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WebLinkAboutA_Land_Use_Master_App_180614PrintFormResetFormSaveFormDEPARTMENTOFCOMMUNITY&ECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA980571425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:KingCountyWTDADDRESS:201SJacksonStSuite512CITY:Seattle,WAZIP:98104TELEPHONENUMBER:(206)477-5523APPLICANT(ifotherthanowner)NAME:CityofRentonCOMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:TerryFlatleyCOMPANY(ifapplicable):CORADDRESS:1055S.GradyWayCITY:RentonZIP:98057TELEPHONENUMBERANDEMAILADDRESS:(425)430-6601tflatleyrenEonwa.govPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:SpringbrookTrailAsphaltPathwayMaintenancePROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:MultiplelocationsalongtheSpringbrookCreekchannel.Seeattachedmaps.KINGCOUNTYASSESSORSACCOUNTNUMBER(S):—2423049126,2423049125,and2423049053,seeattachedmapforotherareaslackingparcelnumbers(riohtnfw,vcEXISTINGLANDUSE(S):VacantLandandRightofWayPROPOSEDLANDUSE(S):N/AEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION.EmploymentArea,PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)N/AEXISTINGZONING:CC,Il-I,ROWPROPOSEDZONING(ifapplicable):N/ASITEAREA(insquarefeet):10,357s.f.SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/ASQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:N/APROPOSEDRESIDNTIALtENSIWINUNITSPERNETACRE(ifapplicable):R<’IQN/AflKr’.‘t—NUMBEROFPRoPEQu4rjIrcabIe)NUMBEROFN/DWELLJUSUNItScitapplicable):N/A‘H7Hi’’H:\CED\Data\Fcrms-Templates\Self-HeIpHandouts\Plannlng\MasterAppllcation.dccRev:10/2017 PROJECTINFORMATION(continued)NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):N/ASQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(iiapplicable):N/ASQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(iiapplicable):N/ASQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ANETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):N/ANUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AI,(PrintName(s)Bill‘MlbertdeclareunderpenaltyofperjuryunderthelawsoftheStaWashingtonthatIam(pleasecheckone)L.Jthecurrentowneroftheropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.,CaYSignaturofOwner/RepresenlativeSTATEOFWASHINGTONCOUNTYOFKINGSSIcertifythatIknoworhavesatisfactoryevidencethattA,IVAIL-r&signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPublicinandlortheStateofWashi1igton\saIINotary(Print):!u-IH:DfMyappointmentexpires:2PROJECTVALUE:$120,255.00ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):UAQUIFERPROTECTIONAREAONEUAQUIFERPROTECTIONAREATWONFLOODHAZARDAREA100%sq.ft.UGEOLOGICHAZARD_____sq.ft.UHABITATCONSERVATION_____•sq.ft.NSHORELINESTREAMS&LAKES100%sq.ft.NWETLANDS100%sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENEQUARTEROFSECTION24,TOWNSHIP23,RANGE4,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPSignatureofOwner/RepresentativeDateDateDatedH:\CED\Data\Forms-Templates\self-HeIpHandouts\Plannlng\MasterAppllcatlon.docRev:10/2017 N/APROJECTINFORMATION(continued)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ASQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ANETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):N/ANUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/A—CciII,(PrintNamefs)Ct.Vdeclareunderpenaltyofperjuryunde,Jj,IawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentoknerofthelropertyinvolvedinthisapplicationorLItheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincmedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.SigntureofOwner/ReesentativeDateSTATEOFWASHINGTONCOUNTYOFKING)SSIcertifythatIknoworhavesatisfactoryevidenacknowledgeittobehis/her/theirfreeand’瀑4DatedIi;,‘I,NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):PROJECTVALUE:$120,255.00ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):UAQUIFERPROTECTIONAREAONEUAQUIFERPROTECTIONAREATWOFLOODHAZARDAREA100%sq.ft.UGEOLOGICHAZARD_____sq.ft.UHABITATCONSERVATION______sq.ft.NSHORELINESTREAMS&LAKES100%sq.ft.WETLANDS100%sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENEQUARTEROFSECTION,TOWNSHIP23N,RANGE4E,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPSignatureofOwner/RepresentativeDatesignedthisinstrumentandint):ppointmentexpires:2H:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:10/2017