20120197 Permit Pkg 06192012City of Yelm Penn No 20720797
Community Development Department Izwe Dale'. WIM012
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Building Olwalon
Phorro: (M) 088,8107
Faro(M)4E1i1M
Applicant
Name: TACO GAB) Rare: 38FIIMIF302
Atltlreu: 1430.5 WPLMN LN BE
YEW WA 98597
PrapertylnMrmaton
Ste Aegmss: 307 YELM "E E Caa^e=
Aniseed, Palml NU.: 227193CIM SuWrvbbn: Lot
Name : TACO GARY Phone'.
AWreu:
14305 WALTON LN BE
YELM WA 98597
Conlndor Lease No
Expired: I)ADQU 9D
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� FTeE,o� City of Yelm�Y'�1
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• Community Development Department
SPECIAL EVENT / TEMPORARY USE
YELM APPLICATION
•
Special Event Sign Permit (limited to 14 days, 4 tlmea per calendar reap
Temporary Use (property owner perminlon letter required)
(see REVERSE for regulations)
NAME OF PROJECT 799 HTryV'_V.]
APPLICANTBUSINESS NAME COS �a„Y
Mailing Address �C:
City Stets and Z'o SC
Telephone 7id� '� EMAIL
City of Velm Business License Number
SITE OWNER Z
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESSILOCATION
SITE PARCEL NUMBER
SUMMARYOFREQUEST
°e1md.� evS2
TEMPORNRY USE
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STARTDATE
ENDDATE
I afimi that all moo en, statements and iwormaron mxwe and suEmmed with this application are compete and
Ccwaretothe0691a" FnmNed6e. lalsogffi=tWiamMewinwd[besubjedmWwamdulyaNWc by
c owner to as with reaped to Mb ep Im. EUMer.lgrent Pwmlallon "in Me owner W any am all
emplarees nnerepreaenlativeaa nr of vNm ana Mher pov6mmeawl agencies W enter upon aM rapist
midP wnewly Tito races misapplratlon
Senn Date�
Y
'
ROUnNG,
Si EVENT
_Edwina Sevtion
•
TEMPORNRY USE
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106 yd. AUmue Wen
(80)a68dB88
Pri e99
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Im, WA 59f
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