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DEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENT ------��R.cd-%:nton 0
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: John C. Radovich LLC
ADDRESS: 2835 82nd Ave SE, Ste S-1
CITY: Mercer Island ZIP: 98040
TELEPHONE NUMBER: (206) 910-7236
APPLICANT (if other than owner)
NAME: Alex Bunn
COMPANY (if applicable): Weatherly Inn
ADDRESS: 606 Columbia St NW, Ste #101
CIN: Olympia ZIP: 98501
TELEPHONE NUMBER: (360) 943-3241
CONTACT PERSON
NAME: Frank Durocher
COMPANY (if applicable): RJ Development
ADDRESS: 401 Central St SE
CIN: Olympia ZIP: 98501
TELEPHONE NUMBER AND EMAIL ADDRESS:
(360) 528-3343
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Weatherly Inn Renton
PROJECTIADDRESS(SYLOCATION AND ZIP CODE:
4500 Talbot Rd S
Renton, WA 98055
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
3123059067
3123059094
EXISTING LAND USE(S):
Vacant
PROPOSED LAND USE(S):
Assisted Living
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Commercial Mixed Use
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
Commercial Mixed Use
EXISTING ZONING:
Commercial Office (CO)
PROPOSED ZONING (If applicable):
Commercial Office CO
SITE AREA (in square feet):
202476
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
0
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
2920
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
24.95
NUMBER OF PROPOSED LOTS (d applicable)
2
NUMBER OF NEW DWELLING UNITS (if applicable):
135
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015
PROJECT INFORMAT
NUMBER OF EXISTING DWELLING UNITS (if applicable):
N/A
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): AL: 118,671
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): MC: 21,726
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): MC: 21,726
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (If applicable): 40
ION continued
PROJECT VALUE:
$27,800,000
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
❑ AQUIFIER PROTECTION AREA ONE
❑ AQUIFIER PROTECTION AREA TWO
❑ FLOOD HAZARD AREA
sq. ft.
❑ GEOLOGIC HAZARD
sq. ft.
❑ HABITAT CONSERVATION
sq. ft.
❑ SHORELINE STREAMS & LAKES
sq. ft.
❑ WETLANDS
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following information included!
SITUATE IN THE NE QUARTER OF SECTION 31 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Names) I A, h" declare under penalty of perjury and 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 er/Representative bate
Signature of Owner/Representative Date
STATE OF WASHINGTON )
)SS
COUNTY OF KING )
rG�
! certify that I know or have satisfactory evidence that ' /e ! "L-;'� � ;'� r`J rZc �y� signed this instrument and
acknowledge it to be histher/their free and voluntary act for the uses and purpose mentioned in the instrument.
f - l
Dated 11
in ana for the State of Washington
Notary (Print):
NOTAR Y =�
*
P * e My appointment expires:
i, UBLIC _
�i�14;9UG 14, �`����� 2
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H:\CED\Data\Forms-�e�r olHtfi�MFHelp Handouts\Planning\Master Application.doc
Rev:08/2015