Long Shot Gun Range - BLA Application1/17/23, 11:53 AM
City of Yelm
s .19M
WASHINGTON
Permit Type
Ministerial Permits
❑ Ministerial Site Plan Review
Q Boundary Line Adjustment
❑ Home Occupation
❑ Final Subdivision/Binding Site
Plan
❑ Final Short Subdivision
❑ Mobile Food Vendor
❑ Amended Final Plat
❑ Lot Consolidation
Deposit Required:
$ 250
New Submission
Site Plan Review Application
Site Plan Submission Instructions I Application
Administrative Permits
❑ Administrative Site Plan Review
❑ Administrative Subdivision
❑ Administrative Variance
❑ Short Subdivision
Plans Upload
Upload
You may upload multiple Files. Files must be in .PDF, .TIF or Image Format.
Business or Development Name: *
Long Shot Gun Range
Quasi -Judicial & Legislative
Permits
❑ Binding Site Plan
❑ Planned Residential Dev.
❑ Mixed Use Development
❑ Variance
❑ Critical Area Exception
❑ Subdivision
❑ Special Use Permit
❑ Appeal to Hearing Examiner
❑ Appeal to City Council
❑ Public Hearing Request -
Administrative Subdivision
❑ Amendment to the Unified
Development Code
❑ Rezone
❑ Petition for Annexation
❑ Notice of Intent to Commence
Annexation
https://If.yelmwa.gov/Forms/SPR 1/4
1/17/23, 11:53 AM
Description of proposed development: *
patches of concrete/gravel pads and construction of an
approximately 36,860 square foot Long Shot Gun
Range with a small retail space and 22 firing lanes, as
Applicant Name & Contact Information
First Name* Last Name* Phone *
Darian
Murray
Applicant Address
Street Address
6814 Greenwood Ave N
City
Seattle
Postal / Zip Code
98109
2065229510
New Submission
Email*
dmurray@pacland.c
State / Province / Region
WA
Owner Name & Contact Information
First Name Last Name Phone
Jason Pearson 360-400-4010
Owner Address
Street Address
16970 SR 507 SE
City
Yelm
Postal / Zip Code
98597
Email
evp@longshotir.con
State / Province / Region
Washington
Representative Name & Contact Information
First Name Last Name Phone
Email
https://If.yelmwa.gov/Forms/SPR 2/4
1/17/23, 11:53 AM New Submission
Darian Murray 2065229510 dmurray@pacland.(
Representative Address
Street Address
6814 Greenwood Ave N
City State / Province / Region
Seattle WA
Postal / Zip Code
98109
Property Information
Property Address*
Street Address
16970 SR 507 SE
City State / Province / Region
Yelm Washington
Postal / Zip Code
98597
Legal Description
PARCEL I: PARCELA OF CITY OF YELM BOUNDARY LINE ADJUSTMENT NO. BLA-1
Parcel #* (')
http://www.geodata.org/parcelinfo/ (http://www.geodata.org/parcelinfo/)
64303100800,64303100801
Size of Site
17.49
Number of Lots
3
Gross Floor Area
34140
https://If.yelmwa.gov/Forms/SPR 3/4
1/17/23, 11:53 AM
Signature *
New Submission
By submitting this application to the City of Yelm, you affirm that all answers, statements, and information contained in and submitted with this
application are complete and accurate to the best of your knowledge and that you are the owner of the property or duly authorized by the owner to act
on their behalf. Permission is granted to representatives of the City to enter upon and inspect the property as reasonably necessary to process the
application
Sign
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Submit
https://If.yelmwa.gov/Forms/SPR 4/4