HomeMy WebLinkAboutA_Land_Use_Master_Application_Crompton_LLA_notarized_201209_v1Paint faun ReseftrM Sa-eFtm
DEPARTMENT OF COMMtlMITY
AND ECONOMIC DEVEWPMENT
Planning Division
f
1055 South Grady Way, 6th Floor I Renton, QUA 9SD57 1 {425-430-7200
www.rentonera.f;vv
LAND USE PERMIT MASTER APPLICATION
LPROPERTY OWNER(S)
NAME:
Alison Crompton
—
AIDDRESS:
Lincoln-
3623 Ave NE
CITY; IODtOn �STATE: ZIP:
WA 98056
PHONE NUMBER. (502) 71 Q-9842
EMAIL ADDIRESSO.acrompton44@gmail.com
0 I prafer to receive all corros ondonce Wo U5 Mail.
E: APPLICANT (if other than ownor)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY:
STATE-
ZIP:
PHONE NUMBER:
EMAIL ADDRESS':
d I crefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME:
Alison Crompton
COMPANY (if applicable):
ADDRESS:3623 Lincoln Ave NE
CITY: Renton STATE: ZIP:
WA 98055
PHONE NUMBER (602) 710-9842
EMAIL ADDRESSmacrompton44 gmail.coni
❑ 1 prefer to receive all corresDondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
.orom ton LLA
PROJECTIADDRESS(S) LOCATION AND ZIP CODE'
3623 Lincoln Ave NE
Renton. WA 98056
ICING COUNTY ASSESSOR'S ACCOUNT NUMBERS):
3345700225
3346700245
EXISTING LAND USES).
Residential
PROPOSED LAND USE(S):
Residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
N/A
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable) NIA
EXISTING ZONING:
R-$
PROPOSED ZONING (if appkableY
R-8
SITE AREA (in square feet):
50.393 sq ft-. 25.553 s4 ft
SQUARE FOOTAGE OF PRIVATE ACCESS EASE%TENTS:
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED. N/A
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) N/A
NUMBER OF PROPOSED LOTS (if applicable)
N/A
NUMBER OF NEW DWELLING UNITS (if applicable)-
NIA
NUMBER OF EXISTING DWELLING UNITS (if applicable}:
NIA
PROJECT VALUE:
NIA
*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) -:1
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): N/A
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (If applicable): N/A
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (of
applicable): NIA
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if appllcf4)A:
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. 0.
❑
GEOLOGIC HAZARD
_ sq. fl.
❑
HABITAT CONSERVATION
_ sq. g.
❑
SHORELINE STREAMS & LAKES
_ sq. R.
❑
WETLANDS
_ sq. �-
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following inforntafim fiindu
SITUATE IN THE QUARTER OF SECTION , TOWNSHIP rL, RANGE _.Ve V LN THE CITY
OF RENTON. KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Names) Alison Crompton , declare under penatlyof perjury under Croravisof the that I
am (please check one) Q the current owner of the property involved in this application or ❑ the aulhmzed repres f.at+ve rm ad for a
corporation (please attach proof of authorization) and that the foregoutg statements and ans as heroin contained and ft in'tormation
herewith are in all respects true and correct to the best of my knowledge and belief.
ia&bng10
Signature of Owner/Represeguative D6to
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I costly that I know or have satisfactory evidence that
acknowledge it to be hislheutheir free and voluntary ac
I2/oP)l7,6�
Dated
[CH:R1ST0P:HER-LUKE S SHIMONO
OBLICE INGTON
ce6T096
misJuly 11. 2022
Signature of OwnerlRepresenialive Date
— tl t 010t ( L L' DIYIIT I UN — signed this instrument and
t for the uses
Notary Public in add for the Slate
Notary(Print); f
Mynppoinlmnntexpires:2adn-
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