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DECLARATION OF SHORT PLAT AND COVENANTS
KNOW ALL MEN BY THESE PRESENTS.
WE, THE UNDERSIGNED, being owners of certain real property situated in the City of Yelm,
Thurston County, State of Washington, more particularly described on Exhibit "A", attached hereto and by
this reference thereto incorporated herein as though fully set forth herein, do hereby declare the following
1 That said real property has been subdivided in accordance with the provisions of Chapter
58 17, Revised Code of Washington, and City of Yelm Ordinance No. 185, and that said subdivision was
approved by the City Engineer of the City of Yelm, State of Washington, on the 1.2- day of April, 19.J7
SHS978134YL
, as Short Plat No , subject to the follt..ving covenants and conditions:
(a) Said described real property may not be further subdivided in any manner to
effect a division thereof into more than a total of nine parcels within five years
from the --1.5.. day of April 19.9.."Amless and until a final plat covering said
real property shall have been filed for record with the Auditor of Thurston County,
Washington, pursuant to the provisions of Chapter 5817, Revised Code of
Washington, and applicable ordinances and resolutions of the City of Yelm,
Washington;
(b) All subsequent deeds conveying the said described real property or any portion
thereof shall describe the roads described and shown as private roads on the
subdivision map which is a part hereof and grant the non-exclusive use of all
such roads to the owners of all portions of said real property abutting said roads,
providing access thereto from a public right-of-way
(c) All roads described and shown as private on the subdivision map which is a part
hereof shall be maintained by the owners of the real property having legal access
thereto or their heirs, successors and assigns, unless and until the same are
improved to City of Yelm standards and dedicated to and accepted by the City of
Yelm.
(d) A perpetual non-exclusive easement is hereby reserved for the construction,
maintenance and operation of telephone, electric, gas, water and sewer lines,
mains or conduits, over, across and under the right-of-way of all roads described
and shown as a private road on the subdivision map which is a part hereof
(e) The right hereby reserved to make and maintain all necessary slopes for cuts and
fills upon the said described real property adjacent to all roads (public or private)
described an shown on the subdivision map which is a part hereof in order that
such roads may be graded in a reasonable and proper manner, and the further
right hereby reserved for the drainage of such roads over and across any lot or
lots where the drainage water might take a natural course after reasonable
grading in connection with the improvement of such road for dedication.
(f) No drainage waters on any lot or lots shall be diverted or blocked from their
natural course so as to discharge upon any road right-of-way or to hamper proper
road drainage.
2. Therein attached hereto, marked Exhibit "B", and by this reference thereto incorporated herein
as though fully set forth herein, an illustrative map depicting the subdivision of the said described real
property, which map (is) (is not) based upon an accurate survey
3. Therein attached hereto, marked Exhibit "C", and by this reference thereto incorporated herein
as though fully set forth herein, additional covenants, easements and restrictions pertaining to the above
described real property and reserving to the undersigned (his/her) (their) heirs, successors, and assigns,
certain rights in and to said described real property as more particularly set forth therein.
4 The undersigned by these presents hereby dedicate(s) to the use of the public forever, all
streets, avenues, places and sewer easements or whatever public property as is shown on the above
referenced plat and the use thereof for any and all public purposes not inconsistent with the use thereof
for public highway purposes, together with the right to make all necessary slopes for cuts or fills upon the
lots, blocks and tracts shown on said plat for the reasonable original grading of all public streets, avenues
and places shown thereon
5 With the exception of those covenants identified in paragraph 3 hereinabove, all of the above
specified covenants are for the mutual benefit of the grantor(s) (his/her) (their) heirs, successors and
assigns and for the benefit of the City of Yelm, State of Washington, and said covenants may be enforced
by injunction or other lawful procedure including the recovery of damages resulting from the violation of
such covenants.
DATEDthis~dayof-f~r ,19Ql -
.d~~~
STATE OF WASHINGTON}
COUNTY OF THURSTON }
} ss.
