HomeMy WebLinkAboutA_MasterApplication_250123_v1CITY OF RENTON I PERMIT SERVICES
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LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: KRG Renton North Benson (contact: Tony Halsey) PHONE: (317) 713-5653
MAILING ADDRESS: 30 South Meridian St., Indianapolis, IN 46204 EMAIL: thalsey@kiterealty.com
prefer to receive all correspondence via US mail.
APPLICANT (if other than owner)
NAME: Bill Barton COMPANY (if applicable): PMDG
PHONE: 425.405.7752 EMAIL: bbarton@pmdginc.com
MAILING ADDRESS: 19401 40th Ave West, Suite 420 Lynnwood, WA 98036
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prefer to receive all correspondence via US mail.
CONTACT PERSON
NAME: Bill Barton COMPANY (if applicable):
PHONE: 425.405.7752 EMAIL: bbarton@pmdginc.com
MAILING ADDRESS:19401 40th Ave West, Suite 420 Lynnwood, WA 98036
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prefer to receive all correspondence via US mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME: Redevelopment of Former Bank of America at Benson Center
PROJECT/ADDRESS(ES) AND PARCEL NUMBERS:17803 108th Ave SE Renton, WA / 3223059065
EXISTING LAND USE(S):COmmerclal / Bank PROPOSED LAND USE(S): Restaurant
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: CMU , CA , Urban Design District D
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable):
EXISTING ZONING: CA PROPOSED ZONING:
SITE AREA (in square feet): 157,868
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: 1280
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable): 0
NUMBER OF PROPOSED LOTS (if applicable): 0
NUMBER OF NEW DWELLING UNITS (if applicable): 0
NUMBER OF EXISTING DWELLING UNITS (if applicable):0 PROJECT VALUE: $1 ,400,000
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 0
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 0
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LAND USE PERMIT MASTER APPLICATION
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable):3,200
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable):
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable):
IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable):
❑ AQUIFER PROTECTION AREA ONE ❑ AQUIFER PROTECTION AREA TWO
❑ FLOOD HAZARD AREA SQ. FT. ❑ SHORELINE STREAMS & LAKES SQ. FT.
❑ GEOLOGIC HAZARD SQ. FT. ❑ WETLANDS SQ. FT.
❑ HABITAT CONSERVATION SQ. FT.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE NE 1/4 of NW 1/4 QUARTER OF SECTION 32 TOWNSHIP 23 N, RANGE 05 E
W.M IN THE CITY OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) �°na�S� y , 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 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 my knowledge and belief.
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Signature of Owner/Representative Date tative Date
A E EE ERSgy P("'
oP " •.B�`' Notary Public, State of Indiana
==;SEAL"= Madison County
STATE OF ) *'. Commission NumberNP0726292
N01ANP My Commission Expires
ril 16 2028
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COUNTY 0F4046 1
I certify that I know or have satisfactory evidence that Onsigned this instrument and
acknowledge it to be his/her/their free and voluntary act for the es and purpoS4 mentioned in the instrument.
I - LS- Q D a LIG"
Dated Notary Public in d for the State of Wa-sJ�_ I V-\C 1 C'V\q
Notary (Pri
My appointment expires: )4"; I I �V, a Ja�
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rentonwa.gov/permitservices I planninecustomerservice@rentonwa.gov 1 425-430-7294 10/24/2023 1 Page 2 of 2
LEGAL DESCRIPTION
LOT Y OF KC BLA L07L0040 REC 20070822900006 -
LOCATED IN NE 1 /4 OF NW 1 /4 OF 32-23-05