106 Yelm Ave W 061802-EaganCity of Yelm
Cornrr~unity Development Department
SPECIAL EVENT APPLICATION
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NAME OF PROJECT ~' I I ~ v`c~ ~ t CMG` C ~ r ~ S ~ -'V~~'l `->
APPLICANT r, ~ ; n Gc ,
Mailing Address I I Z Z ho~i~.,, .r S
City, State and Zip ~l,t ~ •Z~ w ~, > ; y
Telephone ~?,VC y~~ -~~s" ~ EMAIL
OWNER ^ - <
Mailing Address
City, State and Zip
Telephone EM L
SUMMARYDF REQUEST o la a_ ~' ` s ~,., d 1 ~ ~, ~ S
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PROPERTY DESCRIPTION f
General Location /E (t - / ir~ ~ ~ Q (~~--t t/e ~,~/
Site Address Land Area (acres)
Section S 151 ~ ~ 1_ Township Range
Assessor's Tax Parcel Number 8 5 8 0 o i o~ i o~
Full legal description of subject property (attach separate sheet if necessary)
I affirm that all answers, statements and information above and submitted with this application are complete and
accurate to the best of my knowledge. I also affirm Mat I am the owner of the subject site or am duly authorized by
the owner to act wdh respect to this application- Further, I grant permission from the owner to any and all
employees and representatives o/ the City of Yelm and other governmental agencies to enter upon and inspect
said property asreasonaWy necessary to process this apphcalion. I agree to pay all fees o1 the city that apply to
this application.
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Signed Oate ~ "~ `-
f0f Y~lrw A~rnu• N~~r (Ji0) Ifd-JAJf
PO it3o: I i! (J60) ISA-JIII FAX
Yelrn, 1~A 98317 wu•u•.ei.wl~n.ro.w