20100125 Application 05142010Community Development
Department
City of Yelm
P.O. Box 479
Yelm, WA 98597
OFFICIAL USE ONLY
Date Received:
Received By:
CIVIL PLAN REVIEW APPLICATION
USE BLACK INK ONLY
Owner:
PROPERTY LOCATION:
North South .East West side oC
(road name): '?)F � V P 1t,1
Address: 1461 Mul''�v. tt•.t 011 S "1l. 2 1
ity & State: L -qcg -4 L, 7 A
zip: gt E 5 l Ce Phone:
Between (road none)
And (road narne)
Property Address: rN 1
Applicant: SAtMy, N"� Pt.WtEP
Address:
City and State:
Zip: Phone:
Engineer: SM'EA CL1 P. f!
Section: Township Range
Assessors Parcel No. C rr `i I=D
i.prLnr.ur -.nt .i6rir�4s,6Ptj PL.
Address: Flee CAQtztatac Qci
ity & State: GO,.? r A , "A
zip: 4t?5a 2 Phone:
SUMMARY OF REQUEST (List type of uses)
E k V t i
OR OFFICIAL USE ONLY
Us District Requirements Yes No
Ire Flow Required e'om
later connection estimate
ewer connection estimate
hsements required
A I- u V r1
No, of proposed dwelling units: --e>—
Dimensions of property: C r�!-i �k.• i-�-
Total sq.2 of site: Al �a1
Total sq.R. in buildings:
9ghtof4ay required
tonding required
total sq. R. in paved and covered surfaces (include buildings, drive
treets, sidewalks, and parking lots) 3 22 6M S1=-
uscellaneous
A cursory check of the plans against the attached plan checklist will be made by the Development
Engineer. If the plans meet the minimum checklist requirements as to content, they will be routed to the
appropriate City staff and the plan review process will begin. If minimum checklist requirements are not
met, plans will be retumed to submitting engineer.
R:\Community DovelopmentWories & Procedures \Civil PlenRevicw \Civil PlaiiApp.doc
8/01
! 1'410
BY-- - - -- - -- --- --- - --