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HomeMy WebLinkAboutA_Master_Application_170717_v1Pant Err DEPARTMENT OF COMMUNITYC1TY OF AND ECONOMIC DEVELOPMENT Renton WJdmo" Planning Division LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME_RAII,OAl� IM0761ZS /NL' ADDRESS: 1300 Bronson Way N. CITY: Renton ZIP: 98057 TELEPHONE NUMBER: (206) 786-4443 h -&--)VF APPLICANT (if other than owner) NAME: Rick Cardoza COMPANY (if applicable): Verizon Wireless ADDRESS: 20210 142nd Avenue NE CITY: Woodinville ZIP: 98072 TELEPHONE NUMBER: (253) 218-9017 CONTACT PERSON NAME: Rick Cardoza COMPANY (if applicable): Verizon Wireless ADDRESS: 20210 142nd Avenue NE CITY: Woodinville ZIP: 98072 TELEPHONE NUMBER AND EMAIL ADDRESS: (253) 218-9017 rcardoza@ldccorp.com PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: Verizon Wireless Cedar River COW PROJECT/ADDRESS(S)ILOCATION AND ZIP CODE: Cedar River COW Bryant Motors, Inc. 1300 Bronson Way N. Renton, WA 98057 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 1352300060 EXISTING LAND USE(S): Vacant lot, commercial PROPOSED LAND USE(S): Verizon Wireless site for Cell on Wheels (COW) EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Commerial Mixed Use PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) No change EXISTING ZONING: Commerical Arterial (CA) PROPOSED ZONING (if applicable): No change SITE AREA (in square feet): 1,225 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: N/A SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: NIA 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 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: ©8/2415 PROJECT INFORMAT 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): ION continued PROJECT VALUE: $21,000 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 Attach legal description on separate sheet with the following information included SITUATE IN THE NW QUARTER OF SECTION 17 , TOWNSHIP 23 , RANGE 05 , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) v VE 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 FV1 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. 7—P') 4A� 7/ Signa ure of OwnerlR ent ive Date Signature of Owner/Representative Date STATE OF WASHI TONS Notary Pubiic Slate of Washington COUNTY OF KING RICHARD B CARDazA intment Expires Jul 1, 2019 1 certify that I know actory evidence that acknowledge it to b 7 ( Dated ficined this instrument and and purpose mentioned in the instrument. Notary Public in and for the State of Washington k I ��a_fal .3 . Lai. 0 Notary (Print): My appointment expires z —711 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015