HomeMy WebLinkAboutA_SINGHKAURRESIDENCE_230815_V1.pdfCITY OF RENTON I PERMIT CENTER
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LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: {{ PHONE:
MAILING ADDRESS: �Ja Ia EMAIL: G
❑ 1 prefer to receive all correspondence via US mail.
ADoi irAlUT lif nthpr than owner)
NAME: COMPANY (if applicable): SI
PHONE: G _ ( EMAIL:
MAILING ADDRESS: ( �-L �'� S W
❑ 1 prefer to receive all correspondence via US mail.
rnNTArT DFRSnN
NAME: COMPANY (if applicable): i
PHONE: � _ �. � ]EMAIL-IL.
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MAILING ADDRESS: 02— N niIN
❑ 1 prefer to receive all correspondence via US mail.
PROJECT INFORMATION
PROJECTOR DEVELOPMENT NAME: i S i
PROJECT/ADDRESS(ES) AND PARCEL NUMBERS:
EXISTING LAND USE(S): PROPOSED LAND USE(S):
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: „ 8
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable):
EXISTING ZONING: Q, — b PROPOSED ZONING: P A -
SITE AREA (in square feet): 6 Soo
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: N
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable): f\'
NUMBER OF PROPOSED LOTS (if applicable): [A
NUMBER OF NEW DWELLING UNITS (if applicable): A
NUMBER OF EXISTING DWELLING UNITS (if applicable): /l PROJECT VALUE l S pp 00jD r]a
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable):' S
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): S S
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LAND USE PERMIT MASTER APPLICATION
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): !'
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): n
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable):
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): P1,
IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): nj
❑ 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.
❑ HABITAT CONSERVATION SQ. FT.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE QUARTER OF SECTION , TOWNSHIP
W.M IN THE CITY OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
N, RANGE ,
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
I certify that I know or have satisfactory evidence that �/�l)Lg 17/�< S11116 signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
LITT -2-�
Dated
Notary Public in and for the State of Washington
e�` NOER S ''•,
NOTAR Y Notary (Print):
n c ,' S 'l
:0� PUBLIC o;G
Nam:
�0.� Y appointment expires:
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