2019.0394 CPR ApplicationH:\CDD Data\Forms and Procedures\CivilPlanReview\CivilPlanApp.doc
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Community Development OFFICIAL USE ONLY
Department
City of Yelm Date Received:
105 Yelm Ave W
Yelm, WA 98597 Received By:
CIVIL PLAN REVIEW APPLICATION USE BLACK INK ONLY
Owner: PROPERTY LOCATION:
Address:
City & State: North South East West side of:
Zip: Phone: (road name):
Between (road name)
Applicant:
And (road name)
Address:
City and State: Property Address:
Zip: Phone:
Engineer:
Section: Township Range
Address:
City & State: Assessors Parcel No.
Zip: Phone:
FOR OFFICIAL USE ONLY
SUMMARY OF REQUEST (List type of uses)
Fire District Requirements Yes No
Fire Flow Required gpm
No. of proposed dwelling units: Water connection estimate
Sewer connection estimate
Dimensions of property: Easements required
Total sq.ft. of site:
Right-of-way required
Total sq.ft. in buildings:
Bonding required
Total sq. ft. in paved and covered surfaces (include buildings, driveways,
streets, sidewalks, and parking lots)
Miscellaneous
A cursory check of the plans against the attached plan checklist will be made by the Development
Engineer. If the plans meet the minimum checklist requirements as to content, they will be routed to the
appropriate City staff and the plan review process will begin. If minimum checklist requirements are not
met, plans will be returned to submitting engineer.