20140275 BLA Applic 11072014Aof T '?� City Yelm o�tN
a,
Fib NOS
Community tin etopment
Department
L BOUNDARYLINE
ADJUSTMENT
OR
LARGE LOT SUBDIVISION
FEES: Boundary Line Adjustment $100.00
LARGE LOT SUBDIVISION $250.00, +$70.00 /lot
(In addition, any professional service charges per Resolution i /358)
PLEASE SUBMIT CURRENT PLAT CERTIFICATE WITH APPLICATION
(Limited Liability Title Report)
X 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
Chy, State antl Zip
Telephone 36 / -/ B - EMAIL dg !'e46it
.[�
OWNER /✓/�iC(/i.0 �.<<%Y%
Mailing Address
City, Stare and Zip_ T V O
Telephon SOs3 3S7 sS'795 MAIL
SURVEYOR p
Mailing Address
City, State and Zio
Telephone EMAIL
TOPE RTY DESCRIPTION
General Location
Address of Site if assigned)
Area of Project (in acres, if possible) /�g A rom
Area of entire contiguous ownership ('d other Man above)
Section ZN Township /7 Range�F.
Assessor's Tax Parcel Number(s) of p perry inducted in this application
2I7tS/ /t/0600 g!17_ 6 P /77HOS�
Zoning Distnd / Shoreline Designation (if applicable)_d//
Comprehensive PlanvSub -Area Plan Designation
Type of an -site structures (give lot number /_07 > GE
GOY A65 1L7Z:G 4 1 ✓/.v4
(SHOW LOCATION AND LABEL EACH STRUCTURE ON MAP)
M. 1--1-- W. (360f ISB -9835
YTm,WA 986%
(36 0) I68 -3I41 PAX
wwu.nyelm.mu.ue
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
Community Well – Name of System or Owner
Municipal Water System – Name of Municipality
Special areas on your project site: (Show checked areas on map)
Non
_ Creek or Stream River
(Name)
(Name)
Lake /Pond
Swarni
(Name)
Cliffs Draw /Gully
Has a portion of your project site ever #coded? No
Do not know
_Yes, when (I es area on map)
BOUNDARY LINE ADJUSTMENTS ONLY
�✓��
Lot# / , Lot Area in Square Feet
Lot #—jf Lot Area in Square Feet
Lot # �r , Lot Amain Square Feet /Z6 825 �1dy /6�S
Lot #_, Lot Area in Square Feet
Does the property being subdivided have city/county/state mad frontage?
No _Yes
City of County State
If yes, name of road
Rightaf -Way width of mad frontage
If no, width and length of private road, easement or right -of -way:_ feet w by _ feet I
If property to be divided is accessed by a private mad, how many other parcels have
access by this road? (Include vacant parcels.)
(FOR YELM TOWNHOUSE SHORT PLATS ONLY)
I . For existing townhouse units being short platted Do the common walk meet building and fire
rodes> Yes No
2. For grob d townhouse units,: Has the applicant submitted the following to the Site Plan
Review Committee? Yes No
(If no, your short plat will be held pending the submittal of pose items listed below.)
A) Buildina Plans Typical front and side elevations and extruder architectural treatments of
the proposed units.
B) Site Location of buildings in relation to property and lot lines, otp street parking
areas, patio and service areas, including garbage disposal areas, landscaping, walls,
Faces, public and private streets, ddvewaye, all common facilNes, open space and
walkwsys. In addition, lot size, percentage bl ground coverage and open space shall be
included se data on such plan. A topographic map shall also be submitted showing
existing and proposed contours al ta,o4b t intervals and which locates existing streams,
Ickes, marshes and other natural resume. The requirement of the topographic map may
I85Yelm gwnue Wu[
Ye (ffia) 4583886
Lry WA 9859) �(86p) f3931if PAX