Application 001City of Yelm
Community Development
Department
FINAL PLAT APPLICATION
Fee'$]50.00
(In atld'fon anv profess onal servcecharpes
per Resolution #358)
~c„~!i
J 4
r'e,~
APPOINTMENT REQUIRED FOR APPLICATTON SOH~M''[~T"~TAL-Please coil 468-3835
Subtlivlsion Neme ~nl' Iln~./ C"t'~P n Y\ l1L
_ u ,- ./ i
Case#antl Name of Preliminary Plat Approval ~ V ~l ~cfi'T7`C"T~-
Tax Parcel Number(s) /1: `#~C3~-OC~1L1~
SU DIVIDER
~„is ~ala~Lrx
Na\m~ 11
7 ~ 1 M ~1 i; ~~~~
Atldress
t'~° ink ~)~1~
~4Y1 tnAH S~ SR`7
' <R-OS/fS~ 4S9Y~SSfSI
Phone {{~~ Fax
7 cE _ 'T S ~ . b L~ l
E-mail
PROPERTY OWNER(S)
N l7~OC n11. Coil GT(Ur'~ICIYf
Atldress ~'L
~O P~^;Y 7q
~/m W
Phone Fax
E-mail
SURVEYOR
-~r~,. ~~t~~.~;a-~
Name SKt~~ IY,oJS LC•nr,Ol\y IK•
7Q ~nX Se~~'.~
Atldress
3bC - yq l-~3~1~i 3(DC-4~~-385`1
Phone Fax
E-Mail
ENGINEER ~~,~ (,~_ CClnl'\U~1~
Name S ~.~~~ f~AO~ ~o hi~e~~\i ~ NC-.
Address ^ ^Q
~~`" _$
~b
~.
Phone Fax
E-Mail
LAND USE BREAKDOWN (Calculate to the Nearest Huntlretlih)
TutalAneage
rvomser or smgre ramay aenaemlal mra
usmeeraeor^mereial Lora ic~c.o qe.
5~
~
rvsr^eer of NOUOamiry aeaieemiaaora
rvemeer of masso-iai Lora ~
5^311¢51 LOr Ar¢a Ave2gB LOr Alga
Toral Acreage In OOe^ $Oace
Length In PU^Iic Srreers
~'114r fee In Lieu o(Open Space
Toral Acreage In PUellc Sheers
~
LengtM1 In Pnvare 5rreeb
~
TolalAaeage In Private SVeetS yy
2,y. 1/'(.~'
NI of the information on the reverse side of this application is required to be 61etl at the time of final plat
submittal unlessawdQen waiverfrom the planner or engineer accompanies [he appllwtion. Afler [his
olfrce has received written acknowletlgmenl from all tlepaRmen[s requiretl to sign the plat the legislative
hotly will be so atlvisetl antl a tlate for a public meeting will be set far their consideration.
[03 Yelm AOenue Weaf (Jflll/ AnN-YNNn
PO Uor O9 (afla) JfiN-9)A FAA'
YeIm, WA 9NO9] ruur.naweLn.un.ru
CHECKLIST
SubmiHetl Missino
SUPPORTING DOCUMENTS (Submit one copy of each tlocument, unless otherwise notetl)
1. Pldl Cetlifcale,tlale opt to ex<e¢tl lnltly tlays poor to submilraL
2. Acppy of any tleetl restndions apPllmble to the subtlivision.
3. Acppy pf any tletlicdtion requiring separzle tlocumenls.
4. Appmval(signetl oR punchll9(by tM1¢engineenng bepanmen11ha11M1e subtlioitler pas
cpmplietl wiN pne pf the following:
A. All ImpmvemeMS nave been inslalletl In accor0anc¢ wi1M1
Ina requirements of tots tole antl wIN tna atlion of 0e
legislative hotly giving appmval of Ne preliminary plat,
e. An agreement ana financial se<unq nave been execuletl
as provitletl rot in Ina subtlNision Ortllnance to assure
complelipn pt requiretl impmvemenls.
S Malnemaliwltrountlary dosures of the subtlNisipn snowing the
enpr c parre, a any (4 coplpat
6. Tne mamemaumllpt alp:pre: ana street aemenme apawea. ana
square footage of each parcel (4 copies)
9. Lpls wnlalning one acre pr mars snail snow per ecreago to
nearest numretlm
e. Apnaslnq plan pf epPlicehle]
s. Asummary explanation is requiretl of now an city Council contlmons
of approval anb SEPA mitigation nave been met
ID. Final Orawngs on Clsk In AUlo Catlformal.
11. AcopY Ol any Home Owners Agreement
4. Acppy of any Manlonance AgreemenB (Storm Walerantllor
open spaeer
ta. warmmy Agreement mralllmprovemerns.
~4. r3nls of sale mr sewer ana water.
1s. Delerral Agreement-weMer of Prplasl (If applicable.)
t6. Storm Water Melntenanca Agreement
1]. Walar Rtgnis Agreement (it epplicenle.)
18. Homeowners Agreement.
19. LIO Segregation Appllwilon (Il applicdbleJ
zp. Documematlonmweluseprploain neltl Ahantlpnrrem.
2t. Schopl Mitigation Agreement.
22. Ldl¢comers Peymenl (tl appllcabl¢.)
23. Open Space Fee In-lieu of Pdyment (it applicanle.)
24. Any putstanbing Gny fees
2& As~bUllla.
26. PlatMap (N fpltletl moles-mlletl opt accepletlJ
2I. Ona 11 x V retlucetl may pl Ne Final Plal Map
I0o" Yelm Arxvre Wvsl
YUltux t]9
Ye1m, WA 9859]
Date Checked- Checked by.
Atltlitional Inlpgnation Requested.
Additional Information Received:
Application Complete:
(J6U) lSNdtlBS
(36U) JSNd HI FrIX
u u u.eq'e/m.u a us