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20070389 Permit Pkg 102907I ~ I ~ ~:lil-G:1-GUV"f UU:"L1 Yolm CDD ::60 45D 31;~<< 1~ . G2; I)z ~o T~~ C~ty of Yelm ~'ermi~ No; '$IE-I~ 1'-~;~$'~M~'~'~. communlty Developm~rrt Department ~ Is~ue p~te: 10I29VZOGT ~~ullding Dlvl9lon lWork rr.ust be s~a~ec wlm~n ~ao d~vfl) Pnorw; (360) 468-8407 ~R~ceipl No: Fax:(380)456-7144 ,~lpplican~ . ... . . , N~mo: Sunblyds 8hopplne Centar Dhon~, ~68-Z00~' .Aad~~a~-, P.o. 8ox 2669 Cfty: Yelm ~ted~: VV~4 z~p 8~85Q7 Prvp~rtr loformativn: ' , - ~ ~ ' . , _ ~lro AdAreue; 1000 Alpier ROad E. . . . . . . .' , - - - . . . .. ,w1,o~~u~' fh~rcxl No. 99002045325 Subdlvlalon: Lot; ~:un~~et~~r Ir~Fortnation; . ~ . . . ~ IMcime; Conteot: 9yhona; Add~ma: Ciry~ St~sle: xip~ Contlad~~ LJc~enee Nv' E~ires: Buslness llc~ent~~: R~vlleet Ir~ffonnation: ~ . . , , . . . ., , , . . V~rvJ~d' 9unblyd ahopping Canter IDeseription of Work: Tth MnNaraary 3ale CcteDer ~atb to Novumber 1=, z0o7 '~q_ Fl. par floor. (7st) Q (2nQ) o (3rd) 0 Gerrage 0 6a.s~men! L~ Heat Type (Eleelric, Gas, Othec)~ ~F~: • ~ ' . • ' , . ~ , ~tem ~~em Fee B~se Amt Unl~ Fee Unlt Rat~ DI~. IJn'rta Unit r7~c T1~T/lL pEE3: $0.00 AAplicanrCa ~.fPad~vlt: ' . , . ~ , ~ ~ omrtlfy that I heve reed and 9Yamined the infom~ation wnt~ined wttnln the appliwEion and know ihr~ uame ~~~~U~~ ~~C~,.,.. eo De true ~n~ eon+ot. I~Mo omrtJly Cha[ ~ne p~opoeeQ etruaure ie in ~nFv~nity with esU u~pNcable CR;r of ~~~ ~Y Prir~QS; 'rb1111 I'mQU18UonS fndUding those goveming zonfnp and I~~tl BYDOIv1910n, snd i~ additbn, all toven~ms, ~ ' easement5 eftd IeSViCNon6 0~ ~~ca~d• ~P ePPH~ng as a contractor, I fiRher c~rt)fy thet I am currently ~ ~ ,' rogistor~0 In the Stale of W ehington. IFinal Irvipwctivn: : . ~ r?aa~: ~ 5ignature ~ -- ~st' ~Q y?, 9'~~~ .. _ ~`'~~ p r_~°rurEiQ __.~.,...,. ,..__ ._..__~.,~Y. ..,__,~~= --... TOTi~I: F . u~~ T9 ~JCd Q21IgNf1S W~~l~ ZZ~~8Sba9~ 89 ~~~ L99i/6~/9T „ 10/29/2997 09:0~ ~5045~2311 YELM SIJI•~BIRD PAGE 02 ~~,~f TN~~~ City of Yelrn - ~ ... . ..... . Cornmunity ,Deuelopment Depuriment' - SPECIAL EVEN1' AFPLIC.ATION pci~G~ ~sE o~w• YTyLM ••. ~ ~w~.,.w~e~ea D~~e ~c7~r0 ~ F4 Np NAME Of PROJECT, ~ l,l t~3a 2~ _C~ca Op~~~Qp~ ,,~/~G~ _ APPLICANT ~~,tr~~3i ~~~~ S' c~ ~t~~rL Cf=h.eytcL.~• _LGN'7~r~~_ ~~~'azS~r` Mailing Address '-o •~;o ~ 2-~ 9 ~ui er~ City, State and Zip~ ~~M, , w a ° 8~°~ ./z~/ .,~,c~F~a Telephone 3lap -- ~F 58 ~~ OC EMAIL ~~ OWNER `V~c~~.3 ~~.~~Z~z.~ Mailing Address 'a.o. t o,c z~~'q City, State and Zip ~ i..~c r.~f ~ s59 ~ Telephone -~ti~-~-1 ~~3-~5 9 EMAIL ~ ~- _, StlMMARY OF f7EQUEST ~ K~~~~ =~ s~, ~~ cc_ ~ ~~~ ~t ~~8~, ~~~RSaR y s Ati ~ ._~ ..- ...~ ~ d~T 3 _:N ~f~~~;~~1_-./~-07 - -- PROPERTY DESCR/PTION General Location N~iS~..uh-c..~ ~~~A ~ ~ ~c._,-~ - Site Address~COC A~C~~E~R , yr, ~_N~^lLand Area (aCres) SectiOn Township Range Assessor's Tax Parcel NumDer 990o a y S 3^ FuU legal description of s~~bjecl property (attach separate sheel if necessary) I atfirtr~ t~al all answers, slalemenls and inlormation above and subm~ned wilh Ihis applicalion are complete and accurate to me Dest ol my knowlecfge_ 1 al~o aff~rm fAal I am Ihe owner o( I~e subJect S~~e a am dvly au~ho.ized by the owner Io act with respeGl !o Ih~s appliGation. Further, 1 granl penrnssion irom Ihe owner ~0 a~y and all employees ana ~eprese~tat~~es of (he City ol Yelm and olner govemmental agencies lo enler uDon anG ~nsDecl sa~d propertr asreasona~-r necessary lo process I~is applicalion, I ag-ee fo pay all fees ol Ihe cilr t~al aDD~r lo Ihis appl,calion. 5'O"e~- . ~a~e ~ ~ ~~9-O r /DS ?'rln. ,~i~rnue {S'~^~ /360) ~SS.3F3S PO Box 17! /360~ ISd-3f1/ FA~ Y~Im, {1'A 9859~ u~u~u~.ci.rtlrr~.~•a.u~