MLGW : Land and Mapping : Address Change Request

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Subject: System Upgrade Notice - May 2nd, 2023, through May 8th, 2023

We will be performing a system upgrade on our internal system, which will affect Land and Mapping’s ability to process customer address requests. The upgrade will begin on Tuesday, May 2nd, 2023, and is expected to be completed by Monday, May 8th, 2023. During this time, we will not have access to the system, and therefore will not be able to process certain requests.

Any requests received during the upgrade period will be processed as soon as we regain access to the system on May 8th, 2023.

We appreciate your understanding and patience during this upgrade process. If you have any questions or concerns, please feel free to contact our office.

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Builders / Land and Mapping

Address Change Request
Change of address for property, structures and/or services.

NOTE: Required fields are indicated in red. They must be completed for the Address Change Request to be processed. If you do not have the required information, please obtain it before completing this Address Change Request.

FEES: A fee for address change request may apply. Please see the following link for the ADDRESS ASSIGNMENT section of the Schedule of Charges (SOC). Change will be made upon receipt of payment to Memphis Light, Gas and Water.

Address To Be Changed

Current Address

Reason for Requesting Change

	Out of sequence with surrounding addresses
	Mail Delivery Issue
	Emergency Response Issue
	Other (Explain)

Use Type

Residential Commercial Multi-Use (choose only one)

Location Description

Is the lot in a subdivision?	Yes
	No

Subdivision Name:
Lot Number:		Parcel ID#:
S/D Phase/Sec/Addition #, etc:
City:			Zip:

Parcel ID#:
Description of Property Location:
Municipality:		Zip:

Site Plan

Attach surveyed site plan (DWG, TIF, PDF, SHP, GIF, JPG - DWG preferred)
Please email AutoCad site plans to Address.assignment@mlgw.org
We will process your request upon receipt of drawing file(s).

Requestor (Owner Representative) Information

Your Company:		Owner Email:
Contact Phone:		Contact Cell:
(e.g., 901-555-1234)		Contact Fax:
Contact Email:

Owner/Responsible Party for Property/Address

Owner Name:
Contact Name (if different from owner):
Company Name (if applicable):
Address:
City:		State:	ZIP:
Contact Phone:		Contact Cell Phone:
Contact Email:		Contact Fax:

Purpose of Address

Choose One:

New Residential House
Additional Residential Meter*
New Commercial Bldg
Commercial Suite/Bay
Barn
Billboard
Cable Equipment
Cell Tower (Tower Owner)
Cell Service Provider (Co-locate on Tower)
Clubhouse
Fire Pump
Fire Evacuation System
Garage/Detached Dwelling
Gate

Guard House
HSE Meter
Irrigation
Laundry Facility
Leased Outdoor Lighting (Requires review by LOL)
Mail Kiosk
Project Address to be used during construction
Property Address
Pool
Sewer Lift Pump
Sign
Telephone Equipment
Well
OTHER (Explain below)

Special Instructions

Enter security code from above:

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Builder Services Center

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