HomeMy WebLinkAboutA_MasterApplication_250723_v1.pdfmay, CITY OF RENTON I PERMIT SERVICES
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: AL-MAHDI SOCIETY OF WASHINGON PHONE: 206 834-5175
MAILING ADDRESS: 107 SW 11 Oth St Seattle, WA 98146 EMAIL: Husseinali05@gmaiLcom & galrani@yahoo.com
refer to receive all correspondence via US mail.
APPLICANT (if other than owner)
NAME: Hussein AI-Shamary COMPANY (if applicable):
PHONE: 206-551-0201 EMAIL: husseinaii05@gmail.com
MAILING ADDRESS: 107 SW 11Oth St Seattle, WA 98146
I prefer to receive all correspondence via US mail.
CONTACT PERSON
NAME: Hussein AI-Shamary COMPANY (if applicable):
PHONE: 206-551-0201 EMAIL: husseinali05@gmail.com
MAILING ADDRESS: 107 SW 11Oth St Seattle, WA 98146
I prefer to receive all correspondence via US mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENTNAME:AL-MAHDI SOCIETY OF WASHINGON
PROJECT/ADDRESS(ES) AND PARCEL NUMBERS:200 SW 41st St, Renton, WA 98057Parcel Number: 2923059082
EXISTING LAND USE(S): Medical Office / Commercial Office PROPOSED LAND USE(S): Multi -Purpose
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Commercial Mixed Use (verify with City of Renton Planning Department)
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable): NO Change proposed
EXISTING ZONING: CA (Commercial Arterial) PROPOSED ZONING: NO change proposed
SITE AREA (in square feet): Approximately 34,848 SF (0.80 acre)
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED:0 SF (NO public roadway dedication proposed)
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NETACRE (if applicable): Not applicable
NUMBER OF PROPOSED LOTS (if applicable): Not applicable
NUMBER OF NEW DWELLING UNITS (if applicable): O
NUMBER OF EXISTING DWELLING UNITS (if applicable): O PROJECT VALUE: $3,675,000 (purchase price)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): Not applicable ----
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): Not applicable
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LAND USE PERMIT MASTER APPLICATION
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): O SF
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (If applicable): 1 3 t 385 SF
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable).Appinaieiy '�rF(esgrlrro�d85 of total 133858Fusableinterior area)
(
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 SO, FT. SHORELINE STREAMS & LAKES SQ. FT.
FOLOGIC HAZARD SQ. FT, WETLANDS SQ. FT,
HABITAT CONSERVATION SQ. PT.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following Information included) SITUATE
IN THE _ QUARTER OF SECTION r'°i OWNSHIP Z.. W.M IN N, RANGE
1-I11 CITY OF RENTON, KING COUNTY, WASHINGTON
AFEIDAVI't OF OWNERSHIP
(,tA!^�tCry
I, (Print Name/s) SSA Vl F (s ,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
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 belief.
2_ 2r
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, J/- 51109144i KA' tied this instrument and
acknowledge It to be his/her/their free and voluntary act for the uses and purpose meed in the instrument.
A41
Dated
BLIC
My appointment expires:����
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