ApplicationCity ofYelm OareRelrve
ay L
FlIe NO. \D`J
Community Development ~ 5 ~
Department C)
APPLICATION FOR ~ j E'j
PRELIMINARY PLAT ' ' ^ ~
Fee: $]6pp~lus.~,5.p0yer Im ~ ,I _ /~
(ln ad i Ion, any professional service charges
per Resolution k35B) ~,~ ~ ~ ~ (J
NOTE: ALL CURRENT AND DELINQUENT TAXES MUST BE PAID PRIOR TO APROVAL. ~ /
ASSESSOR CAN PROCESS A SEGREGATION FOR PROPERTY ASSESSMENT PURPOSES. Y ,'
A preliminary plat is a request to subtlivitle propetly into ilve or more lots for the purpose of residential.
commercial, or Intlustrial development. A preliminary plat Is reviewed by the Qty's s1aH, Hearing
Examiner and City Council for conformance with Clly subdivision standards antl other regulations. TM1e
Hearing Examiner will hold a public hearing after notifying neighbors and other agencies. The plat
nnot be appmvetl unless appropriate provisions have been matle for public facilities, such as roatls.
er antl wales Preliminary review will usually take abou190 days. If preliminary approval Is
get nteQ a final surveyetl plat must be presenletl wllhin five (5) years with appropriate arrangements for
all impmvemenis.
NAME OF PROJECT
APPLICANT
Mailing Address ~.y/c I -
City, State and Z'p - l U ~
Telephone EMAIL CSC
OWNER f- 1
Mailing Addre s ~ _ y~
City, State and ip
Telephone EMAIL
ENGINEER/ARCHITECT/OTHER
Mailing Address _< <* ~
City, State and Zip ~ ~ c7 "~
Telephoned'*~a=HE~ '?- EMAIL
SUMMARY OF REQUEST C P
PROPERTY DESClj/PT/ON f.~ f'aa~)ew.7J~r? ~ ,~cr/1tT
General Location //~~B~l-F ~~
Site Address ~ Land Area (acres) //J
Section Township Range
Assessor's Tax Parcel Number
Full legal description of subject properly (atlach separate sheet if necessary)-
I affirm [hat all answers, statements and Information conlainetl in and submittetl with this application
are complete and accurate fo the best of my knowledge. I also aHUm iM1ar I am the owner of the
subfetl silo or am duly au[honzed by the owner to act wI1M1 respell to this appllcahon. Further, I grant
permission from me owner m any antl all empl es antl representaMes of me Ciry o1 Velm and other
governmental agencies to enter upon C said properly as reasonably necessary to process
this application. I agree to p~µ cil~l apply to this applloelion. f
Signed Date ~ 6 ~~
:;a rj-
~~
sib
loE e¢e¢ n¢e,rer w.ar [aeol+se-sear,
I'O Hos A]N ideal 05&9/nn I.LC
YcLm. WA 99599 .~ _..Ye(nuu¢. n:
1. PLEASE ANSWER THE FOLLOWING QUESTIONS
ATTACH EXTRA PAGES IF NECESSARY
Do the subdivision's lot sizes, proposed use, etc., conform with the zoning of
the property? Please explain.
l
2 Are any provisions proposed ~~ minimize conflicts with neighboring Ian ses?
Describe.
3. Is the site within 300 feet of any "critical a as"such as wetland r streams?
4. What provisions will be matle fo water su I ?
5. What provisions will be made fors age?
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6. What provlsi ns~ will ~be~ ~made fors m water and/or flo control?~~
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7. What provisions will be made for treets, a~jcess and/or buses?
~i' /Leers /~ J /1 - A ~~/Lll'
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8. What provisions, if ny, will be matle for opens _ e and/or recreation?_
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g. W at provjsions wit be matle for schools and drool childre .
6 2
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'r AS'-~llt ~ ~ 1
ATTACHMENTS:
Environmental Checklist (induding $150.00 tee.)
Tmnsportatlon Impact Analysis Qf applicable-)
List of Properly Owners within 300 feet (include Assessors Tax Parcel numbers antl map.7
B Y: X 11 vicinity map showing nearby properly, sheets, land uses, streams antl other feaW res.
Map sM1Owing location antl sea of water mains, sewer, storm water facilltles and otM1er utllllles
antl points of connection to existing systems.
Preliminary Storm wafer Report antl conceptual drawing.
Copy of any covenants or restrictions that will apply.
Grading plan for cuts and fills over 100 cubic yartls.
Ten copies of preliminary plat drawing(s), per YMC Section 16.12 030. not larger than
18"X24". See attachetl checklist for required features and Information.
A retlucetl size copy of the plat not larger then 11"X19".
Tree and Vegetation Preservation Plan, per section 14.18.110.
(363J 069J896
]Ob Yelm Auanue WssA (360) 65B31A<L%rLY
I'O Bnx 1)9 mmn.r. r.yelm.u. u.ne
Yelrq RA 9tls9]
CHECKLIST
PLANNER USE ONLY
cneaxatl ev w
Submitted Missin
SUPPORTING DOCUMENTS (Submit one copy of each document)
1. nv~ nav map.ex-.
