Applications and Originals~~~ ~7H£p9~ CITY OF
YELM
PO.B°X4'9 26632
Yeim, WA 98597 RECEIPT No.
YELM 360-458-8403
RECEIVED
****NINE HUNDRED SEVENTY FIVE DOLLARS & 00 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
SENIOR MULTIPURPOSE CENTER 04/1@/03 26632 975.00 CHECK 4064
P.O. BOX 474
YELM, WA 98597
458-7733
MISCELLANEOUS R~CETPT
JANINE
500.00 CUP - 03-8336-YL, 150.00 SEPA. 325.00 SITE PLAN REVIEW
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WASHINGTON
CITY OF YELM
PO Box 479
Yelm WA 98597
360-458-3244
APPLICATION FOR
Special Uses Permit
e
OFFICIAL USE ONLY
Fee
Date Received
BY
File No,
Special Use Fee: $500.00 .
Commercial Site Plan: $350.00 plus $50.00 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)
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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 Yelm Senior Center (New)
APPLICANT Yelm Senior Center
201 East Yelm Ave ~ ,~ ~~ /c~~
Mailing Address Y e l m, WA 9 8 5 9 7 (_,)
City, State and Zip
Telephone ~ F n - ~ S R - ~ ~ ~ ~
OWNER Same as above
Mailing Address same
City, State and Zip
Telephone
-~~rViPaO t Ar'C IteCt
ENGINEER/ARCHITECT/OTHER ~~' ~ ,g~~~~i 1 1 i am5 ~COtGmc3n ~nr
Mailing Address D n~~~ a~~~~~}e WA ~.g5~~~~ ~~~g7 ~~~~~~g~, $~~~
City, State and Zip "4a~s~a}~~e-i~-s}g~~.~
Telephone~~~~~ ~ ~~~ ~g~}r....
SUMMARY OF REQUEST To construct new Senior Center
approx 6,000 square feet.
PROPERTY AESCRIPTION
General Location
Site Address 13 5 3 0 10 3rd Ave Y e l m WA Land Area (acres) 4. 4 9
Section Township 17 Range 2 E a s t
Assessor's Tax Parcel Numbeb 4 3 0 3 6 0 0 3 0 2
Full legal description of subject property (attach separate sheet if necessary)
McKenna Irrigation PTN L3 B36 NKA Tract B BLA-1054,10 596
CITY OF YELM
dslc:bffice~plandept.cclapps~COnd use. app
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PLEASE ANSWER THE FOLLOWING QUESTIONS
ATTACH EXTRA PAGES IF NECESSARY
1. Does the design minimize conflicts with neighboring land uses? Explain. n?PC•~ ~?P~ i ~,
i^^~~ it-SPIf to the nPighhnrhnrvl ac~cthot;^~ =+-+.a ~t~,.-,,,i-~ ti.---•-- -1
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2. Is the site within 300 feet of any "critical areas" such~as wetlands or streams? Yes
a ri(1 ft hiiffPr iG hPin~ C3P.SianP.'' ~^"' the in-Gtream wPtlanc3~
3. What provisions will be made for storm water and/or flood control? the site will have
~TC~Tin w~tPr managPmPnt nrnvi S~ ^^~_^^~ 'jai th C'i t~ of VPIm
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requirements.
4. What provisions will be made for water supply and sewage disposal? The site will
5. What provisions v.ill be made for electrical power, natural gas, telephone and other utilities? Sanitary
~sc~eo=-~z~g=~ e~~~ee~e~ ~e t-1~-9~ .
available.
6. What provisions will be made for streets, access, and/or buses?!'he site frontage of
103rd Ave is being widened to Citv of Ye1m Ne; ghhc~rhnrxl C'n1 1 Prtnr
~ggl ~ i remen is
7. What provisions, if any, will be made for open space and/or recreation? mhP ~; to
W11 1 mPPt c)r PX[-PPrl al ~ ('; tv !l~ Vcalm rc s ii ~-omo~~s ~e~ ~ae~sea~~e~
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.
Date
CITY OF YELM
dsb:bfflcelplandept.cclappslconduse.app Page 2
CHECKLIST
ATTACHMENTS:
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
and map.)
Vicinity map (8 '/z X 11) showing nearby property,
streets, land uses, streams and other features.
Copy of any covenants or restrictions that will apply.
Grading plan for cuts and fills over 100 cubic yards.
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,
bridges, roads and streets on the subject property.
3. Wells and underground storage tanks within 200'
of property.
4. The boundaries of the property proposed to
be developed.
5. All proposed and existing buildings and setback lines.
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.
7. Conceptual Landscape Plan.
8. All existing and proposed easements.
9. The locations of all existing and proposed utility
structures and lines.
10. A preliminary storm water drainage systems report and
layout for existing and proposed structures.
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.
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°t°.)
A reduced size copy of the site plan not larger than 11 "X17".
Tree and Vegetation Preservation Plan, per section 14.16.110
Design Guidelines Check-list.
PLANNER USE ONLY
Checked by Date _
Submitt Missina
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EASEMENT
For and in consideration of One Dollar (57,001 and other valuable consideration, the receipt
of which is hereby acknowledged, Grantors David A, Palmerson and Patricia L. Palmerson, husi~and
and wife {"Grantors herein"1 hereby grant to Aob Johnson ("Grantee" h®reinl, for the purposes
hereinafter set forth, & perpetual easement over, across .and under the following described real
property {the "Property" hereinl in Thurstpn County, Washington:
SERVIENT TENEMENT: 5-75-3W PT E2 NKA LOT 3 SS-2882 03077068: ASSESSOR'S
PARCEL # 7 350541 1 500; COMMONLY KNOWN AS 8315 GUSTAFSON LANE SW.
