20140250 Permit Pkg 09122014 �o� �H�p�, City of Yelm Permit ►vo.: 20140250
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� Community Development Department Issue Date: 9/12/2014
� (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
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"""",""°" Fax: (360)458-3144
Applicant:
Name: STOMPING GROUNDS ESPRESSO Phone: 360-458-5288
Address: 1008 YELM HWY E
YELM WA 98597
Property Information:
site Address: 1008 YELM AVE E owner:
Assessor Parcel No.: 22730110209 Subdivision: Lot:
Contractor Information:
Name: STOMPING GROUNDS ESPRESSO Phone:
Address:
1008 YELM HWY E
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: ONE YEAR ANNIVERSARY
Fees:
Item Contractor Fees
SE STOMPING GROUNDS ESPRESSO $ 0.00
TOTAL FEES: $ 0.00
Applican s Affidavit: OFFICIAL USE ONLY
I certify t at I have read and examined the information contained within the application and know the same
to be tru and correct Iso certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm re ulations uding those governing zoning and land subdivision,and in addition,all covenants,
easeme ts and strictio of record. If applyi as a contra r,I further ceRify that I am currently Final Inspection:
registere in th tate Washington
� (� ' Date:
Signature a
By:
Firm
�,o� T�p$�` Ci ty o f Ye Zm �'������
� ��
°" Community Deuelopment Department
SPECIAL EVENT/TEMPO�AR Y US�
APPLICATION
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WASMIMGTON
� Special Event Sign Permit(�imited to 14 days,4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT � t�'I���� C��I�'���/Y �.'t,� �U�
APPLICANT/BUS/NESS NAME �� ' �1 ' �' '� �
Mailing Address '� �' `
City, State and Zip � Cr�
Telephone � �a EMAIL - t`l "LL I��� L
City of Yelm Business License Number �'O� �1 ���� � .
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SITE OWNER ' � � - �` '
� Mailing Address ZO -� �- `1
City, State and Zip VYl ��1 � ^
Telephone`� SS -1u�-- , EMAIL ' V _ l r� �-.�('1��.� �
S/TE ADDR�.ES�LOCATION " - i L(�YYI
SITE PARCEL NUMBER
SUMM RY OF R QUEST '� �
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,\
�- . , - , � � � ,
START DATE � ��t END DATE
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 of Yelm and other governmental agencies to enter upon and inspect
said property as reasonahly\cessary to process this application.
Signed ��� � � l 6, Date � ��� ��� ���
� ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Auenue West (360) 458-3835
Yelm, WA 98597 (360) 458-3144 FAX
www.ci.yelm.wa.us