HomeMy WebLinkAboutA_LandUsePermitMasterApplication_4101_032619DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVETOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 I 425-430-7200
Y; iV'"v. j'e n t o n ria&:_y
LAND USE PERMIT MASTER APPUCATION
PROPERTY OWNER(S)
NAME: Howard Goodman & Ellen Kampel
ADDRESS:4101 williams Ave N
clrY'Renton STATE.
WA
ZIP..
98056
PHoNE NUMBER: 425-988-331 5
EMAIL ADDRESS"ellenkampel@hotmai l. com
fl I preferto receive all correspondence via US Mail
APPLICANT (if otherthan owner)
NAME
COMPANY (if applicable):
ADDRESS:
CITY:STATE-ZIP
PHONE NUMBER:
EMAIL ADDRESS":
E I prefer to receive all corresoondence vra US Mail
CONTACT PERSON
NAME:Martha J Dawson
COMPANY (if applicable)
ADDRESS:01 13 \Mlliams Avenue N
clrY'Renton STATE:
WA
ZIP.
)8056
PHoNE NUMBER 206.234. 457 5
EMAIL ADDRESS.,r..tarthad4l 1 3@gmail, com
I I prefer to receive all correspon dence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME.
Sarbee Mill
PROJECT/ADDRESS(SyLOCATTON AND Zr P CODE:
1101 Williams Ave N
lenton, WA 98056
KrNG COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
)51 8500400
EXTSTTNG LAND USE(S):
Iownhouse Plat
PROPOSED LAND USE(S):
Iownhouse Plat
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
.W-C: Lake Washington Reaches, Shoreline High Dr
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable)
EXISTINGZONING-
R-10
PROPOSED ZONING (if applicable):
SITE AREA (in square feet)
5961
SOUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (rf applicable)
NUMBER OF NEW DWELLING UNITS (if applicable):
NUMBER OF EXISTING DWELLING UNITS (if applicable):
PROJECT VALUE:
$2,541 00
*8y completing the email address field ttre owner/applicant/contact person is opting to receive all formal notifications
Lakefront Buffer Safety Handrail 4101
PR0JECT rNFOR[fiATrON {CONTTNUED}
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable):
SOUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUI LDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS To REMAIN (if applicable)'. 3A7A
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable):
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable):
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA. PLEASE INCLUDE
SOUARE FOOTAGE (if applicable):
E eoulreR PRoTECTIoN AREA oNE
fl noutreR PRoTECTToN AREATWo
EI TIoooHAZARDAREA
El oeolooc HAZARD
tr HABITAT CoNSERVATIoN
E snonEIINE STREAMS & LAKES
El wEruruos
1.000
sq.ft.
sg ft.
sq.ft.
sq.ft,
sq.ft
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following information included
STTUATE tN THE NW qUARTER oF SEcTtoN 32 , ToWNSHtp 24 N, RANGE 05 _,W.M. lN THE CtTy
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OHllrlERSHlP
l, (Print Nanrefsi Elhn Kanpel & Hoagard Gocdg*a! declare under penafry of perlury under the of the State of Washington that I
am (please check one! plthe cunent ovcner cf the prcperty inrolved in iltb applicdiron or fiffne repre-ntative to act for a
corporaton (ptease attach oroof of autfiorzaton! and &at fte foregarng sbtemerlB a;ld ansruers,contar*ed and the information
STATE OFtFlftStftlclffiON
COUNTY OF KJ$I€
03 r 'Zotaw
FIDEL RODRIGUEZ JR
Nolary Public - California
Ventura County
Commission # 2223818
My Comm. Expires Dec 1, 2021
7'l5'l
1 Cc,,t\. Lor\A\ca
}SS
) V<.v.\*, S-c,.
I certify that I know or have satisfactory evidence tha .-tz\<-\
acknovdedge itto be hisftentlrerrfree and voluntary actforthe uses and
instrurnent and
Ccr\ i -[,,-<.,rr r,.r
Notary (Print):
My appolntrne$t expires /2- o/- 2.oz(
7
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------------------------
California
1
March 15, 2019
Attachment A
LAND USE PERMIT MASTER APPLICATION
Project Name
Barbee Mill Lakefront Buffer Safety Handrail 4101
Property:
4101 Williams Avenue N, Renton, WA 98056
Existing Comprehensive Plan Map Designation:
LW -C: Lake Washington Reaches; Shoreline High Density
Property Owners:
Howard Goodman
Ellen Kampel
Legal Description:
LOT 40, BARBEE MILL, ACCORDING TO THE PLAT THEREOF, RECORDED IN VOLUME 246 OF
PLATS, PAGES 25 THROUGH 39, IN KING COUNTY, WASHINGTON.
BARBEE MILL TGW UND INT IN TRS A, B, C, D, E, F, G, H, I, L, M, N, O & P
PLat Block:
Plat Lot: 40