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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton School District
ADDRESS: 300 SW 7th Street
CITY: Renton
TE:
STATE:
ZIP:
98057
PHONE NUMBER: (425) 204-2300
EMAIL ADDRESS*:
❑ I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME: Russ Woodruff
COMPANY (if applicable): City of Renton
ADDRESS: 1055 S. Grady Way
CITY: Renton
STATE:
WA
ZIP:
98057
PHONE NUMBER: (425) 430-6602
EMAIL ADDRESS*:roodruff@rentonwa.gov
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Meredith Everist
COMPANY (if applicable): Baylis Architects
ADDRESS: 10801 Main Street, #110
CITY: Bellevue
STATE:
WA
ZIP:
98004
PHONE NUMBER (425) 454-0566
EMAIL ADDRESS*:everistm@baylisarchitects.com
❑ I prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Family First Community Center
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
16022 116th AVE SE
Renton, WA 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
282305-9034
EXISTING LAND USE(S):
School
PROPOSED LAND USE(S):
School and Community Center
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Residential Medium Density
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable) No Change
EXISTING ZONING:
R-6
PROPOSED ZONING (if applicable):
No Change
SITE AREA (in square feet):
648,141 SF Total Short Plat 129,000 SF
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
To be determined
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: 4,400 SF Total (Short Plat 429 SF)
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) N/A
NUMBER OF PROPOSED LOTS (if applicable)
2
NUMBER OF NEW DWELLING UNITS (if applicable):
N/A
NUMBER OF EXISTING DWELLING UNITS (if applicable):
0
PROJECT VALUE:
$10,800,000
*By 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.
PROJECT INFORMATION (CONTINUED)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): N/A
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):21,110 SF
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 45,701 SF
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable):21,110 S F
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applic "rox. 10 FTE
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 NW QUARTER OF SECTION 28 TOWNSHIP 23 N, RANGE 5 _,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
pp
I, (Print Name/s) V, '�OC `� 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 Mthe 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 in resp cts true and correct to the best of my knowledge and belief.
*hat a of-9wmer/Re resent five Date Signature of Owner/Representative Date
STATE OF WASHINGTON
SS
COUNTY OF KING
I certify that I know or have satisfactory evidence that -y-e- (O signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
I110l 2l�
Dated
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Notary Public in and for the State of Washington
Notary (Print):
My appointment expires: 7i �-2