DOMINANT TENEMENT: 5-15-3W 5q S2 SW NE SE; TAX ASSESSOR'S PARCEL ~
73505410100.
EASEMENT #7: EASEMENT FOR INGRESS ANb EGRESS G VL' P" `T~-2 Sp c.ti.`~'~ 2.v ~~e~~
OF THE SERVIENT TENEMENT. SAID EASEMENT IS FOR
INGRESS ANQ EGRESS PURPOSES FOR ASINGLE-FAMILY RESIDENCE, TO ENABLE ACCESS TO
ROSEBURG STREET.
EASEMENT #2; UTILITY EASEMENT THAT 1S 70 FEET IN WIDTH HAVING 5 FEET OF SUCH
WIDTH QN EACH SIDE OF A CENTERLINE BEGINNWG FROM AN EXISTING UTILITY POLE
LOCATED ON THE EAST BOUNDARY OF THE SERVIENT TENEMENT, ANp RUNNING ACROSS THE
SERVIENT TENEMENT TO THE NEAREST POINT WHERE THE DOMINANT AND SERVIENT
TENEMENTS AD.101N. THE PUR{'OSE OF THIS EASEMENT IS TO CONSTRUCT, OPERATE, AND
MAINTAIN AN ELECTRIC TRANSMISSION LINE OVER ANd/OR UNDER THl; EASEMENT SO
GRANTED, TO SERVE ASINGLE-FAMILY RESIDENCE,
EASEMENT #3: UTILITY EASEMENT THAT IS 10 FEET IN WIDTH, HAVING 5 FEET OF SUCH
WIDTH ON EACH SIDE OF q CENTERLINE THAT IS 5 FEET EAST OF THE WESTERN BOUNDARY
DF THE SERVIENT TENEMENT. THE PURPOSE OF THIS EASEMENT IS TO CONSTRUCT, OPERATE,
AND MAINTAIN WATER LINES OVER AND/OR UNDER THE EASEMENT SO GRANTED, TO SERVE
A SINGLE-FAMILY RESIDENCE.
Access. Grantee shall have the right to access any utility easements Aver and across the
Property to enable Grantee to exercise its right hereunder, provided that Grantee shall
compensat® Grantor for any damage to the property caused by the exercise of said right of
access.
Grantor's Use of EaSernents. Grantor reserves the right to use the easements granted far
any purpose not inconsistent With the rights herein.
ZUO~j S'I,LI,L 0~6~IH7 586TE6f'UA£ kd3 90~5T tiOUc/Uf)%"tU
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~~ pECf-ARA71oi~t of BOIINPARY LINE AhlUSYI+AI;NT ANO CQVEnIANTS
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kNDVi ALL MEN BY THEStz P121;S~NTS:
That wa, the undersigned, are the owners of the land described by
she declaration; and are seeking approval by the Plannln9 t7opartment of the
herein described adjustment of land known as Liovnda~y Line Adjustment
Hump®r ~~-_j~~ sunjee[ to the foltovring covenants artd condlllonss
t, That all SubSequQnt deeds will contain provl5ians far private
roads In the manner deSCrlBad herein.
2. That all maintenanta of any private road described by this
declaration Shall b$ by the owners of the parcels havlhg legal' access
therefrom ar their hairs, assigns, or successors, unless and unlit such roads
are improved to the current. public road standards and dedicated to and
accepted tsy the appropriate governmental jurisd[ctivn.
3. That any Prlvdte road will be Subject to the furthkr right of
the yr:..~~~c- or ri~~ successor and of any telephone, electric, gas, water, Or
sewer company, pu6~le or private, to lay or Cause to be Iaid and trig right of
- irigresy or egress Far the purpose of maintaining telephone, electric, gas,
waGOr ar sewer pipes, mains, or conduits across a described portion df such
road.
u. Thax wikh _ r¢speci to any private road described by lhis
det:laratlart whether It remains private or beeornes a dedicated road, thtre is
Li,e additional right of the Grantor or his Successor to make all necessary
slopes for cuts artd fills; and the drainage of sold roads anct ways aver sod
across any lot or lots whore the water might take a natural course upon
reasonable grading pursuant to improvement Tor dedlcatlon of the roads and
ways sttgwn herein shalt be allowed to cantlnae. Following reasonable grading
pursuant to improvement Far dedicatloR of the roads and ways Shown herein,
nv drainage waters on any Qartel(S} shall be diverted or blocked from their
natural course so as to discharge upon any public road rights-vf-way or to
hamper proper read drainage.
5, That the adjusted legal description of each of the tracts being
adju5tpd i5 attached hereto and Incorpara[ed by referents as though fully Set
out Herein. -
6. That addlklonal cavenaan~ ehs5 mheirS, r Sutccesso s, 1 Andy assigns
for the benefit of tho grantor,
enforceable only by such perevlauslarrecardedeundereAurlitores Fltd Humbles
or as p Y
and incorporated by reference as though fully Set out
erein
7, We, the undersigned, riereby indemnify the approving
governmental agency for all costs or da asgasres Ill vlf thistsig story toot
inrurrsd by Or charged tDae~lt bein a ad usted.
being the owner of the p p Y g 1
8, Wg, the underslc~ned, hereby acknowledge chat this fioundary
Line Adjustment has been made wlih our free consent and to accordance with
our desires.
That thane covenants are For the mutual benefit of the grantor and
17i5 heirs, successors and •assigns and arc for the iurthe'op late s l0 3i
compliance with the resolutions and regulations of the app p
governmerttat jurisdiction, and the local government and such persons era
specifically gWen the right sae dufeeande5to rrecoveronanyndamages arosulting
injuj,ction or ottser lawful p
from such violation.
LRevlsed 2122188 -- REVIS14NSj
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