20170259 Permit Pkg 07172017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20170259
Issue Date: 7117/2017
(Work must be completed within 180 days)
Applicant:
Name: WHITE HORSE Phone: 360- 458 -4555
Address: P.O. BOX 876
YELM WA 98597
Property Information:
Site Address: 107 YELM AVE E Owner:
Assessor Parcel No.: 64400500300 Subdivision:
Contractor Information:
Name: WHITE HORSE Phone:
Address:
P.O. BOX 876
YELM WA 98597
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: BEER GARDEN JULY 19 THRU AUGUST 1, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
WHITE HORSE
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulatior'ngluding those verning zoning and land subdivision, and in addition, all covenants,
easements and ons of re rd. If applying as contractor, I further certify that I am currently
registered in th of as gton.
Signature — Daatte� —7- (% - I
Firm A n
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
X70 �Lscf
City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
LM
WA aMINGTOI+f
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 Q lZ wG fL
APPLICANT /BUSINESS NAME : v�
Mailing Address i7C t� oV 2.-7(-,
City, State and Zip y C i �aq , b-,j -
Telephone EMAIL ,,16 e- k or-S
City of Yelm Business License Number — c( 10 '
7 Z
SITE OWNER —
Mailing Address
City, State and Zip
Telephone EMAIL cc u!� X)C I-e V el m
SITE ADDRESS/LOCATION i o-7 cs-t' �ioc,f.,,
f fj , C
SITE PARCEL NUMBER !v L y U o 5 0 b 0-0
SUMMARY OF REQUEST
o I R AL 2. '� U,'l) b ti s
START DATE i ` END DATE 2 I J 7
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
the owner to act with respect to this application. Further, I grant permission from the own Tip
employees and representatives of the City of Yelm and other governmental agencies to e
said property as reaso ably n '-essary to process this application.
2017
Signed �!' Date /
4C G r r C 44�� Sit f I Ly rL,.. 4 A ' F6Z^� rq lbw A4-*(� o r--
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Section
105 Yelm Avenue West '/ (360) 458 -3835
Yelm, WA 98597 5a) fn C,' Ku /1"0 ( C fj . w), '� 0 V (360) 458 -3144 FAX
www.ci.yelm.wa.us
u UtiA k CANN101f (6k" 0(— h6(e61rU17- (360)m -GSti I _�.
PROPOSED SPECIAL EVENT BEER GARDEN, WHITE HORSE TAVERN, 107 E. YELM AVE.
PROPOSED
SPECIAL EVENT AREA
FENCED /GATED OFF
WITH PROPER SIGNAGE
(21 & OVER, ETC.)
STORAGE AREA
3 -STALL PARKING LOT
LOCATION MAP
LIQUOR LICENSED
BAR AREA
WHITE HORSE BUILDING
107 EAST YELM AVENUE
'CURRENTLY FENCED
OFF BEHIND HAR
o�
WHITE HORSE PARISBiG
4' I3 STALLSI
to �' \ TO BE USED FOR SPECIAL EVENT
"Ilk BEER GARD$R
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