20090090 Permit Pkg 052609City of Yelm
Property Information:
Site Address: 305 1st Street South
Assessor Parcel No. Subdivision:
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Food On The Move
Address: 12415 Witland Lane SE City: Yelm
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Praire Days Concession Stand
Description of Work: Concessions outside of Wells Fargo Bank
Sq. Ft. per floor: (1st) 0
Heat Type (Electric, Gas, Other):
Fees:
Item
-------------------
Building Permit -Other
TOTAL FEES:
Permit No: SE-09-0090-YL
Issue Date: 05/2612009
(Work must be started within 180 days)
Receipt No:
(2nd) 0 (3rd) 0 Garage 0
Item Fee Base Amt Unit Fee
0 00 0 00 0.00
$0.00
Unit Rate
0.0000
Phone: 360-489-4300
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
Basement 0
No. Units Unit Desc
----------- -------------
0.0000 $1,000
Applicant's Affadavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applyin ,as.a-cot,tractor, I futher certify that I am currently
registered in the State of Washin ~
~' ~ ~ Date -~~ I ~ `l ~ C~~7
Firm
Sets of Prints:
Inspection:
Date:
~wo~ T~A~~ City o f Yelm
.o
°' ~' Community Development Department
SPECIAL EVENT /TEMPORARY USE
APPLICATION
YELM
WASHINGTON
Special Event Sign Permit (limited to ~a days, 4 times per calendar year) ~
Temporary Use (property owner permission letter required) C,~ ~ ~`~ ~'~ t~~
~~ ~~~~ ~~
(see REVERSE for regulations)
C ~ ~ ' -~(" dry ' ~~~` ~'~r r ~` `~' ~...~ Cf..
NAME OF PROJECT-~= ~ ~~ I ~~ ~ /
APPLICANT/BUSIN SS AME ~
Mailin d ess ~ ~ v~ ~ ~
City, State an Zip ~`'~~-~~ ~ ~ ~ ~ ~
Telephone -EMAIL ~ ~ ~ ~
City of Yelm Business License Number
SITE OWNER
Mailing Address ~
City, State and Zip '~ ~
Telephone 3- Sv - EMAIL
SITE ADDLE S/LOCATION L>; s ~~
SITE PARCEL NUMBER
SUMMARY OF R QUEST.. ~ ' '' y ? ~
~-.
START DATE END DATE d
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 alt
employees and representatives of the City of Yelm and other governmental agencies to enter upon and inspect
said property asx~asonabi ecessary to process this application.
ti ~ Date ~ ~ .
Sued ~~
p S ~
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us
~ ~~