2. New Address Assignment Form
   To better ensure efficient delivery service and timely response by emergency service providers, physical addresses are required for all home sites and businesses in Pitkin County. Please use this form to request assignment of a new address.
4. Access*

   Pitkin County requires that all roads which serve three (3) or more addressable structures shall be named regardless of whether the ownership is public or private. Please select how this address will be accessed. If this will be the third address accessed by an un-named driveway, it must be named and addressed as a road before any additional addresses will be issued by Pitkin County.

   1. This will be first or second address accessed off of an unnamed driveway
   2. This will be the third (or more) address accessed off of an unnamed driveway
   3. This address will be a Townhome, Condominium, or other Multi Family Dwelling
   4. This is a Utility Structure/Pedestal, Radio/Cell Tower, or other unoccupied infrastructure
6. Type*

   Please select if this will be the first address assigned to the parcel (ie. new construction on Vacant Land) or if will be additional address (ie. secondary structure, additional residence, caretaker dwelling unit) on an occupied parcel.

   1. First Address to Vacant Parcel
   2. Additional Address to Parcel
7. Addressable Structures*
   Please specify the number of Addressable Structures currently on the Site Plan/Plat, including those that are already built.
9. Date*
   Date
10. 12 Digit Parcel ID Number*
11. Town/Community Name*
13. Requestor Name*
14. Owner Name*
16. Requestor Email Address*
17. Owner Email (if different)
19. Requestor Mailing Address & Phone Number*
20. Owner Mailing & Phone Number*
22. Adjacent Property Addresses
23. Reason for Request/Notes*
25. Additional Documentation Upload
    Please upload any site plan or plat that you may have. If it is a paper copy please note in Reason for Request. If you do not have a site plan, please create one using the below link to Pitkin Maps & More.
26. Suggested Street Names
    If the address that you are requesting requires a new Street Name, please provide 3 suggested street names. Resources for street naming can be found on the main addressing page.
28. Create Site Plan
    Create Property Report - Pitkin Maps & More

    Please Create and upload a site plan if you have no other documentation
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field