City of Yelm Community Development Department BOUNDARY LINE ADJUSTMENT OR LARGE LOT SUBDIVISION Fee Date Received By File No. FEES: Boundary Line Adjustment $100.00 LARGE LOT SUBDIVISION $250.00, + $10.00/lot (In addition, any professional service charges per Resolution #358) PLEASE SUBMIT CURRENT PLAT CERTIFICATE WITH APPLICATION (Limited Liability Title Report) Boundary Line Adjustment Large Lot Subdivision NOTE: ALL CURRENT, ADVANCE, AND DELINQUENT TAXES MUST BE PAID PRIOR TO APPROVAL. (ASSESSOR CAN PROCESS A SEGREGATION FOR PROPERTY ASSESSMENT PURPOSES.) NAME OF PROJECT Owner of Parcel(s) Purchaser of Parcel(s) Representative APPLICANT Mailing Address City, State and Zip Telephone EMAIL OWNER Mailing Address City, State and Zip Telephone EMAIL SURVEYOR Mailing Address City, State and Zip Telephone EMAIL PROPERTY DESCRIPTION General Location Address of Site (if assigned) Area of Project (in acres, if possible) Area of entire contiguous ownership (if other than above) Section Township Range Assessor s Tax Parcel Number(s) of property included in this application: Zoning District Shoreline Designation (if applicable) Comprehensive Plan/Sub-Area Plan Designation Type of on-site structures (give lot numbers) (SHOW LOCATION AND LABEL EACH STRUCTURE ON MAP) 105 Yelm Avenue West (360) 458-3835 Yelm, WA 98597 (360) 458-3144 FAX www.ci.yelm.wa.us
WHAT USES ARE PROPOSED FOR THE VACANT LOTS? The uses must be consistent with zoning. Single Family, on Lots Duplex, on Lots Multifamily, on Lots Commercial, on Lots Industrial, on Lots IF UNDECIDED, LOTS WILL BE REVIEWED FOR ONE SINGLE-FAMILY RESIDENCE PER LOT. Existing sewage disposal: None Septic tank (date installed ) Sewer (SHOW ON MAP) Proposed sewage disposal: None Septic tank Sewer Other Existing water supply: None Individual well on lot(s) # (SHOW ON MAP) Community Well -- Name of System or Owner Municipal Water System -- Name of Municipality Proposed water supply: None Individual Wells Community Well -- Name of System or Owner Municipal Water System -- Name of Municipality Special areas on your project site: (Show checked areas on map) Creek or Stream River (Name) Lake/Pond (Name) Cliffs Draw/Gully None (Name) Swamp/Bog Has a portion of your project site ever flooded? No Do not know Yes, when? (If yes, show area on map) BOUNDARY LINE ADJUSTMENTS ONLY Lot #, Lot Area in Square Feet Lot #, Lot Area in Square Feet Lot #, Lot Area in Square Feet Lot #, Lot Area in Square Feet Does the property being subdivided have city/county/state road frontage? No Yes City of County State If yes, name of road Right-of-Way width of road frontage If no, width and length of private road, easement or right-of-way: feet w by feet l If property to be divided is accessed by a private road, how many other parcels have access by this road? (Include vacant parcels.) (FOR YELM TOWNHOUSE SHORT PLATS ONLY) 1. For existing townhouse units being short platted: Do the common walls meet building and fire codes? Yes No 2. For proposed townhouse units: Has the applicant submitted the following to the Site Plan Review Committee? Yes No (If no, your short plat will be held pending the submittal of those items listed below.) A) Building Plans. Typical front and side elevations and exterior architectural treatments of the proposed units. B) Site Plans. Location of buildings in relation to property and lot lines, off-street parking areas, patio and service areas, including garbage disposal areas, landscaping, walls, fences, public and private streets, driveways, all common facilities, open space and walkways. In addition, lot size, percentage of ground coverage and open space shall be included as data on such plan. A topographic map shall also be submitted showing existing and proposed contours at two-foot intervals and which locates existing streams, lakes, marshes and other natural features. The requirement of the topographic map may be waived by the Site Plan Review Committee if it deems it not necessary. 105 Yelm Avenue West (360) 458-3835 Yelm, WA 98597 (360) 458-3144 FAX www.ci.yelm.wa.us
PLAT MAP (Submit 8 folded blue-line prints) The plat datum, north arrow, date and scale at one inch equals either fifty feet, one hundred feet, two hundred feet, or, for large lot subdivisions only, four hundred feet. The boundary lines of the property to be adjusted. The boundaries of existing adjacent or internal lots, blocks and streets shown with dotted lines. The location and direction of all existing and proposed watercourses, lakes and streams and the location of all areas subject to flooding. The boundaries of any natural resource lands or critical areas as defined by the city. Existing and proposed uses of each lot, including location of all existing structures. Boundaries and proposed use of lands to be reserved for the common use of property owners within the subdivision or of other private organizations. Location of any wells and underground storage tanks within two hundred feet of the proposed subdivision. The location, size and elevation of all existing sewers, water mains, storm water facilities, culverts and other public