20130374 Applicaton 12312013 �,�F THF p�� Ci ty o f Ye l m Date Received la►•3l• �3
By
♦4 �.� File No. O
°' � Community Deuelopment
Department
BO UNDAR Y LINE
Y E LM �JUSTMENT
WASHINGTON
OR
-.. _- _ ��G..�.L�?T�IBDIVISION
�!F�ES:Boundary Line Adjustment $100.00
LAR�€tfl� SUBD�VISION $250:fl0, + �'�Q.QO/lot
(In addition, any professional service charges per Resolution #358)
PLEASE SUBMIT CURRENT PLAT CERTIFICATE WITH APPLICATION
(Limited Liability Title Report)
�Boundary Line Adjustment
Large Lot Subdivision
NOTE: ALL CURRENT, ADVANCE, AND DELINQUENT TAXES MUST BE
PAID PRIOR TO APPROVAL. (ASSESSOR CAN PROCESS A SEGREGATION
FOR PROPERTY ASSESSMENT PURPOSES.)
NAME OF PROJECT
�Owner of Parcel(s) Purchaser of Parcel(s) Representative
APPLICANT
Mailing Address
City, State and Zip 7
Telephone � � EMAIL
� C�
OWNER
Mailing Address
City, State and Zi
Telephone EMAIL
SURVEYOR �. 7,�?[�,� � ASSarc/,���
Mailing Address ,�?o. .�ok �g
City, State and Zip Y�G./'vl_ , v�,/,4. 9�✓r"-9�
Telephone �6p 5�58 -�ZS 9�- EMAIL �.sr�,^� �-Fa,1r�,�,,,�-�-
PROPERTY DESCRIPTION
General Location ��xJ�2?� J`T A!✓b���,r2,sG1rJ AUcS /U�
Address of Site (if assigned) .�09 � 3f.� �.�=�2.so� � .d� N�
Area of Project (in acres, if possible) Q, 4/3 AG� a,r /�GY�S SF
Area of entire contiguous ownership (if other than above)
Section 69 Township /7 n/ Range Z.�
Assessor's Tax Parcel Number(s) of property included in this application:
�4� ZO� Q��OC7 aw,� �ZO 807dU
Zoning District �.BD Shoreline Designation (if applicable)
Comprehensive Plan/Sub-Area Plan Designation
Type of on-site structures (give lot numbers) ��'�v� A.,v1� �,�7�g� car,/
r_e�;� � �N� �� c������ ��
.
(SHOW LOCATION AND LABEL EACH STRUCT RE ON MAP)
105 Yelm Avenue West (360)458-3835
PO Box 479 (360)458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us
WHAT USES ARE PROPOSED FOR THE VACANT LOTS? The uses must be
consistent with zoning.
�Single Family, on Lots Duplex, on Lots
Multifamily, on Lots �=Commercial, on Lots �
Industrial, on Lots
IF UNDECIDED, LOTS WILL BE REVIEWED FOR ONE SINGLE-FAMILY
RESIDENCE PER LOT.
Existing sewage disposal: None Septic tank (date installed _) Sewer
(SHOW ON MAP)
Proposed sewage disposal: _�None Septic tank Sewer Other
Existing water supply: None Individual well on lot(s) #
(SHOW ON MAP)
Community Well -- Name of System or Owner
_��Municipal Water System -- Name of Municipality ��,/ r?� ���f
Proposed water supply: None Individual Wells
Community Well -- Name of System or Owner
Municipal Water System -- Name of Municipality
Special areas on your project site: (Show checked areas on map) �_ None
Creek or Stream River
(Name) (Name)
Lake/Pond Swamp/Bog
(Name)
Cliffs Draw/Gully
Has a portion of your project site ever flooded? �No Do not know
Yes, when? (If yes, show area on map)
BOUNDARY LINE ADJUSTMENTS ONLY
Lot # ,� , Lot Area in Square Feet ic��7
Lot#�, Lot Area in Square Feet /p��
Lot # , Lot Area in Square Feet
Lot # , Lot Area in Square Feet
Does the propert being subdivided have city/county/state road frontage?
No �Yes
City of Y�t�iD County State
If yes, name of road �`��'�,,,S�N .�'di/E n1�.
Right-of-Way width of road frontage � �
tf no, width �nd I�ngth of privat� road, easement or right-of-way: feet w by fe�t f
If property to be divided is accessed by a private road, how many other parcels have
access by this road? (Include vacant parcels.)
(FOR YELM TOWNHOUSE SHORT PLATS ONLY)
1. For existing townhouse units being short platted: Do the common walls meet building and fire
codes? Yes No
2. For proposed townhouse units: Has the applicant submitted the following to the Site Plan
� Review Committee? Yes No
(If no, your short plat wil► be held pending the submittal of those items listed below.)
A) Buildinq Plans. Typical front and side elevations and exterior architectural treatments of
the proposed units.
B) Site Plans. Location of buildings in relation to property and lot lines, off-street parking
areas, patio and service areas, including garbage disposal areas, landscaping, walls,
fences, public and private streets, driveways, all common facilities, open space and
walkways. In addition, lot size, percentage of ground coverage and open space shall be
included as data on such plan. A topographic map shall also be submitted showing
existing and proposed contours at finro-foot intervals and which locates existing streams,
lakes, marshes and other natural features. The requirement of the topographic map may
be waived b the Site Plan Review Committee if it deems it not necessa .
105 Yelm Auenue West (360)458-3835
PO Box 479 (360)458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us
LAT MAP (Submit 8 folded blue-line prints)
• The plat datum, north arrow, date and scale at one inch equals either fifty feet,
one hundred feet, two hundred feet, or, for large lot subdivisions only, four
hundred feet.
• The boundary lines of the property to be adjusted.
• The boundaries of existing adjacent or internal lots, blocks and streets shown
with dotted lines.
• The location and direction of all existing and proposed watercourses, lakes and
streams and the location of all areas subject to flooding.
• The boundaries of any natural resource lands or critical areas as defined by the
city.
• Existing and proposed uses of each lot, including location of all existing
structures.
• Boundaries and proposed use of lands to be reserved for the common use of
property owners within the subdivision or of other private organizations.
• Location of any wells and underground storage tanks within two hundred feet of
the proposed subdivision.
• The location, size and elevation of all existing sewers, water mains, storm water
facilities, culverts and other public or private underground installations and
utilities within and adjacent to the subdivision, showing points of probable
connection; and drawing for water supply stating the source and general
distribution system layout; for sewage and wastewater collection and treatment;
and for storm water collection, release, drainage and treatment.
• Location, widths and names of all existing and proposed streets, sidewalks,
railroads, power lines, telephone lines within or adjacent to the proposed
subdivision.
• The layout and dimensions of existing and proposed street and alley rights-of-
way, utility and access easements and lots and blocks.
• The location of other significant features such as city limits, section lines and
section corners.
• Existing and proposed survey and elevation monuments.
MAIL ELS (8 '/Z X 11 sheet — ge Lot Sub ivision Y
Owners of rty
within e � clude Assessor's Tax rcel Num and map).
,
A REDUCED SIZE COPY of the site plan
not larger than 11"X17".
105 Yelm Auenue West (360)458-3835
PO Box 479 (360)458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.r�s
DECLARATION OF BOUNDARY LINE ADJUSTMENT AND COVENANTS
KNOW ALL MEN BY THESE PRESENTS:
That we the undersigned having a real interest in the tract of land described by the
declaration; and do hereby declare the herein described adjustment of land certified as Boundary Line
Adjustment Number , on the day of , 20 , by
the Planning Department, subject to the following covenants and conditions:
1. That all subsequent deeds will contain provisions for private roads in the manner
described herein.
2. That all maintenance of any private road described by this declaration shall be by
the owners of the parcels having legal access therefrom or their heirs, assigns, or successors, unless
and until such roads are improved to the subdivision standards and dedicated to and accepted by the
appropriate governmental jurisdiction.
3. That any private road will be subject to the further right of the grantor or his
successor and of any telephone, electric, gas, water, or sewer company, public or private, to lay or
cause to be laid and the right of ingress or egress for the purpose of maintaining telephone, electric,
gas, water or sewer pipes, mains, or conduits across a described portion of such road.
4. That with respect to any private road described by this declaration whether it
remains private or becomes a dedicated road, there is the additional right to make all necessary
slopes for cuts and fills; and the rights to continue to drain said roads and ways over and across any
lot or lots where the water might take a natural course upon reasonable grading pursuant to
improvement for dedication of the roads and ways shown herein. Following reasonable grading
pursuant to improvement for dedication of the roads and ways shown herein, no drainage waters on
any lot or lots shall be diverted or blocked from their natural course so as to discharge upon any public
road rights-of-way or to hamper proper road drainage.
5. That the adjusted legal description of each of the tracts being adjusted is attached
hereto and incorporated by reference as though fully set out herein.
6. That additional covenant, easements, restrictions, if any, solely for the benefit of the
grantor, and his heirs, successors, and assigns enforceable only by such persons, are attached hereto
either as exhibits or as previously recorded under Auditor's File Number
and incorporated by reference as though fully set our herein.
That these covenants are for the mutual benefit of the grantor and his heirs,
successors and assigns and are for the further purpose of compliance with the resolutions and
regulations of the appropriate local governmental jurisdiction, and the local government and such
persons are specifically given the right to enforce these restrictions and reservations by injunction or
other lawful procedure and to recover any damage resulting from such violation.
DATED this - � ��� day of � � � � , 20�
�
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r' i�G
l�can r J Grantor
Grantor Grantor
Grantor Grantor � )"
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STATE OF WASHINGTON )
) ss.
COUNTY OF THURSTON )
On this day personally appeared before me� t---i p fl C�Y`n�� �
to me known to be the individual_described in and who executed the within and foregoing instrument,
and acknowledged that S�'1� signed the same as �--e-� free and voluntary act and
deed, for the uses and purposes therein mentioned.
�
GIVEN under4r�lh�',��I`'��ft1�,q,fficial seal this c�U day of
�4�t����,���� ���,d�f`°'
, 20 l �,�;:'� �' � '"✓,,r
�,�.
� � ^���C�`�G=
�,e��; _ �
o'� ,�,� �; �
'���v���''� ��" NOTARY PUBLIC in and for the State of
�'i�al,�+ j;}��''.�..:..�^"��4gra�`
`��+���'�',3- ����� ��;�ar�° Washington residing at i���Ssa�-bl^�
f�fa��eaa;ss���ii����
�_�
STATE OF WASHINGTON )
) ss.
COUNTY OF THURSTON )
On this day personally appeared before me
to me known to be the individual_described in and who executed the within and foregoing instrument,
and acknowledged that signed the same as free and voluntary act and
deed, for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this day of
, 20
NOTARY PUBLIC in and for the State of
Washington residing at
AUDITOR'S CERTIFICATE
File for record at the request of
this day of , 20 , at minutes past o'clock .m.,
and recorded in Volume of Large Lot Subdivisions on page , records of
Thurston County, Washington.
Thurston County Auditor
By: Deputy