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HomeMy WebLinkAboutA_Master Application-Sign.pdfPrint Form Reset Form Save Form DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT L*;R Planning Division 1055 South Grady Way, 6th Floor I Renton, WA 980571425-430-7200 www.rentonwa.gov LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: I-Kuan Tao FYCD Cultural and Educational Association Washington ADDRESS: 711 Monroe Ave NE CITY: Renton ZIP: 98056 TELEPHONE NUMBER: (206) 739-3003 APPLICANT (if other than owner) NAME: Chaohua Chang COMPANY (if applicable): CHC Architects ADDRESS: 13301 SE 79th PL Unit A205 CITY: Newcastle ZIP: 98059 TELEPHONE NUMBER: (425) 785-3992 CONTACT PERSON NAME: Chaohua Chang COMPANY (if applicable): CHC Architects ADDRESS: 13301 SE 79th PL Unit A205 CITY: Newcastle ZIP: 98059 TELEPHONE NUMBER AND EMAIL ADDRESS: (425) 785-3992 chcarch@gmail.com PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: 11-Kuan-Tao Cultural Center Addition PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 711 Monroe Ave NE Renton, WA 98056 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 780920-0075 EXISTING LAND USE(S): Single Family PROPOSED LAND USE(S): Cultural Center EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) EXISTING ZONING: R-8 PROPOSED ZONING (if applicable): SITE AREA (in square feet): 13,552 s.f. 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 DWELLING UNITS (if applicable): H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017 PROJECT INFORMAT NUMBER OF EXISTING DWELLING UNITS (if applicable): 1 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): 3,486 S.f. 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): ION continued PROJECT VALUE: $300,000 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 Attach legal description on separate sheet with the following information included SITUATE IN THE SW QUARTER OF SECTION 9 TOWNSHIP 23 , RANGE 5 IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) Yy G I n .I L I -,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 0 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. Signat of Own /Representative Date Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that I tA .;' t \M,:2, L � h signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and pur se megtioned in the instrument. a_(7(z7 Dated, CNotary Public WashingtonEN SUEN SSION EXPIRES h 09, 2020 Notary Public in Notary (Print): the State of Washington My appointment expires: 8 3 1017 �22� ZC7 2 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017