HomeMy WebLinkAboutA_Master Land Use Application_170823_v1DEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENT—RentöhOPlanningDivisionLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:zSbSL4ADDRESS:N&neQCrY:ZIP:°,tf9TELEPHONENUMBER:(q(t)33qtAPPLICANT(ifotherthanowner)NAME:PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:4.coq101bVrv’4cPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:L(oM‘22-4(12R&-rc’ta,LJ4qusEcKINGCOUNTYASSESSORSACCOUNTNUMBER(S):%‘-f?So-0130EXISTINGLANDUSE(S):6LtFA*71L-y£usrbiikrPROPOSEDLANDUSE(S):SUJ6Lte_fl4atcy6cpbrcc.—tàotCOMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:EXISTINGCOMPREHENSIVE’PLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:—PROPOSEDZONING(ifapplicable):CONTACTPERSONNAME:3sL4LLA..C.kaCOMPANY(ifapplicable):ADDRESS:M•&7254.LFiCITY:ZIP:SITEAREA(insquarefeet):SQUAREFOOTAGEOFPULICROADWAYSTOBEDEDICATED:14SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:TELEPHONENUMBERANDEMAILADDRESS:(çctg’)PROPOSEDRESIDENTIAL,PffYIINVUNJFIESPERNETACRE(ifapplicable)1H:\CED\Data\Forms-Templates\Self.HeIpHandouts\Planning\MasterApplication.docRev:08/2015
NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(itapplicable):tJ(pNUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):4,frPROJECTVALUE:ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):EAQUIFIERPROTECTIONAREAONEOAQUIFIERPROTECTIONAREATWOOFLOODHAZARDAREA____oGEOLOGICHAZARD____HABITATCONSERVATION____OSHORELINESTREAMS&LAKES____flWETLANDS____sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE____QUARTEROFSECTION____,TOWNSHIP____,RANGE____,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPI,(PrintName/s)_____declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatlam(pleasecheckone)0thecurrentownerofthepropertyinvolvedinthisapplicationorUtheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief./\_-___-____tiJiecfSTATEOFWASHINGTONCOUNTYOFKINGSSIcertifythatIknoworhavesatisfactoryevidencethatjp2HUPc1<AJSsignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPublichWndfortheStateof*ashingtonrIIcocñía___Notary(Print):Myappointmentexpires:8—ô—/2PROJECTINFORMATION(continued)sq.ft.sq.ft.______sq.ft.______sq.ft.DateSignatureofOwner/RepresentativeDateDatedH:\CED\Data\Forms-Templates\SeIf-HelpHandout5\Planning\MasterApplrcation.docRev:08/2015