New Propetry Address Request

Who is submitting the request?

If other, please describe who is submitting this request.

Your First and Last Name

Your first nameYour last name

Select the name of the P/D staff submitting the request.

Please select the municipality.

Please select your preferred methods of contact.

Your Email

Your email, ex. email@gmail.com

Your Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Mailing Address

Mailing street Address

Street Address Line 2

CityState

Zip code

Property Owner's First and Last Name

Property owner's first nameProperty owner's last name

Property Owner's Email

Property owner's email, ex. email@gmail.com

Additional emails to be notified of new address assignments

Please separate email with a semicolon (ex. test@gmail.com;address@outlook.com)

Tax Parcel Number

If unknown, please call the Land Information Office at 262-653-2622.

Do you have a house/driveway survey/site plan?

Please attach the house/driveway survey/site plan.

Name of road/street/avenue on which the new driveway is located.

Approximately how many feet is the driveway located from the nearest property line? e.g. [x] feet [north, south, east, or west] from the [north, south, east, or west] property line

Number of feet [north, south, east, or west] from the [north, south, east, or west] property line

Is this property a corner lot?

Corner lots, which road/street/avenue the address will be assigned to.

Are you sharing a driveway with another property or residence?

Address or parcel number of that property or residence

What type of property is this?

If other, please describe the type of property.

Please provide the number of units.

Please verify that you are human

Request a New Property Address