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
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