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Land Use Permit Application
PROPERTYOWNER(S)NAME:CityofRentonADDRESS:1055SouthGradyWayCITY:STATE:ZIP:RentonWA98057PHONENUMBER:(425)430-7200EMAILADDRESS*:QIprefertoreceiveallcorrespondenceviaUSMail.APPLICANT(ifotherthanowner)NAME:MonicaWalkerCOMPANY(ifapplicable):KingCountyADDRESS:201SouthJacksonSt.CITY:STATE:ZIP:SeattleWA98104PHONENUMBER:(206)477-4843EMAILADDRESS*:monica.walker@kingcounty.govIprefertoreceiveallcorrespondenceviaUSMail.CONTACTPERSONNAME:MonicaWalkerCOMPANY(ifapplicable):KingCountyADDRESS:201SouthJacksonSt.CITY:STATE:ZIP:SeattleWA98104PHONENUMBER(206)477-4843EMAILIprefertoreceiveallcorrespondenceviaUSMail.PrintFormResetFormSaveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA98057I425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:CedarRiverTrailEmbankmentSubsurfaceExPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:1500HouserWaySouth.NorthbankofCedarRiverTrailatthenortheasternmostcornerofparcel1723059015andnorthwesternmostcornerofparcel1623059078.KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):EXISTINGLANDUSE(S):PublicPark(1723059015),vacant(1623059078PROPOSEDLANDUSE(S):EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:RC-ResourceConservationPROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):75,000SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELLINGUNITS(ifapplicable):NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):PROJECTVALUE:$0*Bycompletingtheemailaddressfieldtheowner/applicant/contactpersonisoptingtoreceiveallformalnotificationsandprojectdocumentsindigitalformatviaemailunlessotherwiserequested. PROJECTINFORMATION(CONTINUED)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):ENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):ElAQUIFERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALAQUIFERPROTECTIONAREATWOBUILDINGS(ifapplicable):UFLOODHAZARDAREAsq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):lGEOLOGICHAZARDsq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifUHABITATCONSERVATIONsq.ft.applicable):ESHORELINESTREAMS&LAKESsq.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):UWETLANDSsq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE_________QUARTEROFSECTION_____,TOWNSHIP_____N,RANGE______,W.M.INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONIAFFIDAVITOFOWNERSHIPII,(PrintName/s)AmandaPierce,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)Qthecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.f%Di1d\J7/Z5.)SignItjreofOwner/Representative”DateSignatureofOwner/RepresentativeDateSTATEOFWASHINGTONCOUNTYOFKINGSSIcertifythatIknoworhavesatisfactoryevidencethatiI,JiC-signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPubñcinandfortheStateofWashington1JNotary(Print):Datedappointmentexpires:2II1/