HomeMy WebLinkAboutA_Land_Use_Permit_Master_Application_210925_v1Print Form., Reset. 1. Sage Foy
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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1425430-7200
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LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
■ *_-�a--_
MME: Camille Washington
COMPANY (if applicable)-
Be Consultin9, LLC
rADEDRESS-
5920 lOOth St SW, #25
CITY- Lakewood
STATE: ZIP:
WA 8499
PHONE NUMBER (253) 984m2900
EMAIL ADDRESS*iowashington@beylerconsulting.cc
L01refer to receive all oortes ondence via US Mad.
PROJECT OR DEVELOPMENT NAME:
Rasstro Short Plat (Tang Short Plat)
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
12727 SE Petrovftsky Rd, Renton 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S).
0739000085
EXISTING LAND USES}:
acant
PROPOSED LAND USE(S):
-single family residential lots
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
IRLD
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable)
EXISTING ZONING:
R4
PROPOSED ZONING (if applicable):
SITE AREA (in square feet):
/- 48,787 SF
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicabie)
NUMBER OF PROPOSED LOTS (if applicable)
NUMBER OF NEW DWELLING UNITS (rf applicable):
13
NUMBER OF EXISTING DWELLING UNITS (if applicable):
PROJECT VALUE:
*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):TBD
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):TBD
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
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.
SITUATE IN THE SE QUARTER OF SECTION 28 , TOWNSHIP 23 N, RANGE 05 _,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
I, (Print Name/s) Alex Castro , 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 EI 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 all respects true and correct to the best of my knowledge and belief.
iture of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that Fit I
acknowledge it to be his/her/their free and voluntary act for the
9/z;/ Z 1
.N0 Y0OIf1
I
Signature of Owner/Representative
,II11Itl
My appointment expires:
gyres signed this instrument and
peed in the instrument.
of Washington
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