HomeMy WebLinkAboutLand Use Master Application NotarizedP,
CITY OF RENTON I PERMIT CENTER
LAND USE PERMIT MASTER APPLICATION
0
PROPERTY OWNER(5)
NAME: H*11de Tzemos and Kevin Alber
PHONE 509.308.7489
MAILING ADDRESS: 2911 Cedar Ave S, Renton WA 98055 ENAA1L:micje.tzemos(a)gm
I -
1 O I prefer to receive all correspondence via US mail.
APPLICANT (if other than owner)
NAME-.,- same as abase
PHONE:
MAILING ADDRESS.
E] I prefer to receive all correspondence via US mail.
CONTACT PERSON
NAME: W'1'111*
PHONE: 206,795.0289
MAILING ADDRESS: 7523 1 1th Ave NW Sea
D I prefer to receive all correspondence via US mail.
am J Scales, AIA
PROJECT INFORMATION
the WA 98117
COMPANY (if applicab
EMAIL.
ail.com
COMPANY (if applicable): Drystone Studio PLLC�
EMAiL:will@drystonestudio.com
PROJECTOR DEVELOPMENT NAME: Tzemos-AlI�ef RemodellAddlt1011
PROJECT/ADDRESS(ES)AND PARCEL NUMBERS: 2911 Ceda
EXISTING LAND USE(S): Single Family Residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: RMD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
EXISTING ZONING: R-8
r Ave S
Renton WA 98055 889870-1110
PROPOSED LAND USE(S): SingieFamiyResieeneal(existing,nochange)
(if applicable):eXlStlflg, no change
PROPOSED ZONING: R-8
SITE AREA (in square feet): 7500Sf (existinc-1, no change)
SQUARE FOOTAG
�E OF PUBLIC ROADWAYS TO BE DEDICATED: n/a
no change)
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable): 1 (existing, no change
NUMBER OF PROPOSED LOTS (if applicable): 1 (existing, no change)
NUMBER OF NEW DWELLING UNITS (if applicable): I (existing, no change)
NUM
BER OF EXISTING DWELLING UNITS (if applicable): I (existing, no change) PROJ ECT VALUE: $ %0 0 , 0 0 0
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 126C
SQUARE FOOTAG
f (addition)
E OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 3253sf
existing house
rentonwa.gov/permitcenter I planningcustomerserv-ice@rentonwa.gov 1425-430-7294 2/I6/2023 1 Page 1 of 2
LAND USE PERMIT MASTER APPLICATION
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable) : n/a
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDING
NET FLOOR AREA ON NON-RESIDENTIAL BUIL
NUMBER OF EMPLOY
S TO REMAIN (if applicable): n/a
rINGS (if applicable): n/a
EES TO BE EMPLOYED BY THE NEW PROTECT (if applicable): n/a
IS THE SITE LOCATED I N ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable):
El AQUIFER PROTECTION A
El FLOOD HAZARD AREA
ii GEOLOGIC HAZARD
REA ONE ❑ AQUIFER PROTECTION AREA TWO
❑ HABITAT CONSERVATION
LEGAL DESCRIPTION OF PROPERTY
SQ., FT. ❑ SHORELINE STREAMS & LAKES
SQ. FT. El WETLANDS
SQ. FT.
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE NW QUARTER OF SECTION 29 ,TOWNSHIP 23 N, RANG
W-M IN THE CITY OF RENTON, KING COUNTY, WASHINGTON
SQ* FT.
SQ. FT-9
E 5 1
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) "'k°Tzm"'°'"`'" declare under penalty of perjury under the laws of the State of Washington that 1 am {please
check one) the urrent owner of theLpropert volved in this application or the authorized representative to act for a
corporation(Please attac proota authorization} and that the foregoing statements and answers herein contained
and the inform3*n herewith are in all respects true and correct to the best of my knowledge and belief.
III Z��11111 0I
dw 11 =11
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Signature of owner/Representative
STATE Of WASHINGTON
� Ss
COUNTY OF KING
Date Signature of owner/Representative
Date
certify that I know or have satisfactory evidence that/I,qm"tuW P Ib� signed this instrument and
acknowledge ft to be his/her/their tree and voluntary act for the uses and purpose mentioned in the instrument.,
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Dated ��`� G FUt Notary Public in and for the State of Washington
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appointment expires:
F , L., 7- 1)01F' /\"
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rentanwa.gov/permitcenterI planningcustomerser-vice@rentonwa.gov 1425-430-7294 2/16/2023 1 Page 2 of 2