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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way,6th Floor I Renton,WA 98057 I 425-430-7200
www,rentonwa,gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME:D 'I B t karnerez e
ADDRESS:1508 25th Ave S
CITY:Seattle I STATE:
19~~44WA
PHONE NUMBER:(206)310-2190
!
EMAIL ADDRESS*danielbretzke@gmail,com
,
o I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME:y L'f hanIS az
COMPANY (if applicable):
ADDRESS:PO Box 53046
CITY'I STATE:
19~b05'Bellevue WA
PHONE NUMBER:443-6129
EMAIL ADDRESS·Ylifshaz@comcast.net
!o I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME:
Jeffery Jones
COMPANY (if applicable):
J,S.Jones &Assoc.Inc.
ADDRESS:
PO Box 1908
CITY:I STATE:
19~~:27IssaquahWA
PHONE NUMBER
9055736
EMAIL ADDRESS*:o I prefer to receivWft·~~~t;J~~t
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
ILifshaz Sinale-Familv Residence
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
55XX NE 10th St.,Renton,WA 98059
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
1-2305-9360
EXISTING LAND USE(S):
Vacant
PROPOSED LAND USE(S):
Sincle-farnilv Residence
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Residential Medium Density
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable)Not applicable
EXISTING ZONING:
R4
PROPOSED ZONING (if applicable):
Not apQlicable
SITE AREA (in square feet):
11 374
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
None
SQUARE FOOTAGE OF PUBLIC ROADWA'YS TO BE
DEDICATED:None
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (If applicable)Not applicable
NUMBER OF PROPOSED LOTS (if applicable)
Not applicable
NUMBER OF NEW DWELLING UNITS (if applicable):
1
NUMBER OF EXISTING DWELLING UNITS (if applicable):
0
PROJECT VALUE:
$600000
*By completing the email address field the owner/applicant/contact person is opting to receive all formal notifications
and project documents in digital format via email unless otherwise requested,
I PROJECT INFORMATION (CONTINUED)I
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL IS THE SITE LOCATED IN ANY TYPE OF
BUILDINGS (if applicable):ENVIRONMENTALLY CRITICAL AREA,PLEASE INCLUDE
1 920 sf SQUARE FOOTAGE (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):0 0 AQUIFER PROTECTION AREA ONE
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL 0 AQUIFER PROTECTION AREA TWO
BUILDINGS (if applicable):Not applicable 0 FLOOD HAZARD AREA __sq.ft.
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):N t r bl EI GEOLOGIC HAZARD 3,542 sq.ft.o aoouca e
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if 0 HABITAT CONSERVATION __sq.ft.
applicable):
0 SHORELINE STREAMS &LAKES __sq.ft.
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if appliC~~{applicable EI WETLANDS 2,912 sq.ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE NF QUARTER OF SECTION _j_Q__,TOWNSHIP..23.__N,RANGE__5_E__,W.M.IN THE CITY
OF RENTON,KING COUNTY,WASHINGTON
I IAFFIDAVITOFOWNERSHIP
I,(Print Name/s)Daniel Bretzke ,declare under penalty of perjury under the laws of the State of Washington that I
am (please check one)0 the current owner of the property involved in this application or 0 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.
1'Ll ~(,l?_t>'LL _
DateSignatureofOwner/Representative Signature of Owner/Representative Date
STATE OF WASHINGTON)
)SS
COUNTY OF KING )
"'-1':111\;,\()_\-1.10.I certify that I know or have satisfactory evidence that L)~""'_Dr(_,z,,,--\;.,/
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in
Dated
Tina Smith,Notary Public
Notary (Print):My Commission Expires:
08/06/2026
--
TINA SMITH
Notary Public
State of Washington
Commission II 201586
~My Comm.Expires Aug 6,2026
My appointment expires:
-