HomeMy WebLinkAboutA_2024_1112 Renton RFA Lot Combination ApplicationreŶtoŶǁa.goǀ/perŵitceŶter | plaŶŶiŶgcustoŵerserǀice@reŶtoŶǁa.goǀ | ϰϮϱ-ϰϯϬ-ϳϮ9ϰ Ϯ/ϲ/ϮϬϮϯ Page Ϯ of Ϯ
LOT COMBINATION
APPLICATION FOR LOT COMBINATION
NATURE OF REQUEST:
TAXPAYER/OWNER NAME: PHONE:
ADDRESS:
APPLICANT NAME: PHONE:
ADDRESS:
AGENT NAME: PHONE:
ADDRESS:
PARCEL DATA
SITE ADDRESS: PARCEL #:
QUARTER SECTION: SECTION:
TOWNSHIP: RANGE:
RELATED PARCELS: EXISTING ZONING:
SHORELINE ENVIRONMENT:
LEGAL DESCRIPTION:
All diŵeŶsioŶs ŵust ďe shoǁŶ, total sƋuaƌe footage ŵust ďe shoǁŶ oŶ ƌeǀised lot dƌaǁiŶg. Please list paƌĐel Ŷuŵďeƌs
foƌ the oƌigiŶal lots.
Return Address:
City Clerk’s Office
City of Renton
1055 South Grady Way
Renton, WA 98057
Title:
DECLARATION of LOT COMBINATION
Property Tax Parcel Number(s):
Project File #:
LUA____-______-LC
Address or Intersection:
Section _____ Township _____ North Range _____ East, W.M., City of Renton, King County, Washington
Grantor(s): Grantee(s):
1. 1. City of Renton, a Municipal Corporation
I (We), hereby certify that I am (we are)
the owner(s) of the property described in Exhibit ‘A’ on page ____, said property being in common
ownership, do hereby petition the City of Renton to allow the separate parcels to be combined into
single legal lot(s) of record as described in Exhibit ‘B’ on page ____, as specifically allowed by the
Revised Code of Washington, Section 58.17.040 (6). The Map Exhibit on page ____ depicts the
original and the hereby revised parcels.
NOW THEREFORE, in consideration of the mutual benefits to accrue herefrom and by signing hereon,
the parties do for themselves, their heirs and assigns, revise the boundary lines of the parcels
described in the aforementioned Exhibit ‘A’ and establish and recognize the parcel l egal
description(s) in the aforementioned Exhibit ‘B’ as the new parcel legal description(s).
IN WITNESS WHEREOF, said Grantor has caused this instrument to be executed
this ______ day of ___________ 20____
City of Renton Approval:
The petition of the property owner(s) to combine the separate properties described in the
aforementioned Exhibit ‘A’ into legal lots of record as described in aforementioned Exhibit ‘B’. This
lot combination is binding upon recordation and the resulting parcel(s) may only be divided through
the City of Renton’s formal subdivision process.
Planning Director Date
City of Renton Department of Community and Economic Development
Page 1 of 6
INDIVIDUAL FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that ______________________
___________________________________________ signed this instrument and
acknowledged it to be his/her/their free and voluntary act for the uses and purposes
mentioned in the instrument
Notary Public in and for the State of Washington
Notary (Print)_____________________________________
My appointment expires:____________________________
Dated:
REPRESENTATIVE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that ______________________
___________________________________________ signed this instrument, on oath
stated that he/she/they was/were authorized to execute the instrument and
acknowledged it as the _________________________ and ____________________
of ___________________________ to be the free and voluntary act of such
party/parties for the uses and purposes mentioned in the instrument.
Notary Public in and for the State of Washington
Notary (Print)_____________________________________
My appointment expires:____________________________
Dated:
CORPORATE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING )
On this _______ day of _____________, 20____, before me personally appeared
to me known to
be of the corporation that
executed the within instrument, and acknowledge the said instrument to be the free
and voluntary act and deed of said corporation, for the uses and purposes therein
mentioned, and each on oath stated that he/she was authorized to execute said
instrument and that the seal affixed is the corporate seal of said corporation.
Notary Public in and for the State of Washington
Notary (Print)_____________________________________
My appointment expires:____________________________
Dated:
Page 2 of 6
EXHIBIT A
ORIGINAL PARCEL DESCRIPTIONS
PARCEL A: (366450-0007)
THE EAST 57 FEET OF THE WEST 291 FEET OF LOT 1, BLOCK 1, JANETT'S RENTON BOULEVARD
TRACTS, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 17 OF PLATS, PAGE 60,
RECORDS OF KING COUNTY, WASHINGTON.
PARCEL B: (366450-0008)
THE EAST 171 FEET OF THE WEST 234 FEET OF LOT 1, BLOCK 1 AND LOTS 7, 8 AND 9, BLOCK 4,
ALL IN JANETT'S RENTON BOULEVARD TRACTS, ACCORDING TO THE PLAT THEREOF RECORDED
IN VOLUME 17 OF PLATS, PAGE 60, RECORDS OF KING COUNTY, WASHINGTON;
EXCEPT THE NORTH 12 FEET OF SAID LOTS 7, 8 AND 9 CONVEYED TO KING COUNTY FOR ROAD
PURPOSES BY DEED RECORDED UNDER RECORDING NO. 5726494.
PARCEL C: (366450-0009)
THE SOUTH 133 FEET OF THE WEST 63 FEET OF LOT 1, BLOCK 1, JANETT'S RENTON BOULEVARD
TRACTS,ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 17 OF PLATS, PAGE 60,
RECORDS OF KING COUNTY, WASHINGTON.
SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON.
PARCEL D: (366450-0330)
LOT 6, BLOCK 4, IN JANETT'S RENTON BOULEVARD TRACTS, ACCORDING TO THE PLAT THEREOF
RECORDED IN VOLUME 17 OF PLATS, PAGE 60, RECORDS OF KING COUNTY, WASHINGTON;
ALL SITUATE IN THE NW QUARTER OF THE NE QUARTER OF SECTION 14, TOWNSHIP 23 NORTH,
RANGE 05 EAST, W.M., KING COUNTY, WASHINGTON.
Page 3 of 6
EXHIBIT B
REVISED PARCEL DESCRIPTION
THE EAST 228 FEET OF THE WEST 234 FEET OF LOT 1, BLOCK 1;
TOGETHER WITH THE SOUTH 133 FEET OF THE WEST 63 FEET OF LOT 1, BLOCK 1;
TOGETHER WITH LOTS 6, 7, 8 AND 9, BLOCK 4;
ALL IN JANETT'S RENTON BOULEVARD TRACTS, ACCORDING TO THE PLAT THEREOF RECORDED
IN VOLUME 17 OF PLATS, PAGE 60, RECORDS OF KING COUNTY, WASHINGTON;
TOGETHER WITH THAT PORTION OF THE 16.00 FOOT WIDE ALLEY LYING BETWEEN LOTS 6, 7, 8,
AND 9, BLOCK 1, AND THE EAST 228 FEET OF THE WEST 234 FEET OF LOT 1, BLOCK 1, ALL IN
JANETT'S RENTON BOULEVARD TRACTS, ACCORDING TO THE PLAT THEREOF RECORDED IN
VOLUME 17 OF PLATS, PAGE 60, RECORDS OF KING COUNTY, WASHINGTON, VACATED BY
ORDINANCE NO._____________, AND RECORDED UNDER KING COUNTY RECORDING NUMBER
________________________.
EXCEPT THE NORTH 12 FEET OF SAID LOTS 6, 7, 8 AND 9 CONVEYED TO KING COUNTY FOR
ROAD PURPOSES BY DEED RECORDED UNDER RECORDING NO. 5726494.
SITUATE IN THE NW QUARTER OF THE NE QUARTER OF SECTION 14, TOWNSHIP 23 NORTH,
RANGE 05 EAST, W.M., KING COUNTY, WASHINGTON.
Page 4 of 6
SE 128TH ST
1
6
0
T
H
A
V
E
S
E
1
5
8
T
H
A
V
E
S
E
ALLEY (TO BE VACATED)
LINE TABLE
LINE #LENGTH DIRECTION
N
5804 Road 90,
Suite H,
Pasco, WA 99301
509.380.5883 TEL
509.380.5885 FAX
EXHIBIT "B"
"EXISTING PARCELS"
Page 5 of 6
SE 128TH ST
1
6
0
T
H
A
V
E
S
E
1
5
8
T
H
A
V
E
S
E
ALLEY
N
5804 Road 90,
Suite H,
Pasco, WA 99301
509.380.5883 TEL
509.380.5885 FAX
EXHIBIT "C"
"PROPOSED PARCEL"
Page 6 of 6