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A_Master_land _use_form_AHBL_241018_v1
Rie)CITY OF RENTON |PERMIT SERVICES »LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) name:Renton School District PHONE:Renton School District MAILING ADDRESS:7812 South 124th St.Seattle,WA 98178 EMAIL:andrew.hollenback@rentonschools.us prefer to receive all correspondence via US mail. APPLICANT (if other than owner) NAME:Andrew Hollenback COMPANY (if applicable): PHONE:(425)204-4437 EMAIL:andrew.hollenback@rentonschools.us MAILING ADDRESS:7812 South 124th St.Seattle,WA 98178 |prefer to receive all correspondence via US mail. CONTACT PERSON NAME:Allison Conley COMPANY (if applicable):AHBL,Inc. PHONE:(206)267-2425 EMAIL:aconley@ahbl.com MAILING ADDRESS:1200 6th Ave Ste.1620 Seattle,WA 98101 |prefer to receive all correspondence via US mail. PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME:Transportation Parking Lot Expansion PROJECT/ADDRESS(ES)AND PARCEL NUMBERS:444 and 450 Park Ave N EXISTING LAND usE(s):Vacant Commercial PROPOSED LAND use(s):Parking EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:Commercial mixed use PROPOSED COIVIPREHENSIVE PLAN MAP DESIGNATION (if applicable): EXISTING ZONING:Commercial Arterial (CA)PROPOSED ZONING: SITE AREA (in square feet):approx.19,956 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED:N/A PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable):N/A NUMBER OF PROPOSED LOTS(if applicable):N/A NUMBER OF NEW DWELLING UNITS (if applicable):N/A NUMBER OF EXISTING DWELLING UNITS(if applicable):0 PROJECT VALUE:$1 50,000 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable):N/A SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable):N/A rentonwa.gov/permitservices |planningcustomerservice@rentonwa.gov |425-430-7294 10/24/2023 |Page 1 of 2 LAND USE PERMIT MASTER APPLICATION SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable):n/a SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable):n/a NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable):n/a NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT(if applicable):n/a IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA,PLEASE INCLUDE SQUARE FOOTAGE (if applicable): [L]AQUIFER PROTECTION AREA ONE LC)AQUIFER PROTECTION AREA TWO [1]FLOOD HAZARD AREA SQ.FT.[I SHORELINE STREAMS &LAKES SQ.FT. [1 GEOLOGIC HAZARD SQ.FT.[C1 WETLANDS SQ.FT. ()HABITAT CONSERVATION SQ.FT. LEGAL DESCRIPTION OF PROPERTY (Attach legal description on separate sheet with the following information included) ESITUATEINTHESFQUARTEROFSECTION98,TOWNSHIP 23 N,RANGE 99 W.M IN THE CITY OF RENTON,KING COUNTY,WASHINGTON AFFIDAVIT OF OWNERSHIP |,(Print Name/s)Mar FELDMEYER,declare under penalty of perjury under the laws of the State of Washington that |am (please check one)the current owner of the property involved in this application or the authorized representative to act for a corporation (please attach proof of authorization)and that the foregoing statements and answers herein contained and the information herewith are in all respects true and correct to the best of Ve ae and belief.AAO A-$——oi /24oCLA. Signature of Owner/Representative Date Signature of Owner/Representative -Date STATE OF WASHINGTON ) )SS COUNTY OF KING ) |certify that |know or have satisfactory evidence that Matt Fed MNEs signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument. ROOT)SA ilSRellSOG|&o" ON ely,%4 em %%DS Dra rear Notary Public in and for the State of Washington :Theresa M-ReeceVane2F.=-1,77,26 SSE Notary (Print):ye 13-28 «Oo = oO Wy ©= wase\Avan My appointment expires:Ao Ll0//2,2026 10/24/2023 |Page 2 of 2 16 ~1|-22624 Dated Ny 4, “> {} "y 4a° % - Ay c AN Ww ww =d ss en Wy wy i [- - ]©a~$s AN @ ‘ny rentonwa.gov/permitservices |planningcustomerservice@rentonwa.gov |425-430-7294