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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVETOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, wA 98057
www. rentonwa.gov
PROPERTY OWNER(S)
NAME Weatherly lnn-Renton LLC
ADDRESS 606 Columbia St NW, Ste # 1 0 1
clfr'olympia STATE
WA
ztP:
98501
PHoNE NUt\.4BER: (360) 943-3241
EMAIL ADoRESS':alex@weatherlvinn.com
E I grefer to receive all co-nesoondencd via US Mail.
APPLICANT (if other than owner)
ADDRESS
CITY
EMAIL ADDRESS':
E I prefer to receive all corespondence via LJS Mail
CONTACT PERSON
NAME Frank Durocher
COMPANY (it applicable)IIJ Development
401 Central St SE
CITY Olympia STATE
WA
ZlPl
98501
PHONE NUI,,IBER (360) 810-8359
EMAIL ADDRESS'Irank@ridevelopment.com
E I orefer to receive all conespondencd via LJS Mail.
425-430-7 200
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME
Weatherly lnn Benton
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE
4500 Talbot Hd S
Renton, WA 98055
KING COUNTY ASSESSOR'S ACCOUNT NUMEER(S)
3123059067
3123059094
EXISTING LAND USE(S):
Vacant
PROPOSED LAND USE(S)
Assisted Living
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION
Commercial Mixed Use
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATIoN (if applicable)Qg6mercial Mixed USe
EXISTING ZONING:
Commercial Off ice (CO)
PROPOSED ZONING (if applicable)
Commercial Office (CO)
SITE AREA (in square feet)
202476
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS
2920
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: 0
PROPOSED RESIOENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) 26.52
NUMBER OF PROPOSED LOTS (if applicable)
2
NUMBER OF NEW DWELLING UNITS (if applicable)
't44
PROJECT VALUE
$20,557,603.55
LAND USE PERMIT MASTER APPLICATION
rBy completing the email address field the owner/applicant/contact person is opting to receive all formal notifications
and project documents in digital format via email unless otherwise requested.
NUMBER OF EXISTING DWELLING UNITS (if applic€ble):
N/A
NAME:
COMPANY (if applicable):
STATE:ztP:
PHONE NUIVIBER:
ADDRESSi
PROJECT TNFORMATTON (CONTTNUED)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable):AL. 125,.l gOSqft
SOUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):p74
BUILDINGS (if applicable):MC. 23,21 3Sqft
SQUARE FOOTAGE OF EXISTING NON.RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): MC: 23,21 3sqft
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEw PRoJEcT (if applicqff)
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
E AOUIFER PROTECTION AREA ONE
! AQUIFER PROTECTIoN AREA Two
n FLOOD HAZARD AREA _ sq. ft.
! GEOLOGIC HAZARD _ sq, ft.
! HABITAT CONSERVATION
-
Sq.ft.
f] SHoRELINE STREAMS & LAKES
-
Sq. ft.
! WETLANDS
-
sq. ft.
SITUATE IN THE NE QUARTER OF SECTION 31 , TOWNSHIP 23N N, RANGE 5E
-,W.M.
IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
AFFIDAVIT OF OWNERSHIP
l, (Print Name/s)A/e, 6u*n declare under penalty of perjury under the laws of the State of Washington that I
am (please check one) E the current owner of the property involved in this application or E the authorized representative to act for a
corporation (please attach proof of authorization) and that the foregoing stat€ments and answers herein contained and the information
herewith are in all respects true and conect to the best of my knowledge and belief.
/?
Si gnature of Owner/Representative Signature of Owner,Representative Date
STATE OF WASHINGTON
COUNTY OF KING
I certify thal I know or have satisfactory evidence that signed this insfument and
acknowledge it to be his/her/their free and voluntary act for uses and rpose mentioned in the instrument.
Dated Notary Public in and for the State of ington
Notary (Print):
My appointment expires:
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
Date
vlcKl L KEtl,Y
NolotY Publlc
Siote ot Woshlnglon
liy Commisslon Expile s
July 0l , 2019