20170191 ApplicationCommunity Development
Department
City of Yelm
105 Yelm Ave W
Yelm, WA 98597
OFFICIAL USE ONLY
Date Received: (11
Received By:
CIVIL PLAN REVIEW APPLICATION
USE BLACK INK ONLY
Owner: Q MAA
PROPERTY LOCATION:
North South East West side of.
(road na m V
e): G^ G1 k
Address: %
City 8s State: i `6 7
Phone:
Zip: —
2 �Yl ,k 2Mp h ma; 1, Co t
Between (road name)
And (road name)
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Property Address: 14 0 �y � 'l V M C; 1c
Q WA
c
Applicant: ) a
Address:
City d State:
Zip: Phone:
Engineer: Fr—r; K
Section: Township Range
Assessors Parcel No. i l 0 0— 7 ��
Address: O a_ 2 d y�.Yhwa.�tr
city a State
Zip: Phone: `
SUMMARY OF REQUEST (List type of uses)
FOR OFFICIAL USE ONLY
Fire District Requirements Yes No
Fire Flow Required );pm
Water connection estimate
Sewer connection estimate
Easements required
No. of proposed dwelling units:
Dimensions of property: 1 AI AL
otal sq.ft. of site:
Right-of-way required
�y
Total sq.ft. in buildings: Z. n
Bonding required
Total sq. ft. in paved and covered surfaces (include buildings, drive
streets, sidewalks, and parking lots)
Miscellaneous
A cursory check of the plans against the attached plan checklist will be made by the Development
Engineer. If the plans meet the minimum checklist requirements as to content, they will be routed to the
appropriate City staff and the plan review process will begin. If minimum checklist requirements are not
met, plans will be returned to submitting engineer.
H: \CDD Data \Forms and Procedures \Civi IPlanReviev.,\Civi lPlanApp. doe
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1� SEP 0 8 2017
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