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Home My WebLink AboutA_Master_Application_180816.pdfDEPARTMENT OF COMMUNITY City of, AND ECONOMIC DEVELOPMENTi Planning Division LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: 6gr-o mz a/ L _ L. c. ADDRESS: Q b L-DAuUJOE SwTH CITY. REWTOI� f A. Zip: 9 c6c)5' TELEPHONE NUMBER: 11��~Z2. I -- -3 APPLICANT (if other than owner) I NAME: GtfOFF 5TEEw%-D COMPANY (if applicable): �AD' 4WJ-OW AHOSKA REN To ADDRESS: �:J5 -5F- 3664 ST. -If( C CITY: BFLU. EV E�, WA Zip: 9�2�oo5 TELEPHONE NUMBER: Z06- 6t7- 6667 CONTACT PERSON NAME: PAUL WU P A tA COMPANY (if applicable): WU /A9CH f'[ EqQ PF— ADDRESS: e)b [? Ej E I t 67H f LACE CITY: KIRKLAN�), WA. ZIP: 9 8a.3+ - TELEPHONE NUMBER AND EMAIL ADDRESS: 4-25- 1503- 2-12) uuuarch ifechre @ ao� .co 1 PROJECT INFORMATION PROJECTOR DEVELOPMENT NAME: ��*JDMINTD� AHUWA FrUTON PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 64.6 SAND AVE-PUE S6L)TH RET,-Q-oN , WA - 9 bo 55 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): V)'Z�)0'5- 9061-01 EXISTING LAND USE(S): r ` PROPOSED LAND USE(S): EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: f m PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (it applicable) r H EXISTING ZONING: PROPOSED ZONING (if applicable): f SITE AREA (in square feet): 5'e)/7'-3 15. . SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) NUMBER OF PROPOSED LOTS (if applicable) NUMBER OF NEW}WELLING UNITS.(if,applicable): U.. H_ACED\Data\Forms-Templates\Self-Help Handouts\Pianning\Master Application.doc Rev: 02/2015 PROJECT INFORMAT NUMBER OF EXISTING DWELLING UNITS (if applicable): SQUARE FOOTAGE= OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): lJ.A SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): Z4,976 -5•F SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable) :2�4976!5.F. NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): 2-4 97 6 $-F - NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): r ION (continued PROJECT VALUE: 0 fob goo IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ❑ AQUIFIER PROTECTION AREA ONE ❑ AQUIFIER PROTECTION AREA TWO ❑ FLOOD HAZARD AREA sq. ft. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. lJ SHORELINE STREAMS & LAKES sq. ft. ❑ WETLANDS sq. ft. LEGAL DESCRIPTION OF PROPERTY Attach legal descri tion on separate sheet with the following information included SITUATE IN THE QUARTER OF SECTION, TOWNSHIP -Z�, RANGE, IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP 1, (Print Name/s) AUL W U -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 a eh information herewith are in all respects true and correct to the best of my knowledge and belief. Signature f firmer/Rep ntative Date Signature of Owner/Representative Date STATE OF WASHINGTON SS COUNTY OF KING I certify that I know or have satisfactory evidence that GJ`I D E r signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purposmentioned in the instrument. 2// /,� 0/ - Dated Notary Public in an for the State of Washington Notary Public State 6f Washinptbn VtNCCI LEE My Appointment Expires Jan 3, 2019 Notary (Print): d l My appointment expires: Jan H:\CED\Data\Forms-Templates\5elf-Help Handouts\Planning\Master Application.doc Rev: 02/2015 I SrVATE S 0j r, 7F �r�LLSTATR o e4tate Of 186fl Secretary of State � I, KIM WYMAN, Secretary of State of the State of Washington and custodian of its i seal, hereby issue this CERTIFICATE OF FORMATION to GREEN PINE 8, LLC jj3 3 Ii alan WA Limited. Liability Company. Charter documents are effective on the date i j indicated below. Date: 12/20/2016 UBI Number: 604-069-640 i � I - Given under my hared and the Seal of the State of Washington at Olympia, the State Capital t Kim Wyman, Secretary of State Date Issued: 12/20/2016 1 DEPARTMENT OF f RS TNTERNNAL REVENUEESERVICERY ICINCINNATI OH 45999-0023 Date of this notice: 12-26-2016 Employer Identification Number: 814783836 Form: SS -4 Uf Number of this notice: CP 575 G GREENPINE 8 LLC GREEN PINE 8 GLEN DEA SOLE MBR For assistance you may call us at: 900 N 27TH PL 1-800--829-4933 RENTON, WA 98056 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 81--4783836. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one ETN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an. association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is GREE. You will need to provide this information, along with your ETN, if you file your returns electronically. Thank you for your cooperation.