HomeMy WebLinkAboutA_Master_Application_230912_v1.pdfCITY OF RENTON I PERMIT CENTER
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Michael Elliott PHONE:206-947-9085
MAILING ADDRESS: 10034 SE 218th Place, Kent, WA 98031 EMAIL: mikeelliott@windermere.com
❑ I prefer to receive all correspondence via US mail.
APPLICANT (if other than owner)
NAME: Michael Elliott COMPANY (if applicable):
PHONE: 206-947-9085 EMAIL: mikeelliott@windermere.com
MAILING ADDRESS:10034 SE 218th Place, Kent, WA 98031
❑ 1 prefer to receive all correspondence via US mail.
CONTACT PERSON
NAME: Amy Donlan, Land Use Planner COMPANY (if applicable):
PHONE: 425-961-2222 EMAIL: ADonlan@Encompasses.net
MAILING ADDRESS:165 NE Juniper Street, Suite 201, Issaquah, WA 98027
❑ 1 prefer to receive all correspondence via US mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME: Index Ave Townhomes
PROJECT/ADDRESS(ES) AND PARCEL NUMBERS:1709 Index Avenue NE, Renton, WA 98056
EXISTING LAND USE(S): Multi -Family Residential PROPOSED LAND USE(S): Multi -Family Residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Residential High Density (RHD)
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable): No change
EXISTING ZONING: R-14 PROPOSED ZONING: No change
SITE AREA (in square feet): 16,041 square feet
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: 206 square feet
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable):4
NUMBER OF PROPOSED LOTS (if applicable): 1
NUMBER OF NEW DWELLING UNITS (if applicable): 2 (1 new duplex)
NUMBER OF EXISTING DWELLING UNITS (if applicable): 2 (1 duplex) PROJECT VALUE: TBD
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 4,599 SF
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable):2,337 SF
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LAND USE PERMIT MASTER APPLICATION
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): NIA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): N/A
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): N/A
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
❑ FLOOD HAZARD AREA SQ. FT, ❑ SHORELINE STREAMS & LAKES SQ. FT.
❑ GEOLOGIC HAZARD SQ. FT. ❑ WETLANDS SQ. FT,
0 HABITAT CONSERVATION SQ, FT,
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE SW
QUARTER OF SECTION 4 TOWNSHIP 23 N, RANGE 05 E
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 proper# involved in this application
and that the foregoing statements and answers herein contained
and the information herewith 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
I certify that I know or have satisfactory evidence that M Icf)ge l —1140 �// G f signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
ANZHELIKA SHUTOVA
Notary Public
State of Washington
Commission # 22025908
µy Comm. Expires Sep 15, 2026
Notary Public in and for the State of Washington
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Notary (Print):
My appointment expires: S `op , �
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