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HomeMy WebLinkAboutA_Master Application-PrintFormResetForrnJraveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloor)Renton,WA92057I425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:_________________________________________CoulonMemorialBeachParkTrestleBridgeRPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:GeneCoulonMem.BeachParkTrestleBridgeReplacement1201LakeWashingtonBoulevardNRenton,WA98056KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):______________________________________________Parcel#052305-9010EXISTINGLANDUSE(S):Publicpark/recreationPROPOSEDLANDUSE(S):__________________________________________Publicpark/recreationEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:_________________________________________ResidentialLowDensityPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(itapplicable)EXISTINGZONING:__________________________________________R-1(Residential-iZone)PROPOSEDZONING(ifapplicable):_______________________________N/A___SITEAREA(insquarefeet):_________________________________________Approximately2,650sfSQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:_______________________________N/ASQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)N/ANUMBEROFPROPOSEDLOTS(ifapplicable)________________________________N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):________________________________N/ANUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):________________________________N/APROJECTVALUE:$1,200,000.00PROPERTYOWNER(S)NAME:CityofRentonADDRESS:1055S.GradyWay,6thFloorCITY:STATE:ZIP:RentonWA98057PHONENUMBER:(425)430-6571EMAILQIprefertoreceiveallcorrespondenceviaUSMail.APPLICANT(ifotherthanowner)NAME:Sameasabove.COMPANY(ifapplicable):ADDRESS:CITY:STATE:ZIP:PHONENUMBER:EMAILADDRESS*:UIprefertoreceiveallcorrespondenceviaUSMail.CONTACTPERSONNAME:AlanJ.WyattCOMPANY(ifapplicable):CityofRentonADDRESS:1055S.GradyWay,6thFloorCITY:STATE:ZIP:RentonWA98057PHONENUMBER(425)430-6571EMAILUIprefertoreceiveallcorrespondenceviatiSMail.*8ycompletingtheemailaddressfieldtheowner/applicant/contactpersonisoptingtoreceiveallformalnotificationsandprojectdocumentsindigitalformatviaemailunlessotherwiserequested. PROJECTINFORMATION(CONTINUED)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):N/AENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ALiAQUIFERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALLiAQUIFERPROTECTIONAREAiWOBUILDINGS(ifapplicable):F’I/ALiFLOODHAZARDAREAsq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ALiGEOLOGICHAZARDsq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifLiHABITATCONSERVATIONsq.ft.applicable):N/ALiSHORELINESTREAMS&LAKES130sq.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/ALiWETLANDSsq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENWQUARTEROFSECTION05,TOWNSHIP23N,RANGE05,W.M.INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONIAFFIDAVITOFOWNERSHIPI,(PrintName/s)AlanJ.Wyatt,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)Qthecurrentownerofthepropertyinvolvedinthisapplicationor0theauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.Sept.2,20201atureofwf/RepreseativeDateSignatureofOwner/RepresentativeDateSTATEOFWASHINGTONSSCOUNTYOFKINGIcertithatIknoworhavesatisfactoryevidencethat___________________________________signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfort\eu’ssadpurpetionedintheinstrument.---zo4”2;4f%,Dated4NotaryPlicinndfortheStateoiWashingtonIAqiJ+oj.lt-L157922.N\pNota(Print):?5expires:Ill