To have your private road serving three or more addressable structures included for mapping and naming, please complete the form below and click "submit." Information gathered will be used solely by Boundary County for the purpose of developing the countywide road naming and addressing system and will not be used for any other purpose or given to any third party. By clicking "submit," you agree to allow access to private property by employees of Boundary County for the sole purpose of plotting GPS coordinates to allow accurate mapping of the access road.

Name: ________________________________________________

Telephone: ____________________________

Names of residents living on private road: ___________________________________

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Directions to private road from nearest major road: ____________________________

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Additional Comments (including proposed names for private road) _________________

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