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 thatc::,~igned the same as ~free and voluntary act and deed, for the uses and
purposes therein mentioned
GIVEN under my hand and official seal this dl day of (:~ , 1rg-...,
~~;;:-
St~~ ~ Washington residing at
~ ~-d-'i? -a....,
STATE OF WASHINGTON}
COUNTY OF THURSTON }
} ss.
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 , 19_
NOTARY PUBLIC in and for the
State of Washington residing at
.., "
AUDITOR'S CERTIFICATE
File for record at the request of this _ day of , 19_, 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
--~~- -~----;;:- --.-----,-- ---:--- --~
City of Yelm
105 Yelm Avenue West
PO Box 479
Yelm, Washington 98597
(360) 458-3244
I
PLANNING DEPARTMENT
I
-
DATE March 6, 1997
CASE NUMBER. SHS-978134-YL
APPLICANT Mrs Charles Donaldson
PROJECT LOCATION Third and McKenzie
PROJECT SUMMARY Final Short Subdivision
The enclosed project informatipn.is for your review Please provide written comments or recommendations
to Cathie Carlson by March 24. 1997 Your comments will become partofthe record and utilized in the
decision-making process by staff, Planning Commission or City Council
TYPE OF APPLICATION
_PROPOSED
ol FINAL
LADMINI8TRATIVE
_PLANNING COMMISSION
, ~CITY COUNCIL
_Site Plan Review
~Preliminary Plat
Filial Plat
1L-Short Subdivjsion
~Conditional Use
,--Variance
_Planned Residential Development
_Mixed Use Planned bev~lopment
~Master Planned Development
_Home 'Occupations
Mobile Home Park
TO
-LCity Administrator
~Director of Public Works
C -LBuilding Department
~City Planner
_City Clerk
~Police Department
----'---"- Yelm Municipal Court
~Puget Power
_ Viacom .
~Washington Natural Gas
~Adjacent Property Owners
-,--US Post Office (Yelm)
~Dept. of Ecology
-L Thl}rston County Assessor
_WSDOT
, ~Intercity Transit
_School District
_ Yelin Telephone
~LeMay Garbage Service
~Fire Department
_Thurston County Capcom
_Adjacent Jurisdiction
~ Thurston County Environmental. Health
_Olympic Air Pollution Control Authority
-'-- Yelm Parks Advisory Committee
_ Yelm Chamber of.Commerc~
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A
BACKGROUND
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'*"'~ (.)f '"FILE
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CITY OF YELM
ENVIRONMENTAL CHECKLIST
1. Name of proposed project/ if any:
2. Name of applicant: Mf<~. GHAR.LES Do~ALD~Ot-J
6.
Date checklist prepared:
1-12..-'l~
Agency request~ng checklist:
LITY DF YELM
Proposed timing or schedule
applicable):
A~AP
and phone number of applicant and of
Po Box 50t
YELM I \lJA '165'11
45B-"1554
any other contact
E. Tf(uE &. A~SOC..
Po BoX 906
'(ELM, \AlA. 96597
456-2694
3 .
Address
person:
4.
5.
(including
phasing,
if
7 .
Do you have any plans for future additions / expans~on/ or
further activity related to or connected with this proposal?
If yes/ explain.
~o
8. List any environmental information you know about that has
been prepared, or will be prepared, directly related to this
proposal.
NOIJ E KtJo\<J JJ
9. Do you know whether applications are pending for governmental
approvals of other proposals directly affecting the property
covered by your proposal? If yes/ explain.
t-JDt I<UDvJ ~
10. List any government approvals or permits that will be needed
for your proposal, if known.
CITY OF YELM ENVIRONMENTAL CHECKLIST
forms\sepa
CITY
YELM
OF YEL.M PL.>BLIL WOgKS
PLA ;J JJ I t-J 6- LDM M.. \ 'S'S, ~~ 1
11. Give brief, complete description of your proposal, including
the proposed uses and the size of the project and site. There
are several questions later in this checklist that ask you to
describe certain aspects of your proposal. You do not need to
repeat those answers on this page.
