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A_KennydaleLakeline_MasterPermitApp_180416_v1
DEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPrintFormResetFormiI5Farm—Renton0PlanningDivisionLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:DavidChristensenADDRESS:1055SouthGradyway,UtilitySystemsCITY:RentonZIP:98057TELEPHONENUMBER:(425)430-7212APPLICANT(ifotherthanowner)NAME:SameCOMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:SameCOMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBERANDEMAILADDRESS:1PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:KennydaleLakelineAssessmentPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:Multipleaddresses(SeeattachedFigure4)KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):Multipleparcels(SeeattachedFigure4)EXISTINGLANDUSE(S):residentialmediumdensityPROPOSEDLANDUSE(S):residentialmediumdensityEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:residentialmediumdensityPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:ResidentialR-8PROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/ASQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)N/ANUMBEROFPROPOSEDLOTS(ifapplicable)N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):N/AH:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:08/2015 PROJECTINFORMATION(continued)I,(PrintName/s)DavidChristensendeclareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactjgtLcorpatioe,.(pIeeattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandallrespectstrueandcorrecttothebestofmyknowledgeandbelief.STATEOFWASHINGTONCOUNTYOFKINGSignatureofOwner/RepresentativeDateIcertithatIknoworhavesatisfactoryevidencethaIC.signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPublicinandforthe9teofWashingtonNotary(Print):i-i9-1Myappointmentexpires:2PROJECTVALUE:NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):N/ASQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ASQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ANETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):N/ANUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):AQUIFIERPROTECTIONAREAONEAQUIFIERPROTECTIONAREATWODFLOODHAZARDAREADGEOLOGICHAZARD______sq.ft.HABITATCONSERVATION______sq.ft.SHORELINESTREAMS&LAKES______sq.ft.DWETLANDS15,300sq.ft.______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHESEQUARTEROFSECTION31TOWNSHIP24,RANGEINTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPSignatureofOwner/RepresentativeSSH:\CED\Data\Forms-Templates\SeIf-HeIpHandouts\Planning\MasterApplication.docRev:08/2015