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Master Application_CODE23-000104_4903 SE 2nd St
CITYOFRENTONIPERMITCENTERLANDUSEPERMITMASTERAPPLICATIONNAME:MorganandDebraNashPHONE:206-390-1205MAILINGADDRESS:4903SE2ndStEMAIL:graflfly32@comcast.netDIprefertoreceiveallcorrespondenceviaUSmail.APPLICANTfifotherthanowner)NAME:N/ACOMPANY(ifapplicable):N/APHONE:N/AEMAIL:N/AMAILINGADDRESS:N/ACIprefertoreceiveallcorrespondenceviaUSmail.CONTACTPERSONNAME:MorganNashCOMPANY(ifapplicable):N/APHONE:206-390-1205EMAIL:granny32@comcast.netMAILINGADDRESS:4903SE2ndStCIprefertoreceiveallcorrespondenceviaUSmail.PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:PROJECT/ADDRESS(ES)ANDPARCELNUMBERS:4903SE2ndStand692800-0490EXISTINGLANDUSE(S):ResidentialPROPOSEDLANDUSE(S):ResidentialEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:RLDPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable):N/AEXISTINGZONING:R-4PROPOSEDZONING:R-4SITEAREA(insquarefeet):9,361SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:0PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable):N/ANUMBEROFPROPOSEDLOTS(ifapplicable):N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):N/ANUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):IPROJECTVALUE:N/ASQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):I,270PROPERTYOWNER(S)rentonwa.gov/oermitcenterIplannin2custpmerservice@rentonwa.govI425-430-72942/16/2023IPage1of2 LANDUSEPERMITMASTERAPPLICATIONLEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENEQUARTEROFSECTION,TOWNSHIP23N,RANGE______,W.MINTHECITYOFRENTON,KINGCOUNTY,WASHINGTONPUGETCOLONYHOMESLESSC&MRTSPlatBlock:AFFIDAVITOFOWNERSHlP,PlatLot:49LO%,’.-Dcvr.t’a’rI,(PrintName/s)‘,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.(Q-i3-3Qa4tniJ(ô(t3/&SignaturofOwner/RepresentativeDateSignatureofOwner/RepresentativeDateSTATEOFWASHINGTON))55COUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatt.r’o’.tsignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPublicinandfortheStateofWashingtonc%lannOv7mLc-k-Notary(Print):Myappointmentexpires:.(4.SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ANETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):N/ANUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):DAQUIFERPROTECTIONAREAONEDAQUIFERPROTECTIONAREATWODFLOODHAZARDAREA_______________SQ.FT.DSHORELINESTREAMS&LAKES_______________SQ.FT.DGEOLOGICHAZARD______________SQ.FT.DWETLANDS______________SQ.FT.DHABITATCONSERVATION______________SQ.FT.Datedrentpnwa.gov/permitcenterIplanningcu$tomerservice@rentonwa.RpvI425-430-72942/16/20231Page2of2