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LLA 8101120505
3' PLANNING DEPARTMENT REQUEST FOR U © Z 200 Mill Ave. South Z laRenton, Washington 98055 LOT I.. IIJE O "� 0 235-2550 ADJUSTMENT Submit Original Plus One Copy ,c/e /fe .L L/9 - ox 3 -fa Lot 1 Owner's Name Address City Zip Phone Dixon LOA/6 LW .4,enE�A!!At ,F.ax! 9s4s5 255:. 24 Lot 2 Owner's Name Address City Zip Phone Ul C/Ty air REA/74t/ ZGI4 ASI/L.L ,4/! 5 Riemof 9 eAs 235 7460 O rte-, Lot 3 Owner's Name ,Address City Zip Phone �j 0 REASONS FOR REQUESTING CHANGE (Attach separate sheets, if necessary) : CO %v ADJ157 THE fA5/ L/AIE' c7 107 / (LOT Z3) 54 TA/&" /A Py-o✓? C./!z3', .p/ 1 A/44No l-4.vpSc.4P Ai4 Wr//. E it-m Av go; of Af Lav P /9.�,v6-A';y CERTIFICATION STATEMENT / I declare that I am the owner of the property ,?-/ ....„0„,_ involved in this application and that the //Lot 1, ignature,. foregoing statements and answers herein o� �' contained and the information herewitik- �` t POGO`-' submitted are in aZZ respects true and Lot 2',i•Signature correct to the best of my knowledge and belief. Lot 3, Signature 1/4 Sec. Sec. Twn. Rg. Zoning Related File .v IA/ 9 23 s LEGAL DESCRIPTION LOT 1: Lot 23 of the corrected plat of the Renton Highlands No. 2 as recorded in Vol. 57 pages 92 thru 98 records of King County Washington together with the westerly 8.76 ft. of the northerly 106.00 ft. of the public use area adjacent to said lot on the east, lying south of the south margin of NE 12th St. as now established, less south 10 ft. of east 92.86 ft. of said lot 23. f LOT 2: That portion of the public use area in Block 46 of the corrected plat of the Renton Highlands No. 2 as recorded in Vol. 57 pages 92 thru 98 records of King County Washington lying south of the south margin of NE 12th St. as now established less the west 8.76 feet of the north 106.00 ft. thereof together with the south 10 ft. of the east 92.86 feet of lot 23, said block 46 corrected plat of the Renton Highlands No. 2. _ 81/01/12` #0505 C: RECD F 4. 00 LOT 3: C.PSE 'SI ****4.00 f 9NIv t,..:4-4") ,A— . .7QN()33�! oFFic gvl +� d ? 1ut; ; t, ;' i OF THE CITY CLERK ' ° I1 Ii! Nr ' ► 200 MILL AVE. SOUTH o PORTIONS OF THIS DOCUMENT POOR QUALITY FOR FII.MIN'G P 411 ILLUSTRATION OF PROPOSED LOT LINE ADJUSTMENT NORTH SCALE 1" = 40' ft. DATE: Q=29-j76 Ll') 0 R o % • CO jf a -LOT 2 �ii LOT 2 '1 8.74' 22 23 a �� OGD LOT LINES---': Al6W WI L/N8- O 92.88, - 8''7 ' TRACT :4" _ A/86-.57'32"W 40.00' _ -_ -- _ t 92.84' - I 1 LO 2/ I CI V Q1 NOTE: Approval, if granted, does not assure issuance of a building permit. No building permit may be issued until all requirements of appropriate King County agencies for segregation and recording are complied with. Do Not Write BeZow This Line Approval is hereby granted subject to: 0 Disapproved because: (, l/sle# R DATE cc: Engineering Original to file Building Copy to Applicant on: r S 8•