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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor Renton, WA 980,57 425-430-7200
www.rentonwa.sov.
LAND USE PERMIT MASTER APPL-ICATION
CHIA
CHEN, KIDDIE RESEARCH
*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)
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable)
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS Of applicable) 10699 Sf
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN ('If applicable)
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable) 9360
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if appl'cgbe):
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
[:1 AQUIFER PROTECTION AREA ONE
❑ AQUIFER PROTECTION AREA TWO
[:1 FLOOD HAZARD AREA
El GEOLOGIC HAZARD
El HABITAT CONSERVATION
El SHORELINE STREAMS 8 LAKES
ED WETLANDS
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following info ation included
SITUATE IN THE SW QUARTER OF SECTION 4 TOWNSHIP 23
OF RENTON, KING COUNTY', WASHINGTON
N, RANGE 5
AFFIDAVIT OF OWNERSHIP
sq ft
sq. R
sq. ft.
sq. ft.
W. M. IN THE CITY
I, (Print Name(s) YANG CHLAO CHEN- , declare under penalty of penury under the haws of the Stats of Washington that f
am (please check one) El the current owner of the property involved in this application or EVl the authorized representative to act for a
corporaton (please attach proof of authonzationj and that the foregoing statements and answers herein contained and the information
herewith are in all respects true and correct to the best of my knowledge and belief.
�v'
gnatqfof CWner/'Representabve
STATE OF WASHINGTON )
SS
COUNTY OF KING
Date
Signature of Owner/Representative date
, r }
cerdfy that 1 know or have satisfactory evidence that y td� � � � � �� �" ��� signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument
ooG
AAD /7
Dated
�j
1
Notary Pu lic in and for the State of Washington
A,C I
Notary (Print)
My appointment expires
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