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Renton Highland Manor Master Application
:iPrrntFormjResetj:%2_SaveFormDEPARTMENTOFCOMMUNITY&ECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA98057I425-430-7200wwwrentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:RentonHighlandManorLLCADDRESS:3612NE4thStreetCITY:RentonZIP:98056TELEPHONENUMBER:(443)983-2115APPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:YoeIKelmanCOMPANY(ifapplicable):ADDRESS:11OStrathmoreRd,UnitP2CITY:BrightonZIP:02135TELEPHONENUMBERANDEMAILADDRESS:443-983-2115yoel@threepillarcommunities.corn1PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:RentonHighlandManorparkinglotlandscapingPROJECT/ADDRESS(S)/LOCA11ONANDZIPCODE:3612NE4thStreetRenton,WA98056KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):092305-9176-08EXISTINGLANDUSE(S):MobilehomeparkparkinglotPROPOSEDLANDUSE(S):MobilehomeparkparkinglotEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:Coa’r.e:eiftfYiPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)WAEXISTINGZONING:CAPROPOSEDZONING(ifapplicable):AiASITEAREA(insquarefeet):—8,000____SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDE\TED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NANUMBEROFNEWDWELLINGUNITS(ifapplicable):NAH:\CED\Data\Forrns-Ternplates\Self-HelpHandouts\Planning\MasterApplicationdocRev:10/2017 PROJECTINFORMATION(continued)I,(PrintName/s)ClareBrown,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)E1thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.C)6(UPYZA/L//SignatureofO&/RepresentativeSTATEOFWASHINGTONCOUNTYOFKINGDateSignatureofOwner/RepresentativeDateNUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):48unitsand25parkingspotsbetween2lotsSQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):PROJECTVALUE:$25,000ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):[JAQUIFERPROTECTIONAREAONELiAQUIFERPROTECTIONAREATWOi:iFLOODHAZARDAREA______sq.ft.L:jGEOLOGICHAZARD_____sq.ft.DHABITATCONSERVATION______sq.ft.USHORELINESTREAMS&LAKES______sq.ft.IWETLANDS______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE_________QUARTEROFSECTION09,TOWNSHIP23,RANGE05,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIP55fLMeok€NIcertifythatIknoworhavesatisfactoryevidencethat‘—signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.‘-°t’DatedNotaryPublicinandfortheStateofWashington*_Jt,P.T’qcGr(9expires:2H:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:10/2017