] Amap snowing lne locallon, slxe ens elevaGOn of all wafer mmns,sl water
laclll0es, se ana oPer utilities al poinl5 of probanle mnnetliene
9. Apre4minery tlawing for wales supply sRling lne Spume ana general aislrleWbn
syslam leyouC Icr sewage antl waslewalerwll¢Gionantl Ilealmen[ antl brslcem walar
lesion. release, eraioage ana 1realmam
a. noppv nl novenartla pr plner rernaloos applvmg to er propoaea to enp,mbarp, be
psetl pvpn me.ae.
s. Aeraang plan mr aav c'WS anamr Lila aouecuvery evneedmq one neetlratl wblcvame.
nu am nn smmv mrseeets prwames. sern plan snmlmmeae me eaem
.~e ~amrs of proopsaa wla ana Lns ana ~mormmion pn me pnaramer m me acu ana
enaanr~nq gempgr.
fi Atlescripllon cl any proposal for llpptl control ladlllles onmpmwmen6.
> Atlesulpllen el any olner prppasetl lmprovemenls sucn as palnways or remeallon
IeclLnes
PLAT MAP (Submit 12 folded blue-line prints -rolled not accepted)
1. rm pim ampm. noon arrow, Lam ana eoalem pna man epeala eunernny mm.e
nenerea leal.lwp wnaree tem.pnm,large loupbama~ona troy. mar nenareo teal __
z me boenmry Imes anne progeny lobe mvmea.
a me bopnaanesma.~aung aa~aaecl pr ~mernal mu, emaka ana slrems mown wnn
apnea Lnes.
a cerrem ana pmppaetl:omrm panesNa locevremaana pl me aprtopnam9lam la. ,
a almanae o1 mree npnama feel.
s. rna meauonana abenlon of ml a.¢nng ana pmppea walemoerses. mxaa ana ,
streams antl Ne IpcaGOn pl all areas subletl 1e Iloeanlq
fi. TM1e lecanpn gl olnar natural laeWres such es rock 0uluoppings ana ma5ne.t
]. rna epeneanea pl any natural reappmelams or ennpalamaa as eenneo by lne alv.
e. ExRrmg ana pmppaetl ease pl eaamot. mawo~n9lp®npp of an easwq mreawrss.
s fiopnaaaes ape prpppsea ese onanas lp be mservetl mrlne wmmon ese pl propenr
w~lnm me apbam~srpn or of pmprpMam prgam:m~pna
10 ~owlmn ana type mexlanng ana prpppsea street ngnnnq.
11. IucaGOn e1 enywells ana unaergreuntl sle~9ge tanks wNMn Iwo nunaretl 1ee1
pone vmppaea seeaivamn.
1z Ynpaupn of env trees ana nawmueawree ana wmm~e.mey am to ee preserves.
1s car am ana prpppsea ap Inq opposer --
1d rna mcallpn antl zits pl an erisrmg sewers.w en aoNSr puelicpr
p+ivele untlergrouna imlallalicns wNn~n ana aaarem m me subaNb~pn
I5. LpwLOn. wltllns antl names plan aMlslmg antl pmppsea slreel5, sitlewalks, rellmatls
elepnpne lines wlmin pr atljacenl le lee prpppsea subaimsipn.
pawerllnesl
1B. rnegmae antl tuna mall el curves of ev u'Lng antl propwea slreals Wtlpm Na plat
bppntlarv ana wllnm mree npnerea lam pons scetlMslcn.
v metavpw alga aimens~pna pl evsnnq apa pmppsea alrem ana auey l~gnl:ol-wav.
wn~iy ana acpessea:emema ana loss ana nloaas.
le. ma moanpn of Omer aignmram lealerea seen as orv mm~a. eeapn LOSS ana aeclmn
19. a>ri~e~s ana pmppsea eonmera pane propoaea annmaabn mraa~amnaa ollmv teal
bevpna me bppntlanas m me propoaea sebem~sipn auwoacol ppmpera mr slopes lass
na M1VeJapl wnlpurs tar sbeperslapes. --
nlNe pertenle
]0 Glseng ana pmppsea survey ana elevation mpnumenla
r. me bcenaaeee ana perpoee of gorgela ouana lmenaea lp be aememea prlempoanly
rvea 1pr poetic use, prlp be resrnetl lpr common use el prppetly pwnen cnesltlenls
el lne suetlrvislpn, alpgq wqn any wnaaipns or IMaeLpns e1 sucn aeamaliens pr reservallpn
clea0y lnalwlea. (ON. d36 (pent. 1994]
DRAFTING STANDARDS
cleanyana legibiv arawn in permanem nmamk loagmal pnpl -
2 scale a ea between pn an eaeala nlry laeup row wnaree leaf mono
mnbel aem~meeMme pees wpr obenpr lmlenng roam ne aemlalme of
viz', nign penmemr pone pmt roes ne aepmlea won neavv lmea
s. +fi x zd mcn aneela
q Marginal lme l3"eN marBl^S"mer9in pn lne remaining sitles)
6 Intlevregcirea for mare loan lWa sneels -
6 Tne plat lNle, seta, sce quarter quaver section ana noon ertpw snail be snpwn pn
earn approprale snem mine noel oral
]. All mgnelures must be prlglnal In pe~manenl blBCk ink
8. Owne2 name mull be pnnletl benaaln slgneWrellne.
(O6 Yelrn Auemse WesA (d69) JbBStlJS
(269)16&Pl41 PAS
PO Rgv 1'/9 n.mm.or-Aelm.mr~m
YfIm~WA 9da9]