or private underground installations and utilities within and adjacent to the subdivision, showing points of probable connection; and drawing for water supply stating the source and general distribution system layout; for sewage and wastewater collection and treatment; and for storm water collection, release, drainage and treatment. Location, widths and names of all existing and proposed streets, sidewalks, railroads, power lines, telephone lines within or adjacent to the proposed subdivision. The layout and dimensions of existing and proposed street and alley rights-ofway, utility and access easements and lots and blocks. The location of other significant features such as city limits, section lines and section corners. Existing and proposed survey and elevation monuments. MAIL LABELS (8 ½ X 11 sheet) Large Lot Subdivision ONLY Owners of Property within 300 feet (include Assessor s Tax Parcel Numbers and map). A REDUCED SIZE COPY of the site plan not larger than 11"X17". 105 Yelm Avenue West (360) 458-3835 Yelm, WA 98597 (360) 458-3144 FAX www.ci.yelm.wa.us
DECLARATION OF BOUNDARY LINE ADJUSTMENT AND COVENANTS KNOW ALL MEN BY THESE PRESENTS: That we the undersigned having a real interest in the tract of land described by the declaration; and do hereby declare the herein described adjustment of land certified as Boundary Line Adjustment Number, on the day of, 20, by the Planning Department, subject to the following covenants and conditions: 1. That all subsequent deeds will contain provisions for private roads in the manner described herein. 2. That all maintenance of any private road described by this declaration shall be by the owners of the parcels having legal access therefrom or their heirs, assigns, or successors, unless and until such roads are improved to the subdivision standards and dedicated to and accepted by the appropriate governmental jurisdiction. 3. That any private road will be subject to the further right of the grantor or his successor and of any telephone, electric, gas, water, or sewer company, public or private, to lay or cause to be laid and the right of ingress or egress for the purpose of maintaining telephone, electric, gas, water or sewer pipes, mains, or conduits across a described portion of such road. 4. That with respect to any private road described by this declaration whether it remains private or becomes a dedicated road, there is the additional right to make all necessary slopes for cuts and fills; and the rights to continue to drain said roads and ways over and across any lot or lots where the water might take a natural course upon reasonable grading pursuant to improvement for dedication of the roads and ways shown herein. Following reasonable grading pursuant to improvement for dedication of the roads and ways shown herein, no drainage waters on any lot or lots shall be diverted or blocked from their natural course so as to discharge upon any public road rights-of-way or to hamper proper road drainage. 5. That the adjusted legal description of each of the tracts being adjusted is attached hereto and incorporated by reference as though fully set out herein. 6. That additional covenant, easements, restrictions, if any, solely for the benefit of the grantor, and his heirs, successors, and assigns enforceable only by such persons, are attached hereto either as exhibits or as previously recorded under Auditor s File Number and incorporated by reference as though fully set our herein. That these covenants are for the mutual benefit of the grantor and his heirs, successors and assigns and are for the further purpose of compliance with the resolutions and regulations of the appropriate local governmental jurisdiction, and the local government and such persons are specifically given the right to enforce these restrictions and reservations by injunction or other lawful procedure and to recover any damages resulting from such violation. DATED this day of, 20.
STATE OF WASHINGTON ) ) ss. COUNTY OF THURSTON ) 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, 20. NOTARY PUBLIC in and for the State of Washington residing at STATE OF WASHINGTON ) ) ss. COUNTY OF THURSTON ) 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, 20. NOTARY PUBLIC in and for the State of Washington residing at AUDITOR S CERTIFICATE File for record at the request of this day of, 20, 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
LEGAL DESCRIPTION(S) OF PARCEL(S) I hereby certify that the above legal description(s) are accurate and in compliance with Subdivision Code. Said descriptions (are) (are not) based upon a Recorded Survey. Submitted this day of, 20. Name of Title Co. Or Surveyor Signature
Boundary Line Adjustment BOUNDARY LINE ADJUSTMENT MAP CERTIFICATION OF CONFORMANCE DO NOT WRITE IN BOX FOR OFFICIAL USE I hereby certify that this boundary line adjustment conforms with the requirements of the Platting and Subdivision Ordinance as the adjustment does not create any new lots containing insufficient lot area and dimension to meet the minimum requirements for width and area for building sites. Planning Department