HomeMy WebLinkAboutA_Master_Land_Use_App_170518_v1.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
LAND USE PERMIT MASTER APPLICATION
3523(57<2:1(56 352-(&7,1)250$7,21
1$0(352-(&725'(9(/230(171$0(
$''5(66
352-(&7$''5(666/2&$7,21$1'=,3&2'(
&,7< =,3
7(/(3+21(180%(5.,1*&2817<$66(6625¶6$&&2817180%(56
$33/,&$17LIRWKHUWKDQRZQHU
1$0((;,67,1*/$1'86(6
&203$1<LIDSSOLFDEOH
352326('/$1'86(6
$''5(66
(;,67,1*&2035(+(16,9(3/$10$3'(6,*1$7,21
&,7< =,3
352326('&2035(+(16,9(3/$10$3'(6,*1$7,21
LIDSSOLFDEOH
7(/(3+21(180%(5(;,67,1*=21,1*
&217$&73(5621 352326('=21,1*LIDSSOLFDEOH
1$0(6,7($5($LQVTXDUHIHHW
&203$1<LIDSSOLFDEOH
648$5()227$*(2)38%/,&52$':$<672%(
'(',&$7('
$''5(66
648$5()227$*(2)35,9$7($&&(66($6(0(176
&,7< =,3
352326('5(6,'(17,$/'(16,7<,181,76 3(51(7
$&5(LIDSSOLFDEOH
7(/(3+21(180%(5$1'(0$,/$''5(66180%(52)352326('/276LIDSSOLFDEOH
180%(52)1(:':(//,1*81,76LIDSSOLFDEOH
1
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 0ϴ/2015
Print Form Reset Form Save Form
675$'$'$9$//(//&
+DOLQHQ/DZ
VW$YHQXH66XLWH
6HDWWOH
6DPHDVSURSHUW\RZQHU
'DYLG+DOLQHQ
(DVW9DOOH\5RDG
5HQWRQ:$
9DFDQWODQGPXFKRIZKLFKZDV
7KHEXLOGLQJLVFXUUHQWO\XVHGDV
DGPLQLVWUDWLYHRIILFHVIRU86%DQN
Employment Area (EA)
No change
Commercial Arterial (CA)
N/A
N/A
N/A
N/A
86%$1.(;3$16,21
No change
$6)DGGLWLRQ6)
WZRED\SDUNLQJJDUDJHSOXV6)RIILFHVSDFHWRSDUWRI
WKHQRUWKHGJHRIDQH[LVWLQJ6)RIILFHEXLOGLQJ
N/A
3URMHFW6LWH$UHD6)
2YHUDOO3DUFHO6)
5HJHQWV%OYG6WH
)LUFUHVW:$
(PDLOGDYLG#KDOLQHQODZFRP
352-(&7,1)250$7,21FRQWLQXHG
180%(52)(;,67,1*':(//,1*81,76LIDSSOLFDEOH 352-(&79$/8(
648$5()227$*(2)352326('5(6,'(17,$/
%8,/',1*6LIDSSOLFDEOH
,67+(6,7(/2&$7(',1$1<7<3(2)
(19,5210(17$//< &5,7,&$/$5($3/($6(,1&/8'(
648$5()227$*(LIDSSOLFDEOH
648$5()227$*(2)(;,67,1*5(6,'(17,$/
%8,/',1*6725(0$,1LIDSSOLFDEOH$48,),(53527(&7,21$5($21(
$48,),(53527(&7,21$5($7:2
)/22'+$=$5'$5($ BBBBBBBVTIW
*(2/2*,&+$=$5' BBBBBBBVTIW
+$%,7$7&216(59$7,21 BBBBBBBVTIW
6+25(/,1(675($06 /$.(6 BBBBBBBVTIW
:(7/$1'6 BBBBBBBVTIW
648$5()227$*(2)352326('1215(6,'(17,$/
%8,/',1*6LIDSSOLFDEOH
648$5()227$*(2)(;,67,1*1215(6,'(17,$/
%8,/',1*6725(0$,1LIDSSOLFDEOH
1(7)/225$5($211215(6,'(17,$/%8,/',1*6LI
DSSOLFDEOH
180%(52)(03/2<((672%((03/2<('%<7+(1(:
352-(&7LIDSSOLFDEOH
/(*$/'(6&5,37,212)3523(57<
$WWDFKOHJDOGHVFULSWLRQRQVHSDUDWHVKHHWZLWKWKHIROORZLQJLQIRUPDWLRQLQFOXGHG
6,78$7(,17+(BBBBBBBBBB48$57(52)6(&7,21BBBB72:16+,3BBBB5$1*(BBBB,17+(&,7<
2)5(1721.,1*&2817<:$6+,1*721
$)),'$9,72)2:1(56+,3
,3ULQW1DPHV GHFODUHXQGHUSHQDOW\RISHUMXU\XQGHUWKHODZVRIWKH6WDWHRI
:DVKLQJWRQWKDW,DPSOHDVHFKHFNRQHBBBBWKHFXUUHQWRZQHURIWKHSURSHUW\LQYROYHGLQWKLVDSSOLFDWLRQRUBBBBWKHDXWKRUL]HG
