HomeMy WebLinkAboutA_master app_180314_v1DEPARTMENT OF COMMUNITYCITY OF
AND ECONOMIC DEVELOPMENT Renton D""
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: ,3G S LL cC
ADDRESS:
PO BOX 4248
CITY: ZIP:
RENTON, WA 98057
TELEPHONE NUMBER:
425-264-1020
APPLICANT (if other than owner)
NAME:
VERIZON WIRELESS
COMPANY (if applicable):
ADDRESS:
3245 158TH AVE SE
CITY: ZIP:
BELLEVUE, WA 98008
TELEPHONE NUMBER:
CONTACT PERSON
NAME:
BECKY TODD
COMPANY (if applicable): MD7 ON BEHALF OF
VERIZON
ADDRESS:
9725 3RD AVE NE, SUITE 410
CITY: ZIP:
SEATTLE, WA 98115
TELEPHONE NUMBER AND EMAIL ADDRESS:
206-310-1793
btodd@md7.com
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
SEA MILL AVE - VERIZON
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
304 MAIN AVE S.
RENTON, WA 98055
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
7231500720
EXISTING LAND USE(S): COMMERCIAL BUILDING
PROPOSED LAND USE(S): ROOFTOP WIRELESS
INSTALLATION
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
COMMERCIAL MIXED USE
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable) N/A
EXISTING ZONING: CD
PROPOSED ZONING (if applicable): N/A
SITE AREA (in square feet): 150
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: NONE
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NONE
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) NONE
NUMBER OF PROPOSED LOTS (if applicable)
NONE
NUMBER OF NEW DWELLING UNITS (if applicable):
NONE
C:\Users\brad\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\FYSC5K63\SEA MILL AVE- masterapp (1).docRev: 08/2015
PROJECT INFORMA1
NUMBER OF EXISTING DWELLING UNITS (if applicable):
N/A
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): N/A
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
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
WN (contlnuea
PROJECTVALUE:
$125,000
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
❑ AQUIFIER PROTECTION AREA ONE
❑ AQUIFIER PROTECTION AREA TWO
❑ FLOOD HAZARD AREA sq. ft.
❑
GEOLOGIC HAZARD
sq. ft.
❑
HABITAT CONSERVATION
sq. ft.
❑
SHORELINE STREAMS & LAKES
sq. ft.
❑
WETLANDS
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
on separate sheet with the following information i
SITUATE IN THE SW QUARTER OF SECTION 17, TOWNSHIP 23, RANGE 5, IN THE CITY OF RENTON,
KING COUNTY. WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) _, declare under penalty of perjury under the laws of the State of Washington that I am (please check one) ❑ the
current owner of the property involved in this application orly the authorized representative to act for a corporation (please attach proof
of authorization) and th the foregoing statements and ans ers herein contained and the information herewith are in all respects true
and.Wfrecj to the my wledge and belief.
Signature of Owner/Representative Date
STATE OF WASHINGTON
) SS
COUNTY OF KING ) o C
I certify that I know or have satisfactory evidence that 'J� ��} u �GSigned this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and urpose mentioned in the instrument.
Dated / Notary
0NPublic in and for the State of Washington
`cawI I III,
F i
ON
Notary (Print):
V I� � - j^yg i 1 n
y A 2 S My appointment expires:
1 C7
z
Internet Files\Content.Outlook\FYSC5K63\SEA MILL AVE - masterapp (1).docRev: 08/2015