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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 I 425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Christina & Anup Kejriwal
ADDRESS: 4125 Williams Ave N
CITY: Renton I STATE: WA
PHONE NUMBER: (425) 241-6915
I ZIP: 98056
EMAIL ADDRES S*:chris.kejriwal@gmail .comD I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: I STATE: I ZIP:
PHONE NUMBER:
EMAIL ADDRESS*: D I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: E w h van e r
COMPANY (if applicable): d . .ecco es1gn me.
ADDRESS: 7413 Greenwood Ave N
CITY: Seattle I STATE: WA PHONE NUMBER (206)706_3937
19��:0 3
EMAIL ADDRESS*:evan@eccod esignin c.comD I prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME: Kejriwal LiftPROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 4125 Williams Ave N Renton, WA 98056
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
051850-0360
EXISTING LAND USE(S): Single Family Residential
PROPOSED LAND USE(S):
N/A EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: COR PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) N/AEXISTING ZONING: R-10PROPOSED ZONING (if applicable):
N/A SITE AREA (in square feet): 7,787 SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) NUMBER OF PROPOSED LOTS (if applicable)
NUMBER OF NEW DWELLING UNITS (if applicable):
NUMBER OF EXISTING DWELLING UNITS (if applicable):
PROJECT VALUE: 25,000
*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.