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A_Master Application_180406_v1
DEPARTMENTOFCOMMUNITY&ECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA980571425-430-7200LANDUSEPERMITMASTERAPPLICATIONPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:RotaryRubberDuckyRaceYROJECTIADDRESS(SVLOCATIONANDZIRCODE:i-rommeMouserwaywalkwayovermececarMivectojustnorthoftheWellsStreetBddgeovertheCedarRiver.i5APPhicable)EXISTINGZONING:N/ATRPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):N/ASQUAREFOOTAGEOFPUBLICROADWAYSTOBElCATED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNET(ifapphcable)NUMBEROFPROPOSEDLOTS(ifapplicable)N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):N/ANAME:PROPERTYOWNER(S)ADDRESS:KIIGCOUNTYASSESSOR’SACCOUNTNUMBER(S):EXISTINGLANDUSE(S):N/APROPOSEDLANDUSE(S):N/AEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:N/ACITY:ZIP:TELEPHONENUMBER:APPLICANT(ifotherthanowner)NAME:RentonRotaryCOMPANY(ifapplicable):ADDRESS:PDBOX509CITY:RentonZIP:98057TELEPHONENUMBER:CONTACTPERSONNAME:LarryWarrenCOMPANY(ifapplicable):ADDRESS:CITY:ZIP:MBERANDEMAILADDRESS:warrenlarry6484@gmail.comPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION1H:\CED\Data\Forms-Templates\Self-HeIpHandouts\Planning\MasterAppllcation.docRev:10/2017RECEIVED04/06/2018amorganrothPLANNING DIVISION PROJECTINFORMATION(continued)LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE_________QUARTEROFSECTIONOFRENTON,KINGCOUNTY,WASHINGTON___TOWNSHIP___RANGE___INTHECITYAFFIDAVITOFOWNERSHIPI,(PrintName/s)-Ic4).re_vce4U’tYcr19L.’declareunderpenaltyofperjuryundertijlawsoftheStateofWashingtonthatlam(pleasecheckone)IJIthecurrentownerofthepropertyinvolvedinthisapplicationor[_Jtheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontaineddtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief./I/ia_______________________SignatureofOwnerIRepresb3dftveDateSTATEOFWASHINGTONSSCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatCAWa.c.icFtAip—tapesignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPublicinandf&bieStateofshingtonNotary(Print):DrTmIk-oLAi-riMyappointmentexpires:2NUMBEROFEXISTINGDWELLINGUNftS(ifapplicable):N/ASQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ASQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ANETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):N/ANUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/APROJECTVALUE:Negligible.Theraceisafundraiser,only.ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):UAQUIFERPROTECTIONAREAONEOAQUIFERPROTECTIONAREATWOUFLOODHAZARDAREA______sq.ft.OGEOLOGICHAZARD______sq.ft.UHABITATCONSERVATION______sq.ft.USHORELINESTREAMS&LAKES______sq.ft.UWETLANDS______sq.ft.SignatureofOwner/RepresentativeDateDated3/)/1%H:\CED\DataForms-TempIateself-HeIpHandoutsPIannlng\MasterApplication.docRev:10/2017