UHSUHVHQWDWLYHWRDFWIRUDFRUSRUDWLRQSOHDVHDWWDFKSURRIRIDXWKRUL]DWLRQDQGWKDWWKHIRUHJRLQJVWDWHPHQWVDQGDQVZHUVKHUHLQ
FRQWDLQHGDQGWKHLQIRUPDWLRQKHUHZLWKDUHLQDOOUHVSHFWVWUXHDQGFRUUHFWWRWKHEHVWRIP\NQRZOHGJHDQGEHOLHI
6LJQDWXUHRI2ZQHU5HSUHVHQWDWLYH 'DWH 6LJQDWXUHRI2ZQHU5HSUHVHQWDWLYH 'DWH
67$7(2):$6+,1*721
66
&2817<2).,1*
,FHUWLI\WKDW,NQRZRUKDYHVDWLVIDFWRU\HYLGHQFHWKDW VLJQHGWKLVLQVWUXPHQWDQG
DFNQRZOHGJHLWWREHKLVKHUWKHLUIUHHDQGYROXQWDU\DFWIRUWKHXVHVDQGSXUSRVHPHQWLRQHGLQWKHLQVWUXPHQW
'DWHG 1RWDU\3XEOLFLQDQGIRUWKH6WDWHRI:DVKLQJWRQ
1RWDU\3ULQW
0\DSSRLQWPHQWH[SLUHV
2
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 0ϴ/2015
6HHDWWDFKHG
$)),'$9,72)2:1(56+,3
None (and N/A)
None (and N/A)
N/A
(11:RI1(
None
6(,60,&+$=$5'$5($
6)
6)
EXHIBIT A
LEGAL DESCRIPTION
LOT 3 OF CITY OF RENTON SHORT PLAT NO. LUA-09-042-SHPL
RECORDED UNDER RECORDING NUMBER 20110112900004, RECORDS
OF KING COUNTY, WASHINGTON;
SITUATE IN THE CITY OF RENTON, COUNTY OF KING, STATE OF
WASHINGTON.
AFFIDAVIT OF OWNERSHIP
I, GARY M. MERLINO, hereby declare that:
(1) I am a manager of STRADA DA VALLE LLC, a Washington limited liability
company, the limited liability company that is the current owner of the following
described property (the “Property”):
LOT 3 OF CITY OF RENTON SHORT PLAT NO. LUA-09-042-SHPL
RECORDED UNDER RECORDING NUMBER 20110112900004,
RECORDS OF KING COUNTY, WASHINGTON;
SITUATE IN THE CITY OF RENTON, COUNTY OF KING, STATE OF
WASHINGTON.
(2) The Property is the property that is involved in the proposed U.S. Bank Expansion;
and
(3) The foregoing statements and answers contained in the accompanying City of
Renton Land Use Permit Master Application for the proposed U.S. Bank
Expansion are in all respects true and correct to the best of my knowledge and
belief.
_______________________________
GARY M. MERLINO
STATE OF WASHINGTON )
) ss.
COUNTY OF KING )
I certify that I know or have satisfactory evidence that GARY M. MERLINO is the person who
appeared before me and acknowledged that he signed the instrument, on oath stated that he was authorized
to execute the instrument and acknowledged it as a manager of STRADA DA VALLE LLC, a Washington
limited liability company, to be the free and voluntary act of such limited liability company for the uses and
purposes mentioned in the instrument.
DATED this ____ day of May, 2017.
(sign name of notary public)
(print or type name of notary public)
NOTARY PUBLIC in and for the State of
Washington, residing at
My Commission expires: