HomeMy WebLinkAboutA_Master_Land_Use_Form_Shoreline_Exemption_180227_v1DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S) PROJECT INFORMATION
NAME: King County Wastewater Treatment
Division (WTD)
PROJECT OR DEVELOPMENT NAME:
King County South Plant Biogas and Heating Systems
Improvements Project
ADDRESS: King Street Center
201 South Jackson Street
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
1200 Monster Road SW
Renton, WA
98057 CITY: Seattle
ZIP: 98104
TELEPHONE NUMBER: 206-477-5458
KING COUNTY ASSESSOR’S ACCOUNT NUMBER(S):
King County Parcel Numbers
2423049097, 2423049006 APPLICANT (if other than owner)
NAME:
EXISTING LAND USE(S): Public Utility (King County
South Treatment Plant)
COMPANY (if applicable):
PROPOSED LAND USE(S): Public Utility (King County
South Treatment Plant)
ADDRESS:
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Employment Area
CITY:
ZIP:
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable) N/A
TELEPHONE NUMBER:
EXISTING ZONING: Heavy Industrial (IH)
CONTACT PERSON PROPOSED ZONING (if applicable): N/A
NAME: Chris Dew, King County WTD
SITE AREA (in square feet): 4,375 (temporary
construction entrance within shoreline)
COMPANY (if applicable):
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: N/A
ADDRESS: King Street Center
201 South Jackson Street
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
N/A
CITY: Seattle
ZIP: 98104
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) N/A
TELEPHONE NUMBER AND EMAIL ADDRESS:
206-477-5458
chris.dew@kingcounty.gov
NUMBER OF PROPOSED LOTS (if applicable)
N/A
NUMBER OF NEW DWELLING UNITS (if applicable):
N/A
NUMBER OF EXISTING DWELLING UNITS (if applicable):
N/A
PROJECT VALUE:
$6,900.00
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): N/A
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
AQUIFER PROTECTION AREA ONE
AQUIFER PROTECTION AREA TWO
FLOOD HAZARD AREA 4,375 sq. ft.
GEOLOGIC HAZARD 4,375 sq. ft.
HABITAT CONSERVATION sq. ft.
SHORELINE STREAMS & LAKES 4,375 sq. ft.
WETLANDS sq. ft.
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): N/A
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
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATED IN THE NE QUARTER OF SECTION 24, TOWNSHIP 23 North, RANGE 9 East, 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 inf ormation
herewith are in all respects true and correct to the best of my knowledge and belief.
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that 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 Notary Public in and for the State of Washington
Notary (Print):
My appointment expires: