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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPME11
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 425430-7200
www.rentonwa.gov
PROPERTY OWN�V�Q��
NAME: Robert L. and Deborah A. Fattore
ADDRESS:13810 152nd Ave SE
CITY: Renton
STATE:
WA
ZIP:
98059
PHONE NUMBER: (206)550_4707
EMAILADDRESS*:M usclecarsnw@gmail.com
❑ I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME: Same as owner
COMPANY (if applicable):
ADDRESS:
CITY:
STATE:
ZIP:
PHONE NUMBER:
EMAIL ADDRESS*:
❑ I refer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Dave Matthews
COMPANY (if applicable):Encompass Engineering &
Surveying
ADDRESS:165 NE Juniper St., Suite 201
CITY: Issaquah
TE:
WA
9Z1P027
8
PHONE NUMBER (425) 392-0250
EMAIL ADDRESS*:dmatthews@encompasses.net
❑ I prefer to receive all correspondence via US Mail.
PROJECT INFORMA u ON
PROJECT OR DEVELOPMENT NAME:
Fattore Lot Line Adjustment
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
13810 152nd Ave SE, Renton, WA 98059 (Fattore)
138XX 154th Ave SE, Renton, WA 98059 (Fattore)
13815 154TH AVE SE, Renton, WA 98059
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
146340-00151 146340-0017 and 146340-0016
EXISTING LAND USE(S):
SFR and Vacant
PROPOSED LAND USE(S):
SFR
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RLD-Residential Low Density
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable) N/A
EXISTING ZONING:
R-4
PROPOSED ZONING (if applicable):
N/A
SITE AREA (in square feet):
1651216
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
N/A
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: N/A
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (if applicable)
N/A
NUMBER OF NEW DWELLING UNITS (if applicable):
N/A
NUMBER OF EXISTING DWELLING UNITS (if applicable):
2
PROJECT VALUE:
N/A
*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) : 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 (if
applicable): N/A
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable): N/A
Id
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. ft.
❑ GEOLOGIC HAZARD sq. ft.
❑ HABITAT CONSERVATION sq. ft.
❑ SHORELINE STREAMS &LAKES sq. ft.
❑ WETLANDS sq. ft.
LEGAL DESCRIPTION OF PROPERTY
on
sheet with the
information includ
SITUATE IN THE SW QUARTER OF SECTION 14 ,TOWNSHIP 23 N, RANGE 05 _,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s)� ieclare under penalty of perjury under the laws of the State of Washington that I
am (please check one)' the current owner of the property involved in this application or Q the authorized representative to act for a
corporation (please attach proof of authorization) and that the foregoing statements and answers herein contained and the information
herewith are in,1911 respects true and correct to the best of my knowledge and tAief.
of Owner/Representative Date
STATE OF WASHINGTON )
SS
COUNTY OF KING )
Signature of Owner/Representative
Date
I certify that I know or have satisfactory evidence that � � � vva signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
MOHINI LATA
Notary Public
State of Washington
My Appointment Expires
Mar 26, 2022
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires: