HomeMy WebLinkAboutA_Master_Land_Use_Form_042525_v1 (2).pdf+ CITY OF RENTON I PERMIT SERVICES
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: 3g o 7 c-1 PHONE: 14-•l9 - S 3 ' O C1 40
MAILING ADDRESS: ) 4$ AVe NE EMAIL:
refer to receive all correspondence via US mail. • 0 &V tAR_ A,0 4 q$00 '7
APPLICANT (if other than owner)
NAME: Clover Schuler COMPANY (if applicable): CNS Design LLC
PHONE:425-941-9494 EMAIL: clover@designbycns.com
MAILING ADDRESS: 49040 SE Middle Fork Rd, North Bend, WA 98045
I prefer to receive all correspondence via US mail.
CONTACT PERSON
NAME: Clover Schuler
COMPANY (if applicable): CNS Design LLC
PHONE: 425-941-9494 EMAIL: clover@designbycns.com
MAILING ADDRESS: 49040 SE Middle Fork Rd. North Bend. WA 98045
I prefer to receive all correspondence via US mail.
PROJECT INFORMATION
PROJECTOR DEVELOPMENT NAME: Radiance Learning Center
PROJECT/ADDRESS(ES) AND PARCEL NUMBERS: 3507 NE Sunset Blvd - Parcel #0423059204
EXISTING LAND USE(S): Medical Office PROPOSED LAND USE(S): Daycare Center
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: RMD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable): N/A
EXISTING ZONING: R-8 PROPOSED ZONING: R-8
SITE AREA (in square feet):13,939 SF
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: 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
NUMBER OF EXISTING DWELLING UNITS (if applicable): N/A PROJECT VALUE: 35,000
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): N/A
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): NIA
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LAND USE PERMIT MASTER APPLICATION
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): 0
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 100 SF
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable):1,800 SF
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): 5
IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable):
AQUIFER PROTECTION AREA ONE
FLOOD HAZARD AREA
EOLOGIC HAZARD
HABITAT CONSERVATION
LEGAL DESCRIPTION OF PROPERTY
SQ. FT
SQ. FT
SQ. FT.
AQUIFER PROTECTION AREA TWO
SHORELINE STREAMS & LAKES
WETLANDS
(Attach legal description on separate sheet with the following information included) SITUATE
11►rg:10
QUARTER OF SECTION , OWNSHIP W.M IN N, RANGE
THE CITY OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
SQ. FT.
I, (Print Name/s) S A/" 1 1k7,_ y S�) 11 beclare 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
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 nowledge and belief.
Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING
Signature of Owner/Representative Date
I certify that I know or have satisfactory evidence that �aMt( V, Aot r\ signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
2/ I zoLS
Dated Notary Public in and for the State of Washington
}OELLER
Notary Public Y� o�'�
State of Washington Notary (Print):
Commission 4 24020491
My Comm. Expires May 20, 2028
My appointment expires: /Y`d: % 202 1i
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