20170107 Permit Pkg 01122017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MOOSE LODGE
Address: P.O. BOX 757
YELM WA 98597
Property Information:
Site Address: 1117 VFI M AVF W
Assessor Parcel No.: 21744120301 Subdivision: N/A
Contractor Information:
Permit No.: 201 70107
Issue Date: 1/12/2017
(Work must be completed within 180 days)
Phone: 360- 458 -3381
Owner:
Name: MOOSE LODGE Phone:
Address:
P.O. BOX 757
YELM WA 98597
Contractor License No.: Expires
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: ROTARY CLUB OF YELM, RUMMAGE SALE. JUNE 23 THRU 24, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
MOOSE LODGE
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true a d correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regul ions including those governing zoning and land subdivision, and in addition, all covenants,
easements nd restrictrns of record. If applying as a contractor, I further certify that I am currently
registered i the State of Was ngton.
Signature Date •'
-AA FirmZjj
Lot: N/A
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
O1f THr>�
YSNING
WASHINGTON
City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
_ Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT /•et �i��'I/ -Z/4'
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City, State and Zip ,C r °
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SITE OWNER M 426
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SITE ADDRESS /LOCATION
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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 reasonably necessa to process this application.
Signed Date
t — 9 'o
— ] ?017
ROUTING: SPECIAL EVENT
TEMPORARY USE
105 Yelm Avenue West
Yelm, WA 98597
Building Section
Planning Section
A;:,
Building Section
..i I ........
(360) 458 -3835
(360) 458 -3144 FAX
www.ci.yelm.wa.us
January 9, 2017
Rotary Club of Yelm
P.O. Box 2534
Yelm, WA 98597
TO WHOM IT MAY CONCERN:
This will acknowledge that the Board of Directors of the Loyal Order of Moose Lodge # 1905, of
Yelm, Washington, located at 1117 West Yelm Avenue, Yelm, Washington 98597, has granted
permission to the Rotary Club of Yelm to conduct their first annual Rummage Sale at the Moose Lodge
Property at the above address, on June 23 and 24, 2017.
Sincerely,
6F�reldMcHen
Training Coordinator
Moose Lodge # 1905