20140240 Permit Pkg 09052014 �v� THFp,� City of Yelm Permit No.: 20140240
�
� � Community Development Department Issue Date: 9/05/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
"".`"'""°" Fax: (360)458-3144
Applicant:
Name: PIZZERIA LAGITANA Phone: 360-894-0640
Address: 309 YELM AVE E
YELM WA 98597
Property Information:
site,4ddress: 309 YELM AVE E owner:
Assessor Parcel No.: 22719341901 Subdivision: Lot:
Contractor Information:
Name: PIZZERIA LAGITANA Phone:
Address:
309 YELM AVE E
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: NOW SERVING COCKTAILS, SEPT 8 THRU 21, 2014
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SE PIZZERIA LAGITANA $ 0.00
TOTAL FEES: $ 0.00
Applica Ys Affidavit: OFFICIAL USE ONLY
I certify at I have read and examined the information contained within the application and know the same
to be tr and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm re ulati ing those governing zoning and land subdivision,and in addition,all covenants,
easeme ts an estri ons of record. If applying as a contractor,I further certify that I am currently Final Inspection:
register d in t Stat of Wash n to .
Signatur '� Date � ( Date:
Firm By�
2���0��
a�,�� T"��$.� City of Yelm
� �
Community Development Department
SPECIAL EVENT/TEMPORA.R Y USE
A.PPLICATION
YELM
WASMINGTON
_;� Special Event Sign Permit(�imited to�4 days,4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
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NAME OF PROJECT �G(,�" t,���?�U�n�'� C� -- C�C���
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APPLICANT/BUS/NESS NAME ` -ri �° ° ,
Mailing Address �,1 -`��.��rr� �I�
City, State and Zip � 5 J
Telephone - �- EMAIL U2o13 cZ ,r3''C�1 ,,
City of Yelm Business License Number ��051r�A �
SITE OWNER
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE D��/o�/�r�l y END DATE � �.2� � l{�
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 that I am the owner of the subject site or am duly authorized by
the owner to act with respect to this application. Further, I grant permission from the owner to any and all
employees and representatives of the City cf Yelm and other governmental agencies to enter upon and inspect
said property as reasonably necessary to process this application.
Signed ��' Date d �0���o2F���/
� ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West (360)458-3835
Yelm, WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us