HomeMy WebLinkAboutA_Master_Use_Application_181001_v1DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 980571425-430-7200 �
www.rentonvva.;
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Mary McCarthy
ADDRESS: 3403 Burnett Ave N
CITY: Renton ZIP: 98056
TELEPHONE NUMBER: 425 228 4416
APPLICANT (if other than owner)
NAME: Jason Laskelle
COMPANY (if applicable): May Creek Landscaping
ADDRESS: 1831 SE 32nd ST
CITY: Bellevue ZIP: 98005
TELEPHONE NUMBER: 206 551 2591
CONTACT PERSON
NAME: Jason Laskelle
COMPANY (if applicable): May Creek Landscaping
ADDRESS: 1831 SE 32nd St.
CITY: Bellevue ZIP: 98005
TELEPHONE NUMBER AND EMAIL ADDRESS:
206 551 2591
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
McCarthy Landscape Project
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
3403 Burnett Ave N
Renton Wa 98056
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
334210-0020-05
EXISTING LAND USE(S):
Residential
PROPOSED LAND USE(S):
Landscape Revegetation
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Residential
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
N/A
EXISTING ZONING:
Residential
PROPOSED ZONING (if applicable):
N/A
SITE AREA (in square feet):
25X56 1400 sq. ft
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
N/A
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
N/A
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
N/A
NUMBER OF PROPOSED LOTS (if applicable)
N/A
NUMBER OF NEW DWELLING UNITS, (if applicable):
N/A
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017
pRWE T �Wr ORIIRos
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):
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable)
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable):
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable):
LEGAL DESCRIPTION OF PROPERTY
Attacl9 legjnl description on separate sheet with the following information included)
I -
SITUATE IN THE QUARTER OF SECTION , TOWNSHIP RANGE , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
I, (Print Name/s) /11 - (a ,z -9/ declare under penalty of perjury und?LJJe laws of the State of
Washington that I am (please check one) ,.: I 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 information herewith are in all respects true and correct to the best of my knowledge and belief.
i
Signature ofwner/Represenfa i e Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
Signature of Owner/Representative Date
4i,, tIt-6I certify that I know or have satisfactory evidence that c 1 L�(
acknowledge it to be I s/her/tl;�;, free and voluntary act for the s! and purpose ment oned in the instgument ned s instrument and
Dated ' - — `��� � �� 0 9 ygo
pB Notary Public '
e 0ON LJrP®�r��0j
o a Z ® Notary (Print):
O59o
\�� ) y appointment expires:
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H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.ft
for the State of Washington
VL Vt:I
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Rev: 10/2017
PROJECT VALUE:
$50,000.00 - $60,000.00
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
0 AQUIFER PROTECTION AREA ONE
® AQUIFER PROTECTION AREA TWO
0 FLOOD HAZARD AREA
sq ft
0 GEOLOGIC HAZARD
sq. ft.
0 HABITAT CONSERVATION
sq. ft.
A SHORELINE STREAMS & LAKES 8004
sq, ft.
0 WETLANDS
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attacl9 legjnl description on separate sheet with the following information included)
I -
SITUATE IN THE QUARTER OF SECTION , TOWNSHIP RANGE , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
I, (Print Name/s) /11 - (a ,z -9/ declare under penalty of perjury und?LJJe laws of the State of
Washington that I am (please check one) ,.: I 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 information herewith are in all respects true and correct to the best of my knowledge and belief.
i
Signature ofwner/Represenfa i e Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
Signature of Owner/Representative Date
4i,, tIt-6I certify that I know or have satisfactory evidence that c 1 L�(
acknowledge it to be I s/her/tl;�;, free and voluntary act for the s! and purpose ment oned in the instgument ned s instrument and
Dated ' - — `��� � �� 0 9 ygo
pB Notary Public '
e 0ON LJrP®�r��0j
o a Z ® Notary (Print):
O59o
\�� ) y appointment expires:
N
/li/tdQO�j
OF
\N ®® 2
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.ft
for the State of Washington
VL Vt:I
L �' L
Rev: 10/2017