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King's Chapel Master App_8.24.21
tPrintForrnjResetFormiSaveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA98057I425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:BannerprojectPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:504S3rdStRenton,WA98057-2534KINGCOUNTYASSESSORSACCOUNTNUMBER(S):784180018508EXISTINGLANDUSE(S):ChurchlWelfare/ReligSrvcPROPOSEDLANDUSE(S):samePROPERTYOWNER(S)NAME:—‘ADDRESS:SCITYSTAT:v1’jôPHONENUMBER:%3jEMAILADDRESS*:QIprefertoreceiveallcorrespondenceviaUSMail.APPLICANT(ifotherthanowner)NAME:JessieKotarskiCOMPANY(ifaPPlicable):RMACADDRESS:1055SGradyWay,6thFlCITY:STATE:ZIP:RentonWA98057PHONENUMBER.(425)430-7271EMAILIprefertoreceiveallcorrespondenceviaUSMail.CONTACTPERSONNAME:JessieKotarsklCOMPANY(ifaPPlicable):RMACADDRESS.1055SGradyWay,6thFlCITY:STATE:ZIP:RentonWA98057PHONENUMBER(425)430-7271EMAILUIprefertoreceiveallcorrespondenceviaUSMail.EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:CDPROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):78790SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:0PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)0NUMBEROFPROPOSEDLOTS(ifapplicable)0.NUMBEROFNEWDWELLINGUNITS(ifapplicable):0NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):0*Bycompletingtheemailaddressfieldtheowner/applicant/contactpersonisoptingtoecejveallfàrmalnotificationsandprojectdocumentsindigitalformatviaemailunlessotherwiserequested.PROJECTVALUE:$5000.•. PROJECTINFORMATION(CONTINUED)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):0ENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):0LIAQUIFERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALLIAQUIFERPROTECTIONAREAiWOBUILDINGS(ifapplicab)e):“LIFLOODHAZARDAREAsq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):4640LIGEOLOGICHAZARDsq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifLIHABITATCONSERVATIONsq.ft.applicable):LISHORELINESTREAMS&LAKESsq.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicIe):LIWETLANDSsq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHESEQUARTEROFSECTION18,TOWNSHIP23N,RANGE05_,W.M.INTHECITYOFRENTON,KINGCOUNTY.WASHINGTONAFFIDAVITOFOWNERSHIPII,(PrintName/s),declareunderpenaIofpeuryunderthlawsoftheStateofWashingtonthatIam(pleasecheckone)Qthecurrentownerotthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.rSTATEOFWASHINGTONCOUNTYOFKINGSSDateIcertifythatIknoworhavesatisfactoryevidencethatYA‘±14L—1\1)signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.)jNotaryPublic‘andfortheStatedWashingtonNotary(Print):Aq‘orSi’natureofOwner/ReprsentativeSignatureofOwner/RepresentativeDateMyappointmentexpires:&