HomeMy WebLinkAboutLand Use Permit Application - AW signed_11.15.2021PrintFormResetFormjCSaveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA98057I425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:________________________________________CoulonMemorialBeachParkRoseWalllnspePROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:CoulonMemorialBeachParkRoseWall2550LakeWashingtonBoulevardRenton,WA98056KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):__________________________________________________Parcel#3344500775EXISTINGLANDUSE(S):Publicpark/recreationPROPOSEDLANDUSE(S):___________________________________________Publicpark/recreationEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:_________________________________________ResidentialLowDensityPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:_________________________________________R-1(Residential-iZone)PROPOSEDZONING(ifapplicable):______________________________N/ASITEAREA(insquarefeet):________________________________________Approximately2,350sfSQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:______________________________N/ASQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)N/ANUMBEROFPROPOSEDLOTS(ifapplicable)______________________________N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):_______________________________N/ANUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):_______________________________N/APROJECTVALUE:$1,500.00PROPERTYOWNER(S)NAME:CityofRentonADDRESS:1055S.GradyWay,6thFloorCITY:STATE:ZIP:RentonWA98057PHONENUMBER:(425)430-6571EMAILUIprefertoreceiveallcorrespondenceviaUSMail.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)430-6571EMAILUIprefertoreceiveallcorrespondenceviaUSMail.*ycompletingtheemailaddressfieldtheowner/applicant/contactpersonisoptingtoreceiveallformalnotificationsandprojectdocumentsindigitalformatviaemailunlessotherwiserequested.
fPROJECTINFORMATION(CONTINUED)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):N/AENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/AElAQUIFERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALElAQUIFERPROTECTIONAREATWOBUILDINGS(ifapplicable):tiIA“‘ElFLOODHAZARDAREAsq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/AElGEOLOGICHAZARDsq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifElHABITATCONSERVATIONsq.ft.applicable):N/AElSHORELINESTREAMS&LAKES130sq.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AElWETLANDSsq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENWQUARTEROFSECTION05TOWNSHIP23N,RANGE05_,W.M.INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONIAFFIDAVITOFOWNERSHIPII,(PrintName/s)AlanJ.Wyatt•declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)1Jthecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.,,/tc/zozt___________________COUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethat1Wsignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfo/theuses”qjipurpose,)ientio,edintheinstrument.SitureofOwner/R,pcesentative/DateSignatureofOwner/RepresentativeSTATEOFWAH1cIGTON)SSDateNotai’blicinndfoheThtaofWashington/JNotary(Print):Myappointmentexpires:7/