HomeMy WebLinkAboutA_Master Application_252802CITY OF RENTON I PERMIT SERVICES
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
APPLICANT (if other than owner)
CONTACT PERSON
to receive all correspondence via US mail.
rentonwa.gov/oermitservices 1 planninficustomerservice@rentonwa.gov | 425-430-7294 10/24/2023 | Page 1 of 2
mailing ADDRESS: 1216 N 42nd PI, Renton, WA 98056
I prefer
PROJECT INFORMATION
name: Barbee Mill Community Organization PHONE: 360.810.6636
MAILING ADDRESS: VIS Group, Inc., 8617 Martin Way E, Lacey WA 98516 email: info@vismanagment.com
| prefer to receive all correspondence via US mail.
NAME:COMPANY (if applicable):
PHONE:EMAIL:
MAILING ADDRESS:
1 prefer to receive all correspondence via US mail.
name: Steve Rodgers COMPANY (if applicable):
PHONE: 206.779-1451 email: srcascade@gmail.com
project OR development NAME: Barbee Mill Fence Extension
PROJECT/ADDRESSfES) AND PARCEL NUMBERS:
EXISTING LAND USE(S): PROPOSED LAND USE(S): Extend 6 ft fen06 20ft
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: $2470.72
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 MON-RESIDENTIAL BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable):
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 QUARTER OF SECTION, TOWNSHIP N, RANGE,
W.M IN THE CITY OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Martha J. Dawson; 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
X 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 beUet
Martha J. DawsoiV^
Signature of Owner/Representative Date Signature of Owner/Representative Date
President, Barbee Mill Community Organization
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that Martha J Dawson signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Su'MyxM- IM- x
Notary (Print):
My appointment expires:
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