DIVIDE " I~ Ac(<.E~ I J.JTD TWO EQUAL
Sl~(,-lE FAM1L'( JE:E6\ OE~r,'AL L.Ot~
12. Location of the proposal. Give sufficient information for a
person to understand the precise location of your proposed
project, including a street address, if any, and section,
township, and range, if known. If a proposal would occur over
a range of area, provide the range or boundaries of the
site(s). Provide a legal description, site plan, vicinity
map, and topographic map, if reasonably available. You need
not duplicate maps or detailed plans submitted with any permit
applications related to this checklist. I
THE SLY 200' OF BLOclL. 5 OF M'-/<cE0ZIES
~EL.-c>I0D ADD\TIO/J j Bout-JOE'D BY MLKE~21 E 'ST)
WA~~,"-'G-TDJJ. ~T) A~O "3t<D AVE LOLA'IcD I~J Tl-.IE
~\AJ V-" OF ,HE svJ I/~ cF ~EL 1'1 J Tll 1\..1, R 2 E '
B. ENVIRONMENTAL ELEMENTS
1.
Earth
a. ~:~~al description of the
lat rolling, hilly,
o er
site (circle one):
steep slopes, mountainous,
b. What is the steepest slope on the site (approximate
percent slope)? ~ loro
c. What general types of soils are found on the site (for
example, clay, sand, gravel, peat, muck)? If you know the
classification of agricultural soils, specify them and
note any prime farmland.
&~AVELY LOAM
d. Are there surface indications or history of unstable
soils in the immediate vicinity? If so, describe.
rJo
CITY Of YELM ENVIRONMENTAL CHECKLIST
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PAGE 2
e. Describe the purpose, type, and approximate quanti ties of
any filling or grading proposed. Indicate source of
fill.
t-JO P~Y5\LAL L~AI-J&ES WILL C>LLuR. O~ "SITt:.
f.
Could erosion occur
construction, or use?
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as a resul t nf clearing,
If so, generally describe.
g.
About what percent of the site will.-be covered with
impervious surfaces after project construction such as
asphalt or buildings?
TWO ~1~&LE FAMlLY (<:€'S,OE~.J(ES At-.-1P A.
f.:rA -r<-AJsE E)( \ ~, 0 tJ ~'TE LOV E f21 ".1 C:r <:.. I D ~o of
11-\E t>U~FA(e:,
Proposed measures to reduce or control erosion, or other
impacts to the earth, if any:
h.
~o0E
2. Air
a. What types of emissions to the air would result from the
proposal (i. e. , dust, automobile exhaust, odors,
industrial wood smoke) during construction and when the
project is completed? If any, generally describe and
give approximate quantities if known.
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b. Are there any off-site sources of emissions or odor that
may affect your proposal? If so, generally describe.
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c. Proposed measures to reduce or control emissions or other
impacts to air, if any:
}JoJJ E
3. Water
a. Surface Water
1) Is there any surface water body or wetland on or in the
immediate vicinity of the site (including year-round and
seasonal streams , saltwater, lakes, ponds)? If yes,
describe type and provide names. State what stream or
river it flows into?
tJo
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 3
2) Will the projec~ require any work over, in, or adjacent
to (within 300 feet) the described waters? If yes,
please describe and attach available plans.
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3) Estimate the amount of fill and dredge material that
would be placed in or removed from surface water or
wetlands and indicate the area of the site that would be
affected. Indicate the source of fill material.
tJ/A
4) will the proposal require surface water withdrawals or
diversions? Give general description, purpose, and
approximate quantities if known.
~o
5) Does the proposal lie within a 100-year floodplain? If
so, note elevation on the site plan.
~o
6) Does the proposal involve any discharges of waste
materials to surface waters? If so, describe the type of
waste and anticipated volume of discharge.
