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HomeMy WebLinkAboutA_Master_Land_Use_Form_Shoreline_Exemption_180227_v1DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Planning Division 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200 www.rentonwa.gov LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) PROJECT INFORMATION NAME: King County Wastewater Treatment Division (WTD) PROJECT OR DEVELOPMENT NAME: King County South Plant Biogas and Heating Systems Improvements Project ADDRESS: King Street Center 201 South Jackson Street PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 1200 Monster Road SW Renton, WA 98057 CITY: Seattle ZIP: 98104 TELEPHONE NUMBER: 206-477-5458 KING COUNTY ASSESSOR’S ACCOUNT NUMBER(S): King County Parcel Numbers 2423049097, 2423049006 APPLICANT (if other than owner) NAME: EXISTING LAND USE(S): Public Utility (King County South Treatment Plant) COMPANY (if applicable): PROPOSED LAND USE(S): Public Utility (King County South Treatment Plant) ADDRESS: EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Employment Area CITY: ZIP: PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) N/A TELEPHONE NUMBER: EXISTING ZONING: Heavy Industrial (IH) CONTACT PERSON PROPOSED ZONING (if applicable): N/A NAME: Chris Dew, King County WTD SITE AREA (in square feet): 4,375 (temporary construction entrance within shoreline) COMPANY (if applicable): SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: N/A ADDRESS: King Street Center 201 South Jackson Street SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: N/A CITY: Seattle ZIP: 98104 PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) N/A TELEPHONE NUMBER AND EMAIL ADDRESS: 206-477-5458 chris.dew@kingcounty.gov NUMBER OF PROPOSED LOTS (if applicable) N/A NUMBER OF NEW DWELLING UNITS (if applicable): N/A NUMBER OF EXISTING DWELLING UNITS (if applicable): N/A PROJECT VALUE: $6,900.00 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): N/A IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A AQUIFER PROTECTION AREA ONE AQUIFER PROTECTION AREA TWO FLOOD HAZARD AREA 4,375 sq. ft. GEOLOGIC HAZARD 4,375 sq. ft. HABITAT CONSERVATION sq. ft. SHORELINE STREAMS & LAKES 4,375 sq. ft. WETLANDS sq. ft. SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): N/A 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 LEGAL DESCRIPTION OF PROPERTY (Attach legal description on separate sheet with the following information included) SITUATED IN THE NE QUARTER OF SECTION 24, TOWNSHIP 23 North, RANGE 9 East, IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) , 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 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. Signature of Owner/Representative Date Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument. Dated Notary Public in and for the State of Washington Notary (Print): My appointment expires: