09-0239 Civil Applic 120909Community Development AN,
OFFICIAL USE ONLY
Department City of Yelm Date Received:
P.O. Box 479
Yelm, WA 98597 Mi Received By:
CIVIL PLAN REVIEW APPLICATION / USE BLACK INK ONLY
Owncr.0o.r &Jee hP_f zAh+/-" CA" PROPERTY LOCATION:
Address: '305" y.i ✓vl Avy— 'Ea 5t
City &State: Y,I r,n 3 'WA North South East West side of:
Zip: RZ58 9t"7 Phone: 3 V N5b' 7310 (road ne ne):
Between (road name)
Applicant: LS COnS'�J v�-'f�3n
zw¢CW+ '_6, reDj,-, And (road name)
r'1`7 7 01 Phone:
No.
Phone: 2S3 •- K557 - SH5'4
OF RCQ= (List type of uses)
of proposed dwelling units:
sq.ft.ofsite: 10}F( Iurcd = Z�iN3"/y7
sq.R. in buildings: �,7yy Car exsa' chw„17
sq. ft, In paved and covered surfaces (include buildings,
s, sidewalks, and puling lots) 21.05$ W) 1014
Township Range
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.
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