HomeMy WebLinkAboutA_SRTC Fence Variance Master Application_250204_v1rentonwa.gov/permitservices | planningcustomerservice@rentonwa.gov | 425-430-7294 10/24/2023 | Page 1 of 2
CITY OF RENTON Ι PERMIT SERVICES
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: PHONE:
MAILING ADDRESS: EMAIL:
prefer to receive all correspondence via US mail.
APPLICANT (if other than owner)
NAME: COMPANY (if applicable):
PHONE: EMAIL:
MAILING ADDRESS:
I prefer to receive all correspondence via US mail.
CONTACT PERSON
NAME: COMPANY (if applicable):
PHONE: EMAIL:
MAILING ADDRESS:
I prefer to receive all correspondence via US mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
PROJECT/ADDRESS(ES) AND PARCEL NUMBERS:
EXISTING LAND USE(S): PROPOSED LAND USE(S):
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable):
EXISTING ZONING: PROPOSED ZONING:
SITE AREA (in square feet):
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED:
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable):
NUMBER OF PROPOSED LOTS (if applicable):
NUMBER OF NEW DWELLING UNITS (if applicable):
NUMBER OF EXISTING DWELLING UNITS (if applicable): PROJECT VALUE:
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable):
LAND USE PERMIT MASTER APPLICATION
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): Wi 638 3
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): 2,638
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): TBD
IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable):
XC AQUIFER PROTECTION AREA ONE [1 AQUIFER PROTECTION AREA TWO
FLOOD HAZARD AREA 4,200 (off site) SQ.FT. [1 SHORELINE STREAMS & LAKES SQ. FT.
GEOLOGIC HAZARD 360,492 SQ.FT. C1 WETLANDS SQ. FT.
C] HABITAT CONSERVATION SQ. FT.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE NE QUARTER OF SECTION 19 /TOWNSHIP23 __N, RANGE_DE
W.M IN THE CITY OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
|, (Print Name/s) Gary Yao , declare under penalty of perjury under the laws of the State of
Washington that | am (please check one)fithe current owner of the property involved in this application orfithe
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.
ns Une i[stf2s _ _ oo U Signattre of ownellassresentative Date Signatur ér/Representative e
STATE OF WASHINGTON )
) ss
COUNTY OF KING )
| certify that | know or have satisfactory evidence that GOR Yoo signed this instrument and
acknowledge it to be his/her/their free and voluntary act forthe uses and purpose mentioned in the instrument.
Bnuavy 31, 22S COW. WALA.
Dated = J Notary Publi¢ in and for the State of Washington
Commnedy Hioashr COURTNEY HIGASHI : id wd Notary Public Notary (Print):
State of Washington
Commission # 22015254
My Comm. Expires Apr 29, 2026
My appointment expires:
rentonwa.gov/permitservices | planningcustomerservice@rentonwa.gov | 425-430-7294 10/24/2023 | Page 2 of 2