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Short Plat Final Application and Fees 001CITY OF YELM P.O. Boz 479 Velm, WA 9659 360-456-8403 RECEIVED ....SEVEN HUNDRED FIFTY DOLLARS & 00 CBNTS RECEIVED FROM DATE REC.NO. SCA GAOUP INC. 03/21/06 41187 9200 6TN SE STE 401 LACEY NA 98503 BUDGETARY RECEIPT No. 4 } ], 8 AMOUNT REF NO. 750.00 CHECK 3116 5~5-6 ~-oD i$ - ~ ~ ~- I N ~" ~- O4T~P1y`t~ Dale Reeeirea I. City of Yelm "` ~_M ar File NO ' Community Development Dep¢rtment RFCF/ FINAL PLAT APPLICATION A4,,, vF~ ~110p~ Fee' $750 00 (I dtl'd f I h per Resolution #358) APPOINTMENT REQUIRED FOR APPIJCATION SUBMITTAL -Please ca(l 458-3835 Case # antl Name Tax Pamal Number(s) d ~ ~ ~ ? ~ 4D DD SUBDIVIDER BURNETr K~RC COM mERr.l /FL Name ~'NRKr LLL 4aoD iTMavE~ ~ of Address L.AC.EY I wR 4'8503 3 D ~f43.lsDD,.~?bD 49~ d47r, Phone ax S ~C rJJS ~r P-FrG ~ ~. P 1-ri E-mail PROPERTY OWNER(S) Bue.,erreDRd rn ~~k wL Name ~.f~GKr LLC 'f~,DD L~NA/6 SE 7730/ Adtlress Laic- /, wa 98b02 3L0. 493.LG0~ ~3L0 4Y3~dY9G Phone SURVEYOR CH lac S flIT~L_~r2, PLC Name 475 NLJ rNSNa LIS AVE Address LII_ EI}N LI _y /.I ~/85Z~ O 748. P8D3~ L0.7~/d: 93 /q Phone Fax f ltr•rSlLb(Pf~[f$Ur12NinG. tiG'~' E-Mail ENGINEER `~ Q r N< Lru/~ C-2avF Name Ifs DD G ~ftV¢ ~ ~.3D / Adtlress I~ICEy, LI-A 9dFb~ 3/.p N9R / OO,z ~3LG 9Y3 949E Phone Fa~ SIC®SIL' Brv-G i I • Pn r.~. E-mail E-Mail LAND USE BREAKDOWN (calculate to the Nearest Hundretlih) ToUl Acreage y 79 Numberof $Ingle Family Rastlenlel COLS ~ NumEBrcl MUlltlamlly RBStlenYal LO15 Q Number of Commercial LOls ~_ NumperWlntlusrnal LOls $mallaal LOl Area I ACR/a Aveaga LOl Area a.s95/Ime LS Total Acreage In Open apace • /77 Fee in Lleu of Open Space LengN n PU01ic 9V0Bls p n yD/ Talel ACreegeln PUbIc 54ae15 .21 AOCk~S LengN In PMale 6rree6 ~ TBlal Acreage In Pdvele Slreels Q All of the information on the reverse sitle of this application is requiretl 10 be filed at the time of foal plat submittal unlessawritten waiver from the planner or engineer acwmpanies the application. After this office has received written acknowledgment from all depadments requiretl to sign the plat, the legislative body will be so advised antl a date fora public meeting will be se[ for their consideration. IDSYeIm Aoenue Wee( (d60) X28-3825 PO lfam 499 (360) (GB.y]I4 AAX remr, wn sassF mw ~r.relm.,.m.,.e CHECKLIST Submiltetl Mlssing SUPPORTING DOCUMENTS (Submit one ropy of each tlmcument, unless otherwise notetl) 1. Plat CerlNCale, tlale not tp exceetl NiM tlays poor to submittal. 2. AwpY pi any tleetl resiricYions applicable 101be subtllvisicn. 3. Awpy of any tletlicalipn requiring separa@tlpcumenis. 0. Approval(sgnetl oX punchnsQ by the engineering tlepar(menl that the subtlivitler M1as complletl wiN one of the following: q. Alllmprovemenls have been inslaller]in accoNance wiN IM1e requirements O( this line antl witM1 IM1e action p11he legislative bptly 9ieing approval pi IM1e preliminary plan 6. An agreement antl nnancial secunry have been execuletl as prpmtletl ror in me sueeivisipn ortlinance Ip assure wmpietign of requirea improvements. 5. Mathematical bquntlarydgsures oRM1e subdivision showing the anprc psure, if any (4 wples)- 6. The maNematiral lot clcsures antl street centerline closures, antl square footage of each parcel (4 copied. ]. Los wnlaining cne acre or more shall show net acreage to neareet hgadretlm. e. Apneamg plan pt appuceble) s. Asummary explanaticn is requirea cr now an city cpuncu cpntlmpns of approval antl SEPA mtllgallcn nave been met. 1g. Flnel tlrawings on tllsk In AUto Catlformal. 11. Acppy pf any Hpme Owners Agreement 12. AcopY Ot eny MelntenenGB Agreemenls (SIOrm WalerenC(pr Open Space.) 13. Warmnry Agreement for allimprovemen(s. 14. Bills of Salefor Sewer antl Water. 1h. Deterrel Agreement-WeNer of Protest (tt appllceble.) 16. Storm Water Maintenance Agreement 1]. Water Rights Agreement (if applicable) 16. Homeowners Agreement 1B. LID 3egregatlan ADDficatlon (n eppllcable_) 2g. Documentation of WelllseptidDrain field Abandonment. 21. School Mitigation Agreement 22. Latecomers Payment Qf appllcaple.) 23. Open Space Fee IMieu of Payment (n applicable-) 24. Any outstantling City kes. 25. As~bull(s. 26. PIa1 Map(ll folded copies-rolled not accepted) 2]. One tt xl]reducetl copy pf the Final Plal Map IDSYeIm AOenue Waet POBOx d]9 YeLn, WA YtlSYI Date Checked: Checkers by. Atltlitional Information Requested'. Atltlitional Information Received' Application Complete. (d60f 45&Ytl3i (]6'O) d5B-31d9 FAX wu a~yelm.m.ua