00
b. Groundwater:
1) will groundwater be withdrawn, or will water be
discharged to groundwater? Give general description,
purpose, and approximate quantities if known.
~o
2) Describe the underlying aquifer with regard to quality
and quantity, sensitivity, protection, recharge areas,
etc.
l> 0 It(}jO w JJ
3) Describe waste material that will be discharged into or
onto the ground from septic tanks or other sources, if
any (such as domestic sewage; industrial byproducts;
agricultural chemicals).
~oUE
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 4
c. Water Runoff (including storm water):
1) Describe the source of runoff (including storm water) and
method of collection and disposal, if any (include
quantities, if known). Where will this water flow? will
this water flow into other waters? If so, describe.
~A\L>~AL STDtC.M WA rER.. Df<AHJAb-~ A ~
IT >Jow E)( I~T~ ,
2) Could waste materials enter ground or surface waters? If
so, generally describe.
00
d. Proposed measures to reduce or control surface, ground,
and runoff water impacts, if any:
IJoi-J E
4. Plants
a. Check or circle types of vegetation found on the site:
)(
x:
\(
deciduous
evergreen
shrubs
grasses
pasture
crops or grains
wet soil plants: cattail, buttercup, bulrush,
skunk cabbage, other
water plants: water lily, eelgrass, milfoil, other
other types of vegetation
tree: ~r, maple, oak, aspen, other
tree: fir cedar, pine, other
FE \.\.l
b. What kind and amount of vegetation will be removed or
altered?
lJo P~YSILAl lJ..-lAf.._1&F.:~ \.c\ ILl OLLu(2... oJJ SlIT
c. List threatened or endangered species known to be on or
near the site.
JJ 0\ /C-ll 0 V'J rJ
d. Proposed landscaping, use of native plants, or other
measures to preserve or enhance vegetation on the site,
if any:
Ex \ 511 j\j G- LA 10 D ::'LA P "J &-
5. Animals
a. Circle any birds and animals which have been observed on
or near the site or are known to be on or near the site:
birds: hawk, heron, ducks, eagle, ~~s,
other:
mammals: deer, bear, elk, beaver, other:
fish: bass, salmon, trout, shellfish, other:
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 5
b. List any priority, threatened or endangered species known,
to be on or near the site.
MDT ~DW;j
c. Is the site part of a migration route? If so, explaln.
I~O' ~JJbW to
d. Proposed measures to preserve or enhance wildllfe, If
any:
~o0E
6. Energy and Natural Resources
a. What kinds of energy (electric, natural gas, gasoline,
heating oil, wood, solar etc.) will be used to meet the
completed project's energy needs? Describe whether it
will be used for heating, manufacturing, transportation,
etc. EX-ISTl U& 'SYS1E(AS
b. Would your project affect the potential use of solar
energy by adjacent properties? If so, generally
describe.
~O
c. What kinds of energy conservation features are included
in the plans of this proposal? List other proposed
measures to reduce or control energy impacts, if any:
kloklE
7. Environmental Health
a. Are there an~ environmental health hazards, includlng
exposure to toxic chemicals, risk of fire and explosion,
spills, of hazardous waste, that could occur as a result
of this proposal? If so, describe.
~O
1) Describe special emergency services that might be
required.
kto CWAtJ&E
2) Proposed measures to reduce or control environmental
health hazards, if any:
tJou F
b.
1 )
Noise
What types of noise exist in the area which may affect
your project (for example: traffic, equipment operation,
other)?
~ol1E
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 6
2) What types and levels of noise would be created by or
associated with the project on a short-term or a long-
term basis (for example: traffic, construction,
operation, other)? Indicate what hours noise would come
from the site.
~otJ E
3 )
Proposed measures to reduce or control nOlse impacts, if
any:
~buE
8. Land and Shoreline Use
a. What is the current use of the site and adjacent
properties?
TvJO 'S1~&Lt: r=:AMILY I2-E'SIOEIJLES E)(16\
b. Has the site been used for mineral excavation,
agriculture or forestry? If so, describe.
l'-lD
d.
Describe any structures on the site. -DE'::', DE I I LE<::
TWO -o11J&LE FAMILV) TWo 5TDf2'( r--- v "-\ ..:l
AlJD A &Af2..A&E.
Will any structures be demolished? If so, what?
!-JD
c.
e. What is the current comprehensive plan designation of the
site?
Ri - 6IMGs-LE FA~\L.V (<ESt DEI-.JrIAL
f. What is the current zoning classification of the site?
1<1 - C:Olk.l&L.E FAMIL'{ ~ES\DE"JJ\IAL
g. If applicable, what is the current shoreline master
program designation of the site?
w)A
h. Has any part of the site been classified as a "natural
resource", "critil::al" or "environmentally sensitive"
area? If so, specify.
!-JoT KJ..JDW J
i. Approximately how many people would reside or work in the
completed project?
T\,(j() ~IIJ&LE FAMIL'E~ AR-E RE"6I()I~G- o~ 'SITE
j. Approximately how many people would the completed project
displace?
~oDE
k. Proposed measures to avoid or reduce displacement
impacts, if any:
WOU E
PAGE 7
CITY OF YELH ENVIRONMENTAL CHECKLIST
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. ,
1. Proposed measures to ensure the proposal is compatible
with existing and projected land uses and plans, if any:
)JD1-J E
9. Housing
a. Approximately how many units would be provided, if any?
Indicate whether high, middle, or low-income housing.
~O PI_l'(SILA-L C-~jA-~&E~ \AJ ILL OLLuR- 00 S lIE
b.
Approximately how many units,
eliminated? Indicate whether high,
housing. t-JDt-JE
If any, would be
middle, or low-income
c.
proposed measures to reduce or control housing impacts,
if any:
~louE
10. Aesthetics
a. What is the tallest height of any proposed structure(s),
not including antennas; what is the principal exterior
building material(s) proposed?
ST~0CTURES E>Z\Sr
b. What views in the immediate vicinity would be altered or
obstructed?
t-JO CHAUG-E
c. Proposed measures to reduce or control aesthetic impacts,
if any:
Uo'u E
11. Light and Glare
a. What type of light or glare will the proposal produce?
What time of day would it mainly occur?
~o LI-IA~J&F
b. Could light or glare from the finished project be a
safety hazard or interfere with views?
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CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 8
c. What existing off-site sources of light or glare may
affect your proposal?
tJOkll-
d. Proposed measures to reduce or control light and glare
impacts, if any:
,.JDJJ c
12. Recreation
a. What designated and informal recreational opportunities
are in the immediate vicinity?
YEL-AA LoMMut-J IT\( PAea::::. Yl BLOLK- JJ W L y'
b. Would the proposed project displace any existing
recreational uses? If so, describe.
"-10
c. Proposed measures to reduce or control impacts or provide
recreation opportunities:
DouE
13. Historic and Cultural Preservation
a. Are there any places or objects listed on, or proposed
for, national, state, or local preservation registers
known to be on or next to the site? If so, generally
describe.
hiO\ I<UOW tJ
b. Generally describe any landmarks or evidence of historic,
archeological, scientific, or cultural importance known
to be on or next to the site.
~ 0 1J E )<.k1 0 \-<..1 !\J
c. Proposed measures to reduce or control impacts, if any:
klo1JE
14. Transportation
a. Identify sidewalks, trails, public streets and highways
serving the site, and describe proposed access to the
existing street system. Show on site plans, if any. RO
SITE BOL)~OE() BY WA-ol-ln..1&ra.J ~,-- t.JEt...Y)"3 AvE
"bELY &< ML~E02'E ST -5WLY E)(I~T'''-'&A(LE"~~ Pf2-oPoSEO.
b. Is site currently served by public transit? By what
means? If not, what plans exist for transit service?
YE ~ r: ~rrf (<..L ITY ~A)j ':) II 'S E ev t ( E D}J E B LO L t..
~ E L y.
c. How many parking spaces would the completed project have?
How many would the project eliminate?
tJ 0 c.J.J ,b.JJ (;E 1 t-J
PAR...KI~G-
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 9
d.
will the proposal require any new sidewalks, trails,
roads or streets, or improvements to existing sidewalks,
trails, roads or streets, not including driveways? If
so, generally describe (indicate whether public or
private).
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e.
will the project use (or occur in the immediate vicinity
of) water, rail, or air transportation? If so, generally
describe.
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f. How many vehicular trips per day would be generated by
the completed project? If known, indicate when peak
volumes would occur.
fJo L~A:JJ &E" FR-oA^ CUt<.~EkJr '5 11U All 0 JJ
g. Proposed measures to reduce or control transportatlon
impacts, if any:
~\ 0 JJ E
15. Public Services
a.
Would the project result in
services (for example:
protection, health care,
generally describe:
~O
an increased need for public
fire protection, police
schools, other)? If so,
b. Proposed measures to reduce or control direct impacts on
public services, if any.
~lo,Jt:
16. Utilities
a. Circle utilities ~~tlY available at the site:
ele~ity, natu~ 1 as, ~, refus~ervice,
te~e, sani~ewer, septlc system, other.
b. Describe the utilities that are proposed for the project,
the utility providing the service, and the general
construction activities on the site or in the immediate
vicinity which might be needed.
~O CJ.-lAI~(,-E PRDPo6ED
C. SIGNATURE
The above answers are true and complete to the best of my
knowledge. I understand that the City of Yelm is relying on
them to make i~CiSion.
Signature: /iL..e-.J, 12 i3~
Date Submitted: l- 1'2..';'
CITY OF YELM ENVIRONMENTAL CHECKLIST
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PAGE 10
ADJACENT PRO',P'~E~RTY OWNERS LIST
Include ALL property owners of ~
record within 300 feet of boun- ?:
dary of the property involved (j)
Information may be obtained (by
appointment) from Office of
County Assessor, 2000 Lake-
ridge Drive, Olympia, 786-54101
1-800-624-1234
(OLIl/oo6oo 100
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Tax Parcel #
Name
Mailing Address
City, State Zip
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12345678910
Kelly Jones
Box 999
Yelm, WA 98597
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POBox 479 OFFICIAL USE ONLY
Yelm, WA 98597 Fee ~ t~
:,...-~
458-3244 0-
.' .---~ Dat~i' iveq ~.. .7
APPLICATION FOR ~Q ~J'" \\ ';!J <:; :2..t L
SHORT PLAT " \'l~ :~e ~~t.'.Lo.l:"'T
\\~
Fee $50 00 per lot ~).'i. ,,' . ~ \~'i; ,
(Plus any profession~1 service Charge.J,~J ,et v~ ~ \ 1t:;Y
per Resolution 252) {\',\ '\\ . Y c..;~!
.~ f;)~~~~
, \
. 'A .short plat is a request to subdivide property into four or fewer lots for the purpose of residential, commercial,
or industrial development. No more than four lots may be created by short platting within any five-year period
A short plat is reviewed by the City's staff for conformance with City subdivision standards and other regulations
The plat cannot be approved unless appropriate provisions have been made for public facilities, such as roads,
sewer and water Although a survey is required for the final short plat, the survey should not be done until pre-
liminary short plat approval is granted by the City Preliminary and final review will usually each take about 30
days Unless appealed, the City Planner's decision is final
CITY OF YELM I
YELM
WASHINGTON
NAME OF PROJECT
DoI-lA LD SO N 5Ho~:r P/...Ar-
APPLICANT
Mailing Address
City, State and Zip
Telephone
N\R'S, c..HAeLE5 Do/'JALD ":>O~
Po Box 607
YELAA \AlA. 965'1/
,
456 - 755.:q
OWNER
Mailing Address
City, State and Zip __
Telephone
SAME
ENGINEER! ARCHITECT/OTHER
Mailing Address
City, State and Zip
Telephone
E. Tf<UE AI-J D A'SScx:.-
Po Box qoe
YELM, WA '165C},
( 2O(p ') 456 - 2. ro'94
SUMMARY OF REQUEST
To
T\A..J 0
loTS.
~L>BO'VIDE /,14 AC~E5 TIJr-O
E=QuAL SIIJ&LE J=:AAAILY RESIOE)JTIAL
PROPERTY DESCRIPTION, f
General Location THE SLY LCO OF BLOU.( F) OF M[~E~2IES_
oECo"-.tD AlJDITloJ ( T~E PAfUEL !Jo,e.rH DF r:~r M(.V-E,.Jl.IE ST I 3 (qJAVE)
Site Address 211 \..\JA~t-lI/J&To.J A \IE Land Area (acres) I ; 14 A(~/::.s
Section l~ Township 17 ~ Range 2E
Assessor's Tax Parcel Number 2:21.19 3Ll 0600
Full legal description of subject property (attach separate sheet if necessary)
otJ ~ITE PLAd
I affirm tllat all answers, statements and information contained in 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 au-
thorized by ttle owner to act with respect to this application Further, I grant permission from the owner to any
and all employees and representatives of tile City of Yelm and other governmental agencies to enter upon and
inspect said property as reasonably necessary to process this application I agree to pay all fees of the city which
apply to tbis application
Signed
Date
-~.D..
.
J.
-,.
PLEASE ANSWER THE FOllOWING QUESTIONS
ATTACH EXTRA PAGES IF NECESSARY
Do the subdivision's lot sizes, proposed use, etc , conform with the zoning of the property? Please explain
YES.. THE Pf'DPoSAL (oJJFOf<MS \-JIm TI-lE LO)J/t.JG- OF
,/-I E f~PE RTY .
2 Are any provisions proposed to minimize conflicts with neighboring land uses? Describe
tJo. THE~J:: WILL BE ~o PI-\Y'~ILAL CJ-IAt-J&ES TO
THE Pf<OPE{2.TY IkJ Q UESTt O~
3 Is the site within 300 feet of any "critical areas" such as wetlands or streams?
NO
4 What provisions will be made for water supply?
(..11'( OF YELM WATER. ~YSlE.A.A - EXI ~TI}J G-
5 What provisions will be made for sewage?
L'TV OF YEW <SE\~Jf=R. "bY51 EM -EX: 15TI}J G-
6 What provisions will be made for stormwater and/or flood control?
IJo JJ E
7 Wllat provisions will be made for streets, access and/or buses?
tJo~ I::
8 What provisions, if any, will be made for open space and/or recreation?
~OJ.JE
9 What provisions will be made for schools and school children?
IJo0 E
ATTACHMENTS
o Adjacent Property Owners List including Assessors Tax Parcel Numbers
o Vicinity map showing nearby property, streets, land uses, streams and other features
o Map Showing location and size of water mains, sewer, stormwater facilities and other utilities and points
of connection to existing systems
o Copy of any covenants or restrictions that will apply
o Grading plan for cuts and fills over 100 cubic yards
o Ten copies of preliminary plat drawing(s) not larger than 18"x24" showing
1 Datum
2. Boundaries of all lots and streets in relation to city limits, section lines or corners, plus existing and
proposed survey and elevation monuments
3 Lakes, streams, wetlands, trees and other natural features
4 Proposed zoning, use of each lot, and any public or common areas
5 Existing buildings and other structures
6 Existing and proposed streets, alleys, sidewalks, railroads and associated rights-of-way
7 Wells and underground storage tanl<s
8 On-site waste disposal systems and proposed sewer lines and tanks.
9 Existing and proposed street lighting, power, natural gas, television and telephone lines
10 Grade and curvature of streets to 300 feet from the plat _
11 Existing and proposed contours at two-foot intervals (or 5-foot if greater than 5%)
o A reduced size copy of the plat not larger than 11 "x17"