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HomeMy WebLinkAboutA_Master_Application_180928_v1.pdf.pdfPrint Form Reset Form Save Form DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT Planning Division 1055 South Grady Way, 6th Floor I Renton, WA 980571425-430-7200 C;R www.rentonwa.gov LAND USE PERMIT MASTER APPLICATION I PROPERTY OWNER(S) NAME: Hamblin Living Trust ADDRESS: 16210 SE 134th St CITY: Renton, WA TELEPHONE NUMBER: ZIP: 98059 APPLICANT (if other than owner) NAME: Harbour Homes, LLC COMPANY (if applicable): Same ADDRESS: 400 N 34th St CIN: Seattle, WA ZIP: 98103 TELEPHONE NUMBER: (206) 315-8130 CONTACT PERSON NAME: Jamie Waltier �COMPANY(if licable app )Harbour Homes, LLC ADDRESS: 400 N 34th St CITY: Seattle, WA ZIP: 98103 TELEPHONE NUMBER AND EMAIL ADDRESS: (206) 315-8130 1 PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: , Maple Highlands PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 16210 SE 134th Street Renton, WA 98059 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 1457500025 EXISTING LAND USE(S): Single Family Residential PROPOSED LAND USE(S): Single Family Residential EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Residential Low Density PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) Residential Low Density EXISTING ZONING: R-4 PROPOSED ZONING (if applicable): R-4 SITE AREA (in square feet): 184,259 sqft SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: 5,262sgft SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: 0 PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) R-4 NUMBER OF PROPOSED LOTS (if applicable) 13 NUMBER OF NEW DWELLING UNITS (if applicable): 13 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017 PROJECT INFORMATION continued NUMBER OF EXISTING DWELLING UNITS (if applicable): PROJECT VALUE: SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 2500-3000Sgft SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): N/A SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): N/A NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): TBD 4.4 Million IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ❑ AQUIFER PROTECTION AREA ONE ❑ AQUIFER PROTECTION AREA TWO ❑ FLOOD HAZARD AREA sq. ft. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. ❑ WETLANDS sq. ft. LEGAL DESCRIPTION OF PROPERTY description on separate sheet with the following information include SITUATE IN THE NE QUARTER OF SECTION 14 , TOWNSHIP 23 N, RANGE 5 E , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) aw.� 'w\ c. �Q� declare under penalty of perjury and r h_Q laws of the State of Washington that I am (please check one) the current owner of the property involved in this application orthe authorized representative to act for a corporation (please attach proof of authorization) and that the foregoing statements and answers herein contained and the infgrmati n h e 'th are in all respects true and correct to the best of my knowledge and belief. - L Sigrtia, re of O er epresentative ate Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument. S.ot'M t'- Sjo lg Dated ,141p1uii go,�•��e euRR�s,,,. AOIAR.Y PUBO 2S 0 OF WPAS Notary Public in and for the State of Washington Notary (Print): My appointment expires: 1-19-1 Handouts\Planning\Master Application.doc Rev:10/2017 PROJECT INFORMATION continued NUMBER OF EXISTING DWELLING UNITS (if applicable): SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (ii applicable): 2500_3000sgft SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applkmble): N/A ` SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): NIA SQUARE FOOTAGE. OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if I applicable): N/A NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (f applicable): TBD PROJECT VALUE: 4.4 Million IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ❑ AQUIFER PROTECTION AREA ONE ❑ AQUIFER PROTECTION AREA TWO ❑ FLOOD HAZARD AREA sq. ft. ❑ GEOLOGIC HAZARD sq. IL O HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. E3 WETLANDS sq. ft. LEGAL DESCRIPTION OF PROPERTY on separate sheet with the following infonnation SITUATE IN THE NE QUARTER OF SECTION 14� TOWNSHIP 23 N, RANGE 5 E . IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Namels) r '�< declare under penalty of perjury un laws of the State of Washington that I am (please check ode) 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 and the info t'on herewith are in all respects true and correct to the best of my knowledge and belief. e Si nature of Signature of Owner sentatnre D�al. g Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) I certify that 1 know or have satisfactory evidence that ... r l ` �� ��' _ . _ signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument. �eci{��ir Zg, �.?li�lllrn Dates ��.•••,`�S . RR(i'',., `,����,G`,'.\5510 N • F,Yp�,s 'moi,' �pTAR.r, PUBL\c 0, :tp' o,'O. ,9j;;•• 0F wASN,�,," /If 1111111 IIHII Notary Public in and for the State of Washington c Notary (Print): My appointment expires: q - t S - I 2 H.\CED\Data\Forms-Templates\Self-Help Handouts\Pianning\MasterApplication.doc Rev: 10/2017