20070365 Permit Pkg 100107I ~
OCT-Oa-2007(THU) 08:51 GOPDONS GARDEN CENTEP
OCT-01-2007 00:6d Yolm CDD
~ c *~ City of Yelm
~ ~ Community Dovoiopmont Ovp~rCm4nt
4 Buildinp Division
Phone: (360) d58-8407
Faa: ~~oo) 4aaa~as
AtPPIQcartt; ~ , ' , -' , ' .
Namo: . . Kollio Potereon
Addreor: P.O. B4x 447
Proper~r InfnrmaUon: '; . ~
Site Addre99: 30B Yslm ars. Eeae
A650s6or Par~el No. 990AO~ 14AOo
C04lnlota ~ ~I n~pmlat(Ori: .
N9me:
Aedreaa:
Conuac~or ~Ireno~ No:
P n0 jq Ct ~I nfpl7nabon :
Proiect Gordons Garden Cencer
~occrlpllo~ of WOtk; CJeo Cash Rodqmppon
Sq. Ft. perfloor. (1aq o (2nd) ~
Heet Type (E~ecv~c, oe~, o-ne~:
Clty: Yelm
6ubdlvlslon:
Contact:
ciry:
ExP~rrs'
(3rd) 0 GeraOe 0
~eee. , . . . .
Item Item Fw Booo Amt Unit Foo Unit Rete
TOTA[. FE~S: SO.Oo
~~o a5e 3166 P.02
Perm-t No: SE-07~0365 YL
Issue Date: 1 0101 12 0 0y
(Work mu6t DE 9terted wtthln 180 days)
R~cGlpt No:
Phone:
~mto: wA zlp 89597
LOG
Phorte:
Stete: Zlp:
Buslneas Lfranse~
Hasgment 0
No. Units Unl( DesC
App~tca~rit'o ~-ffadavit:
I ~
I oortily thot t hove read and examined the Informatlon cpntalned wllhln lne appllr,etlon ane knaw ths aame p~~~~~'~~~~~Y ..
tn bn tlu0 oAd oorrac[. 1 a1gD Celt~y lhet the proDOSEd Stl'uClure la In ee~ortnlry wlth ell applltsble Clfy o/ q.8e1ypFPdndr,~,,,r .
Yvlm repulatbns InetudlnA teose governing zoning end land ~uDcllvL,lon, ane In addlelon, el~ eovonanla, . •
p~m•ntr and rosMCtlon6 of reCOrd. If applying as a conlractor, 1/uther cartlry that 1 am aur-ently ;~~ =';~: • ,
roglctorod in the State of Washfnpton_ p~~~ j~~~ppy '-
~~ . ..
' ~ Qase•~
Sipnafur _ pota ~a ~~ /a: 7 ,
Firm -- C '"~1..L,_,CI.C!'ni~ .. ..fir'~Ptc/ ---- ey. •----- ~-- .._~~.
TOTAL P.02
(FAk)360 458 8d27 P.001
5EP-26-2007(bIED) 15: ~0 GOP.DONS GAP,DEN CENTEP
(FAk)360 d58 8427 P.001
~/~,~f THF~~~ C~ ty O f~r'e l7rL
: '~
Community Developmeni Depor~ment
SPL CI~L EVENT APPLI CATION
q~ii~~ usE Or•
Y E L M '» -~^~
~.~r.rc~s~r O~r R~cw..a
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~
~ . . , ._ . :. . ~ . . , .
. . . . . . . . . .... . , ~ . . .
NAME OF PROJECY ,0 ~ 6~~
~ W
APPLICAN7 '
Mailing Address ~~ u y y 1
City, State and Zip LI ~. w~ ~ ~,LJ 1~ ~I 5~ 1
Telephone ~l~o ~f-5~. a.4~ I ~ EMAIL
OWNER , ~. ~
Mailing Address ~I
City, State and Zip ' ~A ~'~ S~t `~
Telephone '~U b~F5~ a~ S~ I ~ EMAI~
SUMMARYOI~ REQUES i~ . ~ _
1.1.) f.~ '~ C'. ~ ~ ~ 0
- l_ ) " Q. 1.. N I
PROP~RTY DESCRlPTIC~N
General Location ~~' ~ ~ ~ ~ ~'l.~-~-~ ,~
~ ` ~.
Sice Address 4-oR ue.t,,~, A~~ F Land Area {acres)
Section Township Range
Assessor's Tax Parcel Number ~~ o001 I~~a
Full legal description o1 subject property (attach separate sheet if necessary)
I affirtn tha~ all an5wer5, slatement~; and inlortnalion 2DO~E a~d submifled wilh IhiS appliCalipn are complele dnd
accurate lo Ihe Desl ol my knowled~e. I a~so atfrm Ihal l aR+ Ihe owner ol the su~~ecl siie o~ am duiy aulnori=ed py
Ihe own~r to aCl with respeCl to this, appliCalion. Further, I gran~ permissien Irom the owner to any ana all
emplOyeeS anQ rep-eSenlaliveS Of Ih@ Cily ol Yelrry and olher gavernmenlal a9e~Cies to enler upon and inspeCt
sa~d property as reasona0~y neces:.ary ~o process this applicai-on_ i agree lo pay all fees ol the ciiy Inai appiy to
lhis applir,~tion_
S~gned Qaie `~a~ /~~
U
JOS Y~J.~ A~•rn~~~ N~~l
PO Bor 17!
Yefin, NA 98591
(J601 ISA-JA]1
/~60~ ise.~l~1 FwX
a•u•u•.ri_vrln~.ra.ur