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YELM
WnSN W G TON
CITY OF YELM
PO Box 479
Yelm WA 98597
360-458-3244
APPLICATION FOR
Special Uses Permit
OFFS/CU\L USE ONLY
Fee~~~( (i (~v~('v~
`I4 ~' ,~ ~ Y~_
Date Received
By
File No. l" (,/_ 4~ ~ L I
,, L
Special Use Fee: $500.00
Commercial Site Plan: $35C.00 plus $5C.00 per 1000 sq. ft. of gross floor area
Industrial Site Plan: $350.00 plus $150 per acre
(In addition, any professional service charges per Resolution #358)
A special use permit is an approval of a land use having slightly greater or unique impacts compared to
those of the uses permitted as a matter of right by city zoning. Site plan review is a process for
reviewing the design of certain types of development. Site plan approval is required for all special uses.
Special uses require a hearing before the Yelm Planning Commission with City Council approval.
NAME OF PROJECT Thurston County Medic One Yelm Medic Station
APPLICANT Thurston County, Medic One
Mailing Address 2703 Pacific Ave S.E., Suite C
City, State and Zip Olympia wA 1
Telephone 360 704-2780
Lessee
OWNER Prairie Park LTD Partnership
Mailing Address PO Box 5210
City, State and Zip Yelm WA 98597
Telephone 360 458-7501
ENGINEER/ARCHITECT/OTHER none (no modification of structure/site
Mailing Address
City, State and Zip
Telephone
SUMMARY OF REQUEST Allow the temporary use of the existing
property/stuctures for operation as a parame is uni
station by Thurston County Medic One. There will. be no
modification of property site or buildings. A permanent
site will be developed prior to June 2003 at another loca
PROPERTY DESCRIPTION
General Location add acent to Cinema development area on West Road
Site Address es oa Land Area (acres)
Section 19 Township ?- 7nr Rgnge __ E
Assessor's Tax Parcel Number 6430370~~
r..u ~___i r___.:-u__ _t _..~:__a _____.~.. i_..__~ ______._ _~__. :.
ion.
PLEASE ANSWER THE FOLLOWING QUESTIONS
ATTACH EXTRA PAGES IF NECESSARY
1. Does the desig Jninimize conf~ICts v~ith nei hborin~ land uses?~xglain. Yes , used as
paramedic crew living ~uar ers an es
Vehicle parking an crew com or are primary uses.
Public access will not be encouraged.
2. Is the site within 300 feet of any "critical areas" such as wetlands or streams? No
3. What provisions will be made for storm water and/or flood rontrol? None . no chances i n
existing property.
4. What provisions will be made for water supply and sewage disposals As exists for 4
hPr7room home, no chances.
5. What provisions will be made for electrical power, natural gas, telephone apd ofher utilities?
As exists, no changes. Any changes required would
he consistent with family home.
6. What provisions will be made for streets, access, and/or buses No changes , a s exist s
7. What provisions, if any, will be made for open space and/or recreation? No chances , a s exi
8. What provisions will be made for schools and school children? rin ch a n ga s , a s Px i s t..a .
rews are raine. o rive in rest en is a
I affirm that all answers, statements and information above and submitted with this application are complete and
accurate to the best of my knowledge. I also affirm that I am the owner of the subject site or am duly authorized
by the owner to act with respect to this application. Further, I grant permission from the owner to any and all
employees and representatives of the City of Yelm and other governmental agencies to enter upon and inspect
said property as reasonably necessary to process this application. I agree to pay all fees of the city which apply
to this application.
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Signed __ __- ____ Date -.
ts.
-~_ ~,
CHECKLIST
PLANNER USE ONLY
Checked by Date
Submitted Mi sin
ATTACHMENTS: Q [ ~,Q
Environmental Checklist (including $150 fee)
* Mail labels (8 '/z X 11 sheet) of Owners of Property
'
within 300 feet (include Assessor
s Tax Parcel Numbers L
and map.)
* Vicinity map (8'/z X 11) showing nearby property, a;~
streets, land uses, streams and other features. R ~iy
* Copy of any covenants or restrictions that will apply. /
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* Grading plan for cuts and fills over 100 cubic yards.
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Eight copies of Site Plan at a scale not less than one inch
for fifty feet, showing:
1. Datum, north arrow, date and scale.
2. The location of all existing and proposed structures,
including, but not limited to, buildings, fences, culverts, Q` //
bridges, roads and streets on the subject property. ~f~
3. Wells and underground storage tanks within 200'
of property. ~~,~,~
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4. The boundaries of the property proposed to l
be developed.
5. All proposed and existing buildings and setback lines. C
6. All areas, if any, to be preserved as buffers or to be
dedicated to a public, private or community use or
for open space under the provisions of this or any
other city ordinance, information regarding percentage
of area covered, locations and general types
of landscaping.
/y ~}
7. Conceptual Landscape Plan.
V
8. All existing and proposed easements. £
9. The locations of all existing and proposed utility /J~ /
structures and lines. .~tGG
10. A preliminary storm water drainage systems report and
layout for existing and proposed structures. ~/t
11. All means of vehicular and pedestrian ingress and
egress at the site and the size and location /%{~/,•.
of driveways, streets, and roads. ~//~-
12. The location and design of off-street parking areas
showing their size and locations of internal circulation ~~/~
and parking spaces. 5~
13. The location of all loading spaces, including, but not ~
limited to, truck loading platforms and loading docks. !~
14. Location and area, in square feet, of all signs. ' ~
15. Topographic map or maps which delineate contours,
both existing and proposed, at intervals of two feet, and
which locate existing lakes, streams and forested areas, ; ,
(or 5 foot if > 5%.) ~' /
A reduced size copy of the site plan not larger than 11 "X17". Wit.
Tree and Vegetation Preservation Plan, per section 14.16.110
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Design Guidelines Check-list. ,~
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