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DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 | 425-430-7200
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PROPERTY OWNER(S)
NAME:Kenneth E. Neault
ADDRESS: PO Box 2230
CITY. lss3quah, WA ztP:98027
TELEPHONE NUMBER:
APPLICANT 1it other than owner)
NAME: Same aS Owner
COMPANY (if applicable):
ADDRESS:
CITY: ZlP.
TELEPHONE NUMBER:
CONTACT PERSON
NAME:Nicole Mecum
COMPANY (if applicable): Encompass Engineering & Survel
ADDRESS:165 NE Juniper St., Suite 201
CITY: fs5squah, WA ztP:98027
TELEPHONE NUMBER AND EMAIL ADDRESS:
(425) 392-0250
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME
Dylan Short Plat
PROJECT/ADDRESS(SYLOCATION AND ZIP CODE:
1909 Jones Ave NE. 98056
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
334450-01 20
EXTSTTNG LAND USE(S):
Single Family Residence
PROPOSED LAND USE(S):
N/A
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RDL - Residential Low Densitv
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
N/A
EXISTING ZONING
R4
PROPOSED ZONING (if applicable):
N/A
SITE AREA (in square feet):
22,912
SOUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
0
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (if applicable)
2
rrlUMBER OF NEW DWELLING UNITS (if applicable):
LAND USE PERMIT MASTER APPLICATION
1
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017
NUMBER OF EXISTING DWELLING UNITS (if applicable)
1
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): p74
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 574
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): 574
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 1174
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
aOOlicable): p74
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): 5174
PROJECT INFORMATION (contin
LEGAL DESCRIPTION OF PROPERTY
Attach leqal description on separate sheet with the followinq information inclu
SITUATE IN THE SE QUARTER oF SECTION 5 , TOWNSHIP 23 , RANGE 5 , IN THE CITY
OF RENTON. KING COUNTY. WASHINGTON
AFFIDAVIT OF OWNERSHIP
l, (Print Name/s) Kenneth E' Neault
Washingtonthat|am(p|"'H:iffiT:ffii't:l,ffi::ff:lL5f]:,".'^.n:r-"
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 Signature of Owner/Representative
My appointment expires:
7 j ir',r/n )u'7,1) it t ,1'/'(
Date
STATE OF WASHTNGTON )
)SSCOUNTYOFKING '
,/ , \
I certify that I know or have satisfactory evidence tfrat l'r-t t,t tf.}0u 1 - /V.f f.tuL / l- signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
PROJECT VALUE:
500,000r
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
O AQUIFER PROTECTION AREA ONE
O AQUIFER PROTECTION AREA TWO
D FLOOD HAZARD AREA _ sq. ft
O GEOLOGIC HAZARD _ sq. ft
O HABITAT CONSERVATION _ sq. ft
O SHORELINE STREAMS & LAKES _ sq. ft
tr WETLANDS _ sq ft
ffiffiH:\CED\Data\Forms-andouts\Planning\Master Application.doc
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Rev: IO/2OI7