20070170 SE Permit Pkg 041007APR-10-2007 TUE 09~24 PM LIBERTY
APR-SO-2007 03:02 Yolm CDD
Clty of Yelm
Communlty Dawlopmont Dopartm~nt
oulldlnp DIvINon
Phor~: ('AO) 4SB.~IOf
Fra: (300) 40b~~14/ ~
Appllo~nt:
NMt»: 41b~r~Y Tu s~Nlw
Addna~: ~.0. So= ~690 CNy: Y~Im
Proo.~er i~rom,.uon:
Sll~ Address: 718 YNm Ar~. 6a~t
M~snor P~~wl No, BuDdNfeion:
Contraobo~ lnfo~th~lon:
NYm~: COntip:
~aa-ae.; cny:
Cont~~cto~ Lb-nw No: ExpUw:
Prq~~at Infonn~don'~
P~ojeat: ub~rly T~ iarvlae
D~~onOtlon ol Work: ~nd el T~x 6~aon
4•9 to 1•17.Z007
Sq. Ft. p~r fbor. (Ut) 0 (2nd) G (~rd) O
HNI Typ~ (Eloarlc, O.s, ONer);
FAX N0. 3604001403 P, O l/O l
360 458 316a P,Oli01
F~pl
Ilsm Item Fea 6~N Amt UnM fM
TOTAL FEE9: f0.D0
P~rmit No: S~~O~~V ~ ~0~~~
Isou~ D~t~; Not -a~uoa
(Work mu~t be darted within 190 d~1lm)
Recelpt No;
Pncn.: 4oa~4o1
8-~tr WA Zlp o9e~7
Lol;
Phone;
S-~u~ Zip~
Bu~ines~ Liaen~e:
Orripe 0 6M~m~M 0
UMt R~te No. Unlte UnN O.~e
~k.~ sti~~, d4~ z r~.~.a
`t~~,k~,dK
Appllo~nr~ KfhO~vlec
-a~-~~a~~rr~aAt~_.
1 o~A~y t~~t I haw ro~d and exsmin~d tM InlOrm~t~on oont~med wiNm th~ epp~la~UOn Ma know tM ~ome
lo b~ tru~ ~nd eon~cl. 1 ~I~o o~rtNy Ih~1 th~ eMe ~nudurs !~ In coMormity wilh ~N ~pplio~Dl~ Clly Of ~ g,n,~ pr p~y~;
Y~Im ~1pul~Uon~ Inoludinp Mo~~ oov~rnl a0ni ~nG und ~uDGNI~IOn, ~na in ~ddlbon, ~11 oOV~MnI~,
a..emanle end h ctlvn~ o( n . I ply ^~ e oontreotOr, i Nlh~f p~rtlfy th~t I~m curtsntly
hp~t~nd In the ta o1 W~0 ' QtO~. /In#I M~p~c~fon;
8ipn~tw~ , DW~_ _ r
_ _.__ ~ -.--- - /a ~~ ~._ o.i.:
F!"" ! ~r~b~~._....~~``~~~~-'~-~~...__~_....... ._. py'--~--,._..._._..._~
TOTAL P.01
APR-10-2007 TUE 12~52 PM LIBERTYTAXSERVICE FRX N0. 3607400116 P, Ol/Ol
City of Yelm
Community Development Department
SPECIAL E'VENT / TEMPORARY USE
APPLICATION
~ Special Event Slgn Permlt (iim~ced co ~a days, 4 tlmes per calendar year)
Temporary USA (property owner pe~misslon letter r'equlred)
(see REVERSE for regulations)
~ /~
NAME OF PROJECT ~~` 0 T' ~l~!Y _~~e ~ J~- ~
APPLICANT/BUSIN SS NAM ~ % ~
Mailing Address ~. ~ • ~
City, State a d Zip
Telephone ~ EMAIL , . ,~'~
City of Yelm Business License Number
D --oo~~~~
SITE OWNER A ~
Mailing Address , D,
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOC TI N -~
C J.ti
Sl7"E PARCEL NUMBER
SUMMARY D RE UEST Q +/~ a--S
, ,....
~ I`~~ D D l~ - I
START DATE i a-D END DATE I C~v
I affirm that a~~ answers, statement6 and information above and submitted with this application are complete and
accurete to the best of my kn ge. I also efflrm that I am the owner of the subject site o~ am duly authorized by
Ihe owner to act wlth r ec o l 6 2PpIICBfiOn. Further, I grant permisslon from the owner to any and all
employees repr en e es ( the City of Yelm and otner governmental agencles to enter upon and inspect
said prope y a re on b ne ssary to process this applicatlon.
Slgned Date ~
~
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Secdon
IOS Ye.l~n .9u~nue Weat (360) 453-3335
PO Box 479 (360) ~•fR-3144 F:4Y
Yelm, WA 9B597 wwto.C•l.yehn.uirs.ua