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A_Land_Use_Application_180710_v1.pdf
PrintFormResetFormSaveFormDEPARTMENTOFCOMMUNITY&ECONOMICDEVELOPMENTPlanningDivision2053SouthGradyWay,6thFloorIRenton,WA98057(425•430-7200Wt.Wrenton.agovLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAMEKyle&LohBradshawADDRESS613KitsapAveNECITYRentonZIP98059TELEPHONENUMBER(206)371-6688(APPLICANT(ifotherthanowner)NAMECOMPANY(iiapplicable)•ADDRESSCITYZIPTELEPHONENUMBERCONTACTPERSONNAMEKyleSradshawCOMPANY(ifapplicable)ADDRESS613KitsapAveNECIWRentonZiP;98059TELEPHONENUMBERANDEMAILADDRESS(206)371-66882PROJECTINFORMATIONPROJECTORDEVELOPMENTNAMEShamrockHeightsPROJECT/ADDRESS(SLOCATIONANDZIPCODE613KitsapAveNE.RenlonWA98059KINGCOUNTYASSESSORSACCOUNTNUMBER(S)770820065009EXISTINGLANDUSE(S)SingleFamily(ResUse/Zone)PROPOSEDLANDUSE(S)SingleFamily(ResUse/Zone)EXISTINGCOMPREHENSIVEPLANMAPDESIGNATIONResidentialLowDensityPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONINGR4PROPOSEDZONING(ifapplicable)SITEAREA(insquarefeel)4990SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED0SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS0PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELLINGUNITS(tfapplicable)H:\CED\Data\Forms-Templates\Selt.HeIpHandouis\Planning\MasterApplicationdccRev:10/2017RECEIVED07/16/2018amorganrothPLANNING DIVISION NUMSEROFEXISTINGDV.ELLINGUNITS(ifapplcabletSQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicabletSQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN1applicable)SQUAREFOOTAGEOFPROPOSEDNONRESIDENTIALBUILDINGS(LIappticablelSQUAREFOOTAGEOFEXISTINGNONRESIDENTIALBUILDINGSTOREMAINpIapplcablelNETFLOORAREAONNONRESlDENTI4LBUILDINGSitacrcabLNUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECTIfapplcabielLEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHESEQUARTEROFSECTION,TOWNSHIP,RANGE,INTHECITYOFRENTONKINGCOUNTY,WASHINGTONIAFFIDAVITOFOWNERSHIPII(PrintNameKyle&LanBradshawdeclareunderpenaltyofpequryunderInlawsoftheStateofWashngtcnuatIam(pleasechedione)[2JtheairrentownerofthepropertyinvolvedinthisapplicationorL_Jtheauthorizedrepresentatretoaaforaoorporation(pleaseaflaproofofauthorization)andthattheforegoingstatementsandanswershereinnta:nedariameinformationhereiitharenanrespectstrueandconedtothebestofmyknowledgeandbelief______-?/‘/iSignatufOwneriRepresentativeDateSignatureofOwner/RepresentativeDdeSTATEOFWASHINGTONSSCOUNTYOFKiNGIt1fythatIknowerhavesatisfactoryeviden(hatFc‘718rtDcH2+1_AL)signedInsinstrumentandacRnowedgeItobehisTher/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument7//or/I>oL4,1l1I,,,DatedF’0Ntr-,CflA‘i8O’tMyappointmentexpireslIlt2PROJECTINFORMATION(continued)PROJECTVALUE70000ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREAPLEASEINCLUDESQUAREFOOTAGE(ifapphcable)JAQUIFERPROTECTIONAREAONEJAQUIFERPROTECTIONAREAmcJFLOODHAZARDAREA___sqftJGEOLOGICHAZARD_____sqftJHABITATCONSERVATION_____sqftJSHORELINESTREAMS&LAKES--—.sqftJWETLANDS_____sqftNotaryPublidèand(ortheStateofWhington1Tfr17/CNotary(Pnnt)-CI-/H\CED\Oata\Foims-Templates\Setf-HeIPHandouts\Planning\MaiterApplicationdotRev10/201?