HomeMy WebLinkAboutUFMP Land Use Master Application signedPrintFormResetFormSaveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA98057I425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:CityofRentonUrbanForestManagementPlanPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:CityofRentonproperKINGCOUNTYASSESSORSACCOUNTNUMBER(S):N/AEXISTINGLANDUSE(S):SeeCityofRentonComprehensivePlanPROPOSEDLANDUSE(S):SeeCityofRentonComprehensivePlanPROPERTYOWNER(S)NAME:CityofRentonADDRESS:1055S.GradyWayCITY:STATE:ZIP:RentonWA98057PHONENUMBER:(425)430-6601EMAILCIprefertoreceiveallcorrespondenceviaUSMail.APPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESS:CITY:STATE:ZIP:PHONENUMBER:EMAILADDRESS*:UIprefertoreceiveallcorrespondenceviaUSMail.CONTACTPERSONNAME:IanGrayCOMPANY(ifapplicable):CityofRentonADDRESS.1055S.GradyWay,6thFloorCITY:STATE:ZIP:RentonWA98057PHONENUMBER(425)430-6601EMAILCIprefertoreceiveallcorrespondenceviaUSMail.EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:SeeCityofRentonComprehensivePlanPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)N/AEXISTINGZONING:AllPROPOSEDZONING(ifapplicable):N/ASITEAREA(insquarefeet):N/ASQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:N/ASQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)N/ANUMBEROFPROPOSEDLOTS(ifapplicable)N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):N/ANUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):N/APROJECTVALUE:N/A*ycompletingtheemailaddressfieldtheowner/applicant/contactpersonisoptingtoreceiveallformalnotificationsandprojectdocumentsindigitalformatviaemailunlessotherwiserequested.
PROJECTINFORMATION(CONTINUED)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):N/AENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDE___________________________________________SQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(iiapplicable):N/AElAQUIFERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALElAQUIFERPROTECTIONAREAiWOBUILDINGS(ifapplicable):NIIAElFLOODHAZARDAREAsq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/AElGEOLOGICHAZARD_____sq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifElHABITATCONSERVATION____sq.ft.applicable):N/AElSHORELINESTREAMS&LAKES____sq.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AElWETLANDS_____sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE_________QUARTEROFSECTION_____TOWNSHIP_____N,RANGE______,W.M.INTHECITYOFRENTON.KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPI,(PrintName/s)IanH.Gray,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)0thecurrentownerofthepropertyinvolvedinthisapplicationorQtheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.C4,qNovember,DiJSignatureofOwner/RepresentativeDateSignatureofOwner/RepresentativeDateSTATEOFWASHINGTONSSCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethat________________________________________signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.DatedNotaryPublicinandfortheStateofWashingtonNotary(Print):Myappointmentexpires: