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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1 425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: King County
ADDRESS:401 5th Ave, Suite #500
CITY: Seattle STATE: ZIP:
WA 98104
PHONE NUMBER: (206) 263-7891
EMAIL ADDRESS*fnelson a@7ki ngcounty.gov
❑ I prefer to receive all correspondence via US Mail,
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY:
STATE:
ZIP:
PHONE NUMBER:
EMAIL ADDRESS':
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Frances Nelson
COMPANY (if applicable)
King County
ADDRESS:401 5th Ave, Suite #500
CITY: Seattle STATE: =48'704WA
PHONE NUMBER (206) 263-7891
EMAIL ADDRESS*:tnelson@kingcounty.goy
❑ 1 prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Health Through Housing - Renton
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
1150 Oakesdale Ave SW
Renton, WA 98057
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
918800-0148
EXISTING LAND USE(S):
R-1 Hotel
PROPOSED LAND USE(S):
R-2, A3, B, S-2
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
EA
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable) no change
EXISTING ZONING:
Co
PROPOSED ZONING (if applicable):
no chart e
SITE AREA (in square feet):
169,280
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
none
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
106
NUMBER OF EXISTING DWELLING UNITS (if applicable):
0
PROJECT VALUE:
100,000
*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): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):67,842
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): NA
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): NA
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable): 10-15
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
0 FLOOD HAZARD AREA 22,258 sq. ft.
❑ GEOLOGIC HAZARD sq. ft.
❑ HABITAT CONSERVATION sq. ft.
0 SHORELINE STREAMS & LAKES 26,708 sq. ft.
ElWETLANDS sq. ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE QUARTER OF SECTION _, TOWNSHIP N, RANGE _,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Anthony Wright , declare 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 (ease attach proof of authorization) and that the foregoing statements and answers herein contained and the information
herewith ark in a}spectrue and correct to the best of my knowledge and belief.
'c v z
Date
SZJAT F W SH1N ON )
SS
COUNTY OF ING )
Signature of Owner/Representative Date
} I certify that I know or have satisfactory evidence that r/ • _G � 6� ������ L"J �
acknowledge it to be his/her/their free and voluntary act for the uses and Purpoe
Dated
Nancy KodW Lee
Notary Publt
Stab of "fa inpion
Ny Appov*m Expire w17412ortl
Commiaion Nwnber 201OM
Notary Publicc in
Notary (Print): 4
" j - - signed this instrument and
T tioned in the instrument.
or the 5 e of Washington
tee --
My appointment expires: '## l� /7� -2 4 f
EXHIBIT "A"
Legal Description
Lot 4 of City of Renton Short Plat Number 016-88, recorded under Recording Number 8910279013, being
a portion of Tract 13, Washington Technical Center, according to the plat thereof recorded in Volume 122
of Plats, Pages 98 through 102, inclusive, records of King County, Washington.