Application Original Info
, '"THE FA.CE OF THis DOCUMENT' HAfA RED BACKGROUND -"NOT A 'WHITE BACKGROUND
RECEIPT No.
5004
'* * ,\ ~"f'OU'" uUPJD1.(.JT". DaiL) 1IR<?' ~~,o.r:\~"'P.\L'7!'Cl
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REGEIVEDFRQM
ROB~FT,A~D JBNNIFtR GALLA~aER
po. B ex 12;5 T
\{BIli'^l ~ \"r;\ qs 5-9<7'
3 LOT SHORT SUBDIVIS:ON
Aty10UNT
RE'f NO
1 :~00:8
DATE
0'31 113 /9-7
REC. NO
500!i
4.<?j0..00
,
t~}E:' ~~
r!IS(::'EL~LA0!!10 us R'I}O.BIPT
S B-AR! .
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/
CI~\Y OF YELM
PO Box479
Yelrn, WA 98597
458-3244
OFFICIAL USE ONLY
Fee 4-O0~ .
Date~eceived 3L!.~ / ~tf .
By L:~ftJif{({~.G.f.~
File No?lb 17.6. (87 y~
APPLICATION FOR
__ SHORT PLAT
I --~--._-" -~'_..
YELM
WASHINGTON
bose of residential, commercial,
lting within any five-year period
~tandards and other regulations
[ public facilities, such as roads,
ley should not be done until pre-
, will usually each take about 30
A short plat is a request to SUbdividel
or industrial development. No more i
I
A short plat is reviewed by the City's j
The plat cannot be approved unless I
sewer and water Although a surveYI
Iiminary short rlnt arproval is grant,
c1nys Unlr>ss nppc;:dccl, tile City Pia
I
!
~ -'--.---.-.--------__.J
NAME OF PROJECT
OWNER
Mailing Address
City, State and Zip
Telephone
APPLICANT
Mailing /\ddress
TelepllOne
ENGINEER/ AnCHITECT/OTHER
Mailing Address ~
City, State and Zip
Teler110ne
l,n6
o
PROPERTY DESCRIPTION
General Location
Site Address Land Area (acres)
Section Township / ( Range J;; Ea s;J-
Assessor's Tax Parcel Number (0 Lf :, 0 3 S (')050 1
y~cri(ltiOn of subject prop:o:'y (attach separate sheet if necess9ry) _ ,
~viJ:to~~?jS::;~k'~~n:/#~~
1 affirm that 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-
t110rized 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 rrQ~t. as re~son &y nece sary to process this application I agree to pay all fees of the City which
arply to th' (1PPlrt~ ~ \'
Signed {~/, 'd~ Date ()S-lf-/9.CJ7 -,~
7 /}/'~~
: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
U i S _ 'L .c" 'Y'I.- ~ ~ G ~ ~,j> \ J fJ/YI, ce -!' .('Q (J r fA/' ,t:.(.. .
<< \ v
w~
2
3
4 Whj!.L provisions ~ill be made for water supply?
r
5 What provisions will be made for sewage? ___
6
7 Wllat provisions will be made for streets, access and/or buses?
... '
,f),'ttAru::L (,/"7Ioe_ tfYny qc.e~..s.5> &r IDJ-.s (-r'C
S Wtlat provisions, if any, will be made for open space and/or recreation?
9 What provisions will be made for schools and school children?
ATTACHMENTS
o Adjacent Property Owners List including Assessors Tax Parcel Numbers ~
o Vicinity map showing nearby property, streets, land uses, streams and other features /'
[] Map showing location and size of water mains, sewer, stormwater facilities and other utilities and points
of connection to existing systems Nof p (dUuf._R_oL-
D Copy of any covenants or restrictions that will apply /
D Grading plan for cuts and fills over 100 cubic yards N / a '1
[] Ten copies of preliminary plat drawing(s) not larger than 1S"x24" showing
1 Datum V
2. Boundaries of all lots and streets in relation to city limits, section lines or corners, plus existing and
proposed survey and elevation monuments. v
3 Lal<cs, streams, wetlands, trees and other natural features ......--
'1 Proposed zoning, use of each lot, and any public or common areas /'/0 r flOIl' cLe. ~
5 Existing buildings and other structures ....--
6 Existing and proposed streets, alleys, sidewalks, railroads and associated rights-of-way ,/
7 Well~ and unde:ground storage tanks. ~ ( P~tJ) . II . 1113
8 On-SIte waste disposal systems and proposed sewer lines and tanks II- Nof r;g(r)(){t:f..~c-t.
9 Existing and proposed street lighting, power, natural gas, television and telephone lines ,-1'111 fJld.l.e4
10 Grade and curvature of streets to 300 feet from the plat. ... 1, _I .,
11 Existing and proposed contours at two-foot intervals (or 5-foot if greater than 5%) :: Nofll()U(~
D A reduced size copy of the plat not larger than 11"x17" ,
i
, . .
-J...., u V I-~ '-' iL-1I '\ti. M' I IV. L. I. . '-' V V . . 11-. . "-' ..... '-" III
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) m jt:<( ub.g!JJb 6..ell.tu~ ()1,. 0007 ()/<f/n///a; tda 9S-597
CO 4- .:.. r!) <.J - 00300 (p q (). 4 - 00 -00'/00 (/~q;lt-l-oo -00500
CUO)f~.f DUL-<-z,nc1.. 00~(rh (filke.n.f-6rt 00~~f~ {)Ia,/UQT &
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. '0qd.Y-O~-OO(P?O . Coq~lf-OO-03~Ob (oqJY '-CJO -03/ 00
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UJfJ /I'") LA)o.. C;r911 CJf://??fO/Ct. Wer. 96'500 aae !Va. 9cP~/3
Gq;;<'1-60~038'OO v'
Hv/'b.t./"f O/ayuo.. ('
err!; 30 cKClh ~~l1 \Pr. s[.
G{~YY\I Lva,0~S91-
.
Include ALL plOpelly owners of IJI
.-I
drecordfwlit!Jill 300 feet of boull- ~
my 0 t 1e property involved (f)
Information may be obt;:1illed (by
appointment) r, orn orfice or
County Assessor, 2000 Lnl<e-
ridge Drive, Olympia, 70G-51\ 10/
1-000-G2<1-123/1
(j; '-/ '?Jo - 6 <0 - 00 q 0 l
8 €..f) JG.f>"\ I 1'1 H &.( p_i-( ,
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1 J OCt; '-I Old Ko/J1efced.o R<i
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Tax F'arcel II
Name
Mailing Address
City, Slale Zip
W
.-I
(L
:2
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(f)
1231\5678910
Kelly Jones
Box 999
YellT1, WA 98597
USE BLACK INK ONLY
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