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LUA18000020 MASTER APP
DEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTC—Renton0PlanningDivisionLANDUSEPERMITMASTERAPPLICATIONBZIP:PROPERTYOWNER(S)NAME:%]34v4ADDRESS:(tfoSCITY:A’2TELEPHONENUMBER:‘‘73%(z.PROJECTINFORMATIONPROJECTORDEVELOPMEtITt4AME:Cu\oLsPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:i4O\ronoWye10KINGCOUNTYASSESSORSACCOUNTNUMBER(S):5EXISTINGLANDUSE(S):PROPOSEDLANDUSE(S):EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(IIapplicable)EXISTINGZONING:PROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):APPLICANT(ifotherthanowner)NAMENtcolaoCOMPANY(ifapplicable):Qj4JclcLco)ADDRESS:StICITY:ZIP:-TELEPHONENUMBER:Czc)32-7-—41qgCONTACTPERSONNAME:AUC01COMPANY(ifapplicable):j\Ttcoc3ADDRESS:QEII141$HZIP:CITY:-SQUAREFOOTAGEOFPUBLICRDADWAYSTOREDEDICATED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)TELEPHONENUMBERANDEMAILADDRESS:(zob)43811NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELLINGUNITS(ifapplicable):H:\CD\Data\Forms-TempIates\5elf-HeIpHandouts\Planning\MasterApplicaticn.dacRev:08/2015 PROJECTINFORMATION(continued)NUMBEROFEXISTINGDWELLINGUNITS(ifappilcable):SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(itapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):PROJECTVALUE:ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):oAQUIFIERPROTECTIONAREAONEoAQUIFIERPROTECTIONAREATWOElFLOODHAZARDAREAoGEOLOGICHAZARDElHABITATCONSERVATION____oSHORELINESTREAMS&LAKES_____ElWETLANDS_____sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)StTUATEINTHE____QUARTEROFSECTION____TOWNSHIP____RANGE____INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPI,(PrintNamels)_____declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)0thecurrentownerofthepropertyinvolvedinthisapplicationorEltheauthorizedrepresentativetoactforacorporation(pIeasattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.COUNTYOFKINGIcertifythatIknowop-havesatisfactoryevidencethatacknowledgeittobé..NeWtflëi?freeandvoluntaryactfor—sq.ft.sq.ft.sq.ft.sq.ft.Si’gnatdre-dfOwner/RePrese?jeSTATEOFWASHINGTON)SSDateSigrj$eofOwner/Representative‘atei)Dated.::-.i0Ea0[p(IDsignedthisinstrumentand/‘2,lentexpires:2H:\CED\Oata\Forms-Templates\Se[f-HeIpHandout5\Ptannin\Ma5terAppIication.docflew08/2015