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A_Land_Use_Master_Application_211011_v1
PrintFormResetFormASaveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA98057I425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:KiwanisParkLotLineAdjustmentPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:815UnionAveNE,Renton,WA98056KINGCOUNTYASSESSORSACCOUNTNUMBER(S):09230592and0923059015EXISTINGLANDUSE(S):PARKPROPOSEDLANDUSE(S):PARKPROPERTYOWNER(S)NAME:CityofRentonADDRESS:1055SGradyWayCITY:RentonISTATE:ZIP:WA98057PHONENUMBER:(425)430-6600EMAILLIIprefertoreceiveallcorrespondenceviaUSMail.APPLICANT(ifotherthanowner)NAME:AlanJ.WyattCOMPANY(ifaPPlicable):C.tofRentonADDRESS:1055SGradyWayCITY:ISTATE:IZIP:RentonWA98057PHONENUMBER:(425)430-6571EMAILUIprefertoreceiveallcorrespondenceviaUSMail.CONTACTPERSONNAME:ShawnJensenCOMPANY(ifaPPlicable).BDees&AssociatesADDRESS:222E26thStCITY:ISTATE:IZIP:TacomaWA98421PHONENUMBER(253)627-7947EMAILADDRESS*:sjeflsefl@bdassociatescornUIprefertoreceiveallcorrespondenceviaUSMail.EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:ResidentialMediumDensityPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:Residential-8tR-8)PROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):413,708SFforentireParkareaSQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELLINGUNITS(ifapplicable):NoneNUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):None*Bycompletingtheemailaddressfieldtheowner/applicant/contactpersonisoptingtoreceiveallformalnotificationsandprojectdocumentsindigitalformatviaemailunlessotherwiserequested.PROJECTVALUE:$4.5MforKiwanisParkImprovementsProject SITUATEINTHENEQUARTEROFSECTION9TOWNSHIP23N,RANGE5E,W.M.INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONIAFFIDAVITOFOWNERSHIPINota5fPublicinan/r4WetfeofWashingtonV/Notary(Print):PROJECTINFORMATION(CONTINUED)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):ZeroSQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):ZeroSQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):Shelter600,Restroom25SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):ZeroNETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):625SFNUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):LiAQUIFERPROTECTIONAREAONELiAQUIFERPROTECTIONAREAiWOLiFLOODHAZARDAREA____sq.ft.LiGEOLOGICHAZARD____sq.ft.LiHABITATCONSERVATION____sq.ft.LiSHORELINESTREAMS&LAKESsq.ft.LiWETLANDSsq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)Z/iI,(PrintName/s)AlanJ.Wyatt,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)E1thecurrentownerofthepropertyinvolvedinthisapplicationor0theauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief./2//t/Z02/atureofwnerepreseatieDateSignatureofOwner/RepresentativeDateSTATEOFWHINGTONSSCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethat_________________________________signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactforheusesandpurpsementionedintheinstrument.appointmentexpires: