HomeMy WebLinkAboutA_Land_Use_Permit_Master_Application_Gregory_Ashley_180309_v1DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 980571425-430-7200 +
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
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NAME: Giovanni Napoli
ADDRESS: 1205 N 27th Place
CITY: Renton ZIP: 98056
TELEPHONE NUMBER: (206) 214-8715
APPLICANT (if other than owner)
NAME: Giovanni Napoli
COMPANY (if applicable):
ADDRESS: 1205 N 27th Place
CITY: Renton ZIP: 98056
TELEPHONE NUMBER: (206) 214-8715
CONTACT PERSON
NAME: Gregory W. Ashley
COMPANY (if applicable): Ashley Shoreline Design &
ADDRESS: 16412 Ne 10th PI,
Cin': Bellevue ZIP: 98008-3707
TELEPHONE NUMBER AND EMAIL ADDRESS:
(425) 957-9381
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Napoli pier repair
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
3111 Mountain View Ave. N 98056-2514
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
334210-3860
EXISTING LAND USE(S):
Single-family residential
PROPOSED LAND USE(S):
Single-family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Residential Medium Density
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
N/A
EXISTING ZONING:
R-8
PROPOSED ZONING (if applicable):
N/A
SITE AREA (in square feet):
24,115
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
N/A
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
N.A
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: 10/2017
PROJECTINFORMAT
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):
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
ION continued
PROJECT VALUE:
$65,000.00
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.
❑ 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 SE QUARTER OF SECTION 31 , TOWNSHIP 24 N, RANGE 05 e, IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Giovanni Napoli , 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 Q the authorized
representative to act for a corporation (please attach proof of authorization) and that the foregoing statements and answers herein
contained and the informatiopherewith are in all respects true and correct to the best of my knowledge and belief.
tea,-✓✓' i s-� � % g l d �
Signature of Owner/Repre entative ate Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING ) 1,
I certify that I know or have satisfactory evidence that 111/! d! :Xf N!' -400U signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated' t \\Q\.�SSgM�%i,�/
issip� S�
NOTgRy N _
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Notary Public in and for the
Notary (Print):
My appointment expires: ) Y 2 -Cl .1 C q
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017