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09-0086 Application 052109v ; )t; Clty ~f 1 Q/+l/r Byte Re I, ~J File No. Community Development Department NOTICE OF APPEAL M~ y 2 ~ 2009 Fee: Staff Decision - $50.00 Nearing Examiner Decision - $100.00 (jn addition, any professional service charges per Resolution #358) A Closed record appeal may follow either an open record hearing ar an open record administrative decision on a project permit application when the appeal is on the record, and no or limited new evidence or information is allowed to be submitted. Appeals on Category 1 & II praject decisions are heard by the City Counci6. Appeals on Category III R IV project decisions as well as Category I & ll decisions which have been appealed to the City Council go to Superior Court and follow the judicial review process set forth in RCVV 366.70C. A Notice of Appeal must be filed within 1A days of Notice of Final Decision. PROJECT CASE NUMBER BEING APPEALED DATE OF NOTI`Cr E OF FINAL DECI SIDN APPELLANT(S) l ~ h'1 ~ S Pc-E:'c-r'-'~ i t~4~ ©G ~~ Mailing Address ~ --f ~ City, State and dip ~`- ~' r" ~ S -- Telephone '-~ ~ ~ - S FMAIL Scir~~~,-s_.'' ~ v^ v~, C SPECIFIC ITEMS OF DECISION BEING APPEALED (attach additional sheef if necessary): _ ~ ~--~ 1(~ I' { --- R`te` {~-l,~' S ~- - - ~,P~~~~~s ~ ~ ~ CJ~1 ~ + 1 affirm that all answers, statements and information contained in and submitted with this application are complete and accurate to the best of my knowledge. I also affirm that I am the owner of the subject site or am duly authorized by the owner to act with respect to this application. Further, I grant permission from the owner to any and all employees and representatives of the City of Yelm and other governmental agencies to enter upon and inspect said property as reasonably necessary to process this application. I agree to pa all fees of the City that apply to this application. Signed ~~Lk-f -~:t.- J t ~ date 105 Yelm Avenue West PO Sos 479 Yelm, WA 98597 ~~_ (3E0) 458-3835 (360) 45&3]44 FAX mww.ci.yelm.wa.us 91~ J ba,A,Y ~ ~. 249