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20110140 Permit Pkg 02022011City of Yelm Community Development Department Building Division Phone: (360)458.8407 Fax: (360) 4583144 Applicant: Name: CASA MIA Address: PO BOX 1200 YELM WA 98597 Property Information: Site Address: 134 PRAIRE PARK ST SE Assessor Parcel No.: 99D020588a9 Subdivision: Permit No.: 20110140 Issue Date: 2/0212011 (Work must be completed wflhin 180 days) Phone: 400-2277 Owner: Loi: Name: CASA MIA Phone: _ Address: PO BOX 1200 YELM WA 96597 Contractor License No.: Expires: 010010 0 0 0 Projectlnformadon: Project: OTHER SPECIAL EVENT Description of Wak: VALENTINE BANNER SPECIAL FEBRUARY 2 THRU FEBRUARY 16, 2011 Sq. Ft per Boor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement FeeB: Item Contractor Fees SE CASA MIA $ 0.00 TOTAL FEES: $ 0.00 Applicant's Aifidavit: OFFICIAL USE ONLY I certify that I have read and examined the information wntained within the application and know the same to be Vue a d correU. I also certify that Me proposetl sWUure is in conformity with all applicable City of # Sets of Prints: Yeim regul ions including those governing zoning and land subdivision, antl in addgion, all covenants: easements n re ions of record. If applying as a CAntraUOr, I further certify that I am curentty Final Inspection: registered i t State Was i ton. A // Signature ~ Date ~?,J Zt~~ ~ Date: ~ Finn By. Feb O1 11 09:45a Terry Cole 400-3133 ` p.l F THE p ~ " ~o~ ~~ ono ~ Caty of Yeln~ ~ ~~ Commun£ty Development Department SPECIAL EVENT /TEMPORARY USE $LM APPLICATION w....,..o... Special Event Sign Permit (limited to ~a days, 4 times per calendar year) Temporary Use (property owner permission letter required) (see REVERSE for regulations) NAME OF PROJECT~~~ I C-~,v~-~, r~ -e ~ rTC' +~ APPLICANT/BUSINESS NAME Mailing Address ~.U ~~ ~~ Lip--~ Crty. State and Zip ,~,i~ (.`~ Ca ~ Telephone~t,Y4~'~a~ EMAIL City of Yelm Business License Number SITE OWNS ~ Mailing Address '--(fir r x31 f u i~ ~ _ City, State and Zip Tclcphonc ~1 r "' S: "j ~( EMAIL SITE ADDRESS/LOCATION S/TE PARCEL NUMBER SUMMARY OF REQUEST i> >° -F ~-r° mac, START DATES - 7_ - ~ Q-: ~ t END DATE , - t Lo - 2-C) l r I affirm that alt answers, statements and information above antl submitted with this appYCatlon 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 respell to this application. Further, 1 grant permission from the owner to any and elf employees and representatives of the City of Yelm and other govemmenfal agencies to enter upoh arKi inspect said prpperty as reasonably ne ry~t~o process this application. vy Signed (\~) ~ ~~ r-2 ~"' `-~` Date .B~- l' ~2.-C'.; t 1 ISIS' ROUTING: SPECIAL EVENT _ Building Section TEMPORARY USE _ Planning Section Building Section 705 Yerm Avenue West (36D) 4SB-8 ~~ JJJJ YO Hor O99 (360).f58.8 ~9 FAX ilil Yedm, Wit. 98597 wrcm.ciyed ra.ue LJ B Y: