HomeMy WebLinkAbout3_LU-Application_NoterizedDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
PROPERTY OWNER(S)
NAME:STEIN SKATTUM
ADDRESS:
P.O BOX 769
CfTY: ZIP:
RENTON 98057
TELEPHONE NUMBER:206-300€231
APPLICANT (it other than owner)
NAME:MARKTRAVERS
COMPANY (if applicable): MARK TRAVERS
ARCHITECT
ADDRESS:
2315E. PIKE ST
CfTY: ZIP:
SEATTLE 98122
TELEPHONE NUMBER:
CONTACT PERSON
NAME:
MYLOAN NGUYEN
COMPANY (if applicable): MARK TRAVERS
ARCHITECT
ADDRESS:
2315 E PIKE ST
CIW: ZIP:
SEATTLE 98122
TELEPHONE NUMBER AND EMAIL ADDRESS:
206-763-8496 ext 105
myloan@marktraversarch itect.com
Planning Division
LAND USE PERMIT MASTER APPLICATION
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PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
RENTON SUBDIVISION
PROJECT/ADDRESS(S/LOCATTON AND ZrP CODE:
17018 & 17022 106rH AVE SE
RENTON, WA 98055
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
LOT 10: 008700-0265
LOT 11: 008700-0270
EXISTING LAND USE(S): RESIDENTTAL
PROPOSED LAND USE(S): RESIDENTIAL
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
PROPOSED COMPREHENSIVE PISN MAP DESIGNATION
(if applicable)
D(IST|NG ZONING: R-8
PROPOSED ZONING (if applicable): R€
SITE AREA (in square feet): 84,360 SF (COMBINED
LOrS)
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: 10,530
SQUARE FOOTAGE OF PR]VATEACCESS EASEMENTS:
580 SF
PROPOSED RES]DENTIAL DENS]TY IN UNITS PER NET
ACRE (if applicable) 6.54
NUMBER OF PROPOSED LOTS (if applicable)
11
NUMBER OF NE1 / DWELLING UNITS (if applicable):
11
Rev:08/2015
NUMBER OF EXISTING DWELLING UNITS (if applicable):
2 (ONE/EA LOT)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): TBD AT BUILDING PERMIT
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 0
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): 0
SQUARE FOOTAGE OF EXISTING NON.RESIDENTIAL
BUiLDINGS TO REMAIN (if applicable): 0
NET FLOOR AREA ON NON-RESIDENTTAL BUTLDINGS (if
applicable):0
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): 0
PROJECT INFORMATION {continued
LEGAL DESCRIPTION OF PROPERTY
on separate sheet with the following information included
S|TUATE tN THE SW QUARTER OF SECTION 29, TO\ NSH|P &, RANGE g, lN THE CITY OF RENTON,
KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
l, (Print Name/s) declare under penalty of perjury under the laws of the State of Washington that I am (please check one) E the
cunent owner of the property involved in this application or I the authorized representative to act for a corporation (please attach proof
of authorization) and that the ficregoing statements and answers herein contrained and the information herewith are in all respects true
Signature of Owner/Representative
STATE OF WASH]NGTON ))sscouNw oF K]NG )
Signature of Owner/Representiative Date
t certiff that I know or have satisfactory evidence 16^1 SZe '- S'ZqZ>u*,signed this instrument and
My appointment expires:z-Lz-r l
2
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PROJECT VALUE:
$
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
T] AQUIFIER PROTECTION AREA ONE
E AOUIFIER PROTECTION AREA TWO
E FLOOD HMARDAREA - sq.ft.
fl GEOLOGIC HAZARD - sq.ft.
tl HABITAT CONSERVATTON - sq.ft.
N SHORELINE STREAMS & LAKES - sq.ft.
fl WETLANDS _ sq.ft.
acknowledge it to be his/herftheir free and voluntary act for the uses and purpose mentioned in the instrqment.
/2-)z-t6 /Z &r-.L
Dated
Nolary Publlc
State of Washington
ROBERT ANTHONY ALVAREZ
MY COMMISSION EXPIRES
February 22,2018
Notary Public in and for the State of Washington
Notary (Print):
Rev:08/2015