utility Systems (LUS)Mount Pleasant Power System (MPPS)Meriwether Lewis Electric (MLEC)Other
Please add a description or note about your request: (Ex: next to #500 Main Street)*
Please provide a screenshot of a map with imagery (or other file that shows the information below), and be sure to show the following:
- Location of the property in conjunction to an existing road
- Location of the driveway on the property
- Location of residence/building on the property
In the event the provided information does not match the final result of construction, we reserve the right to change the address to keep the road in sequence with the other residents of the road.
Aerial Map/Survey Upload*

Please attach a copy of your survey and indicate where the structure will be and where the driveway will be.
Cancelof
Please provide your Tax Map and Parcel Number* (required) *
New Road Name Request
Please provide a road name ONLY if one or more property owners (or structures) will be accessing the same driveway. In order to become a COUNTY maintained road, the new private road must be brought up to the specs required by the County Highway Department.
The Lawrence County Emergency Communications District Board advises the property owner shall bear its own costs and expenses in connection with this change of address or assignment of address. The property owner shall indemnify and hold the Lawrence County Emergency Communications District harmless from any claim (together with the costs and expenses incurred in connection with such claims) for costs or expenses incurred by the property owner in connection with this change of address or assignment of address. The Lawrence County Emergency Communications District Board specifically and unconditionally disclaims any obligations for such costs which are solely and exclusively by the property owner.
EFFECTIVE NOVEMBER 1ST, 2024

Fee Schedule:

Residential Address - $100

Commerical Address - $200

New Street/Road - $250
Information Provided By:*

OwnerContractorOther
Internal Use Only
Should be Empty:

New 911 Address Request

Internal Use Only