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HomeMy WebLinkAboutA_1601_CUP_Master_Application_221216_v1.pdfPrint Form Reset Form Save'Form DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT . Planning Division 1055 South Grady Way, 6th Floor I Renton, WA 98057 1 425-430-7200 www.rentonwa.gov LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME. B.H. 1601 Lind Ave, LLC ADDRESS: PO Box 49993 CITY: LA STATE: �CA ZIP: k0049 PHONE NUMBER: (310) 820-8888 EMAIL ADDRESS*:Bill.Hardy@BHProperties.com ❑ I prefer to receive all correspondence via US Mail. APPLICANT (if other than owner) NAME: Timothy Posey COMPANY (if applicable):nbb J ADDRESS:223 Yale Ave N CITY: Seattle STATE: WA ZIP: k8109 PHONE NUMBER: (206) 621-2412 EMAIL ADDRESS*:tposey@nbbj.com ❑ I prefer to receive all correspondence via US Mail. CONTACT PERSON NAME: Ben Newton COMPANY (if applicable): University of Washington ADDRESS: Campus Box 352210 CITY: Seattle STATE: WA ZIP: �98195_ PHONE NUMBER (425) 223-6950 EMAIL ADDRESS*:benewton@uw.edu ❑ I prefer to receive all correspondence via US Mail. PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: UW DLMP PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 1601 Lind Ave SW Renton WA 98057 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 334040-4006 EXISTING LAND USE(S): F1:Medical Testing Lab, F2-5 Office PROPOSED LAND USE(S): F1-175 Medical Testing Lab EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Employment Area PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) n/a EXISTING ZONING: CO - Commercial Office PROPOSED ZONING (if applicable): n/a SITE AREA (in square feet): 230,430 SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: n/a SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: n/a PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) n/a NUMBER OF PROPOSED LOTS (if applicable) n/a NUMBER OF NEW DWELLING UNITS (if applicable): 0 NUMBER OF EXISTING DWELLING UNITS (if applicable): 0 PROJECT VALUE: 22,000,000 *By completing the email address field the owner/applicant/contact person is opting to receive all formal notifications and project documents in digital format via email unless otherwise requested. PROJECT INFORMATION (CONTINUED) SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): n/a SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): n/a SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable):, 97,446 SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 197,446 NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): 600 - 750 IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ❑ AQUIFER PROTECTION AREA ONE ❑ AQUIFER PROTECTION AREA TWO I❑ FLOOD HAZARD AREA sq. ft. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. ❑ WETLANDS sq. ft. LEGAL DESCRIPTION OF PROPERTY (Attach legal description on separate sheet with the following information included) SITUATE IN THE SW QUARTER OF SECTION 19 TOWNSHIP 23 N, RANGE 05 _,W.M. IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) ❑ the current owner of the property involved in this application or ❑ the authorized representative to act for a corporation (please attach proof of authorization) and that the foregoing statements and answers herein contained and the information herewith are in all respects true and correct to the best of my knowledge and belief. Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) Signature of Owner/Representative Date certify that I know or have satisfactory evidence that signed this i acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrumen>j Dated Notary Pub jl d for the State of Washington Notary (Print): My appointment expires: t ScL sm-01 Oki e d J ACKNOWLEDGMENTS A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF LOS ANGELES On Vet4W6-r lqt'� ��� , before me, � 0"�e' ( , a Notary Public, personally appeared at&k& who proved to me on the basis of satisfactory evidence to be the persoa(g) whose nanTgs) isle subscribed to the within instrument and acknowledged to me that he/gKe/6ey executed the same in his4yer/4 eir authorized capacity§), and that by hissl eir signatures on the instrument the persor�, or the entity upon behalf of which the persoRI(s),acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature -' Y. WACHTEL Notary Public - California Los Angeles County Co—rrission My # 2281417 Comm. Expires Mar 26, 2023