20130323 Application 08232013 �����
Community Development ��Q oF T"�p,���' OFFICIAL USE ONLY
Department '
City of Yelm ` �' Date Received (�
P.O. Box 479
Yelm, WA 98597 L Received By: (�
CIVIL PLAN REVIEW APPLICATION USE BLACK INK ONLY
�-: arc�1- I PROPERTY LOCATION:
aress: 'Pb � S7_��
iry&State:�Yr1�1w��t North South East West side of:
1P� 1�15��' Phone: �J�OO'�{S�'��{'Z.�( (roadname):
� Between(road name)
Pplicant: �17M\r1\t ��uGS
And(road name)
dress:�0 ["�b ll S Z 1 O
�tyanasr�ce: Vclrn� ��A Pro�nyAaa�-e�:� 0 0� G►r�e, c'�rk 5k.
�P: 9g Sq� �one: 3(ov-�tS�L—��(Z`(
�Glnn , t.�W 9$S �l 3
ngineer: J\'M C � (1 r� 6
G�f f Section: L` Township �a � Range�
d��: • W � y��ll b(x�o���
ity&Sntate: a�y T�;���,]'A Assessors Parcel No.
, ip: �t$SOZ Phone: ,y.a0'3$Z-1�l(o s
� 'OR OFFICIAL USE ONLY
iJMMP,RY OF REQUEST(I.ist type of usesj
� v��C�� Y w a.�c.�' Yre District Req,,;*P*�+ents Yes No
( t�10 �a Yre Flow Required �»m
o.of proposed dwelling units: ilater conaection estimate
�ewer connection estimate
' ensions of property. asements required
�ght-of-way required
otal sq.ft.of site:
otal sq.ft.in buildings:
�onding required
otal sq.ft.in paved and covered surfaces(include buildings,driv
streets,sidewalks,and parlflng lots) 'I3scellaaeous
A cursory check of the plans against the attached plan checklist will be made by the Development
Engineer. If the plans meet the min;mum checklist requirements as to content, they will be routed to the
appropriate City staff and the plan review process will begin. If m;n;mum checklist requirements are not
met,plans will be retumed to submitting engineer.
R:\Community Development\Forms&Procedures\CivilPlanReview\CivilPianApp.doc REC E��ED
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