20050727 SE Permit Pkg 062707IUN-2~-2007(THU) 11:55 GOP.DONS GRRDEN CENTER (FRY,)360 d58 8a27 P.002/002
JUN-27-2007 03:44 Yolm CDD 360 468 3144 P.02
pmont Departrnent
APPilc~nt: . ~ . ~ . ~ .. .
Neme~ Gordon's Garden Center
Address~ P.O. Box 447 Ciy~ Yelm
Properqi Iri~ormation: , ' • ~. . ~., • . ~
91te Addfee0; ~OB Yolm Ave. E.
Assessor ParoBl No- 99000114600 8ubdwlelon:
eont~ctor Infoim2~tion: ~ . • ~ . ~
Name: Conta~t
Addro~e: Cit~e
Contractor Lioense No: Explroo: ,
Project 1rr~Frr+a4on: . ~ .' . ~
Prvject: Oordon's Qarden Cen~rr
O~serlpU~n of Wor1c: Cleo Cssh Sale.. Banner ~'1 of 4 ~
Sq, Ft, por floor. (1st) 0 (2nd) o (3rc1) o
Hea! Type (EfeeUic, Gas, Other):
o ~ City of Yelrn
4~ ~
~ Communlty Dovolo
~ Buliding Division
Phone: (360) 458-8407
Fnx:~3eo-a68-31a4
r.a~ew
Permit No: SE-45-0727-Y
Issue Date: oeIZ7/2007
(W~rk must be staKed wlthln 1B0 day
Receipt No:
Qerage q
FeeB• , ~ ~ ' . ' ~ - ~~~ .
Item • Item Fee Base Amt Un(t Fee Unlt Ft~ta
TOTAL Pq~s; S0.00
Phone: 380-439•2181
Sbte' Wq Zlp 98b97
~ +~. ~ ~• ; ,
Let;
PAOne:
Stete: Zip:
Businrss Llcense:
Bssement 0
No. Unlts Unlt pesc
Appfrcant'~s Affadavik ~, ~. . ~ ' .. ~ , , ~ ~. ~ : ~: ~
t cerufy that i nave roed ond euaminad the intortr+atlon carneirted with~n tne eppii~ation and know the aama •~~pR ~~~ .
t~ bo tn+~ and CorrscL I aleo oertify that the DroDOSed structuro Is I~ Conformify wltA all appllrable Cky ef # Seta of•Pnnts~
Yelm repullldona Inc{udlnp trtoae poreminp zonleg ane IanG SubCNlslOn, and In OtltllGOn, ell oovenanln,
easements and restrlcilons of recard, If applyfntl as o eontr~etor, I futher certify 2~et 1 am currently ~ '
roplstared in lhe te nf Washingron. PIna111tia{~ectlon: '.
610n~tu~o ,1 Dote .~~~d / Dn~; ~ ~ :
~r
Flrm ~QrLU l:v J,~L~ ~i~i2L . •-- .~~•-• ~ .
TOTAL P.02
IUN-27-2007(b1ED) 11:27 GOPOONS GHP,DEN CENTEP.
(FAX)360 458 8d27 P.OOc/002
~w~f TNE~+,~ City of ~t'elm
~ ~~
Com.nunity Developmeni Depor~ment
SPECIAL EVENT APPLICATI~N
~~,~~ ~~ ~.~.
Y ELM '~+ ~~L~
..•~...~e...~ or wo...v
a
~~ ~
NAME OF PROJECT l' (~ o ~RSG~ 1cP~lew, n~i o~
APPLICANT ~.orGioh's ~C~r~N. ° r
MailingAddress o f3~x ~u~
City, State and Zip I P, I~lK~ , G$5~~7 __ _
Telephone 3cn ~~.5. ~-~1 R I EMAIL
OWNER I ; ~ . ~_-~ P ,~
Mailing Address ~O_ ~~o~( ~I~~`1 _
City, State and Zip A`'t85ri-~
Telephone ~r~n ysR - ~N~ i EMAIL
S UMMARY OF REQUES i~ `T' i, ~-- t, '
F~J2 ~~h -~e~i~~ Q, ~~~.fl -- v~rfl- nh5-l-r~c~i~~~ 1~nacl V~ v/
PROPERTY DESCR/PTIC~N
General Localion ~.~CL IMct,i v~ ~-4-rz~.~-- ~ ~n U~.~ ~rn Qc~o s 5
~r~ vY, To~,cc~,~c~'S
Site Address 3~ U~IvN AJP. F ~and Area (acres)
Section Township Range
Assessor's Tax Parcel Number G~1ooo j1 ~f ~ o
Full legal description of subjecl property (attach separate sheet if necessary)
I affirm lhal all answers. Slaiemenl!~ and intormalion above and su0miqed wilh this a00~~cation are complele and
aCCUrate lo the Desl of my knOwlgO~e_ I also aNrrn Ihal l am (h! Owner ol lhe suD~@CI SitB Or am duly aulhoriZetl by
thE Owne~ 10 aU with respect lo Ihi~. appliCati~n. Furt~ef, I 9ran1 pertni55~0~ I-om [he owner t0 8~y a~tl al~
employee5 and represenlalives of the City of Ye1m and Ot~et governmenlal a9enties fo enler upan and inspect
sa~e properly as reasonaDiy necess:ary lo process tn~s applical~on. I agree Io pay all fees ol the c~ty Ihai app~y io
t~is appliCe(ion.
Signad Date '" /a ~ ~ ~ ~
`
I01 !'rlrr~ At~rnur 1~"r~f
PO So: IT!
YefM, W;1 98597
(J60) ISd-J831
(J60) ISA•3111 f.~
u•u~u•. ri.yr-n..u~a. ui