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HomeMy WebLinkAboutA_Land_Use_Master_Application_220627_v1(PrintFormResetFormSaveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorRenton,WA98057I425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:________________________________________CityofRentonSeniorCenterBocceCourtlmprPROJECT/ADDRESS(S)ILOCATIONANDZIPCODE:_____________________________________________________CityofRentonSeniorCenter211BurnettAveN,Renton,WA98057Renton,WA98056KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):_____________________________________________Parcel#s182305-9158and182305-9277EXISTINGLANDUSE(S):Publicuse/recreationPROPOSEDLANDUSE(S):_____________________________________________Publicuse/recreationEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:_________________________________________ResidentialLowDensityPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:________________________________________Residential10DU/AcrePROPOSEDZONING(ifapplicable):_______________________________N/ASITEAREA(insquarefeet):________________________________________Approximately2,560sfSQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:_______________________________N/ASQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)N/ANUMBEROFPROPOSEDLOTS(ifapplicable)________________________________N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):_______________________________N/ANUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):_______________________________N/APROJECTVALUE:$250,000.00PROPERTYOWNER(S)NAME:CityofRentonADDRESS:1055S.GradyWay,6thFloorCITY:STATE:ZIP:RentonWA98057PHONENUMBER:(425)430-6571EMAIL0IprefertoreceiveallcorrespondenceviaUSMail.APPLICANT(ifotherthanowner)NAME:Sameasabove.COMPANY(ifapplicable):ADDRESS:CITY:STATE:ZIP:PHONENUMBER:EMAILADDRESS*:QIprefertoreceiveallcorrespondenceviaUSMail.CONTACTPERSONNAME:AlanJ.WyattCOMPANY(ifapplicable):CityofRentonADDRESS:1055S.GradyWay,6thFloorCITY:STATE:ZIP:RentonWA98057PHONENUMBER(425)430-6571EMAILADDRESS*:awyatt@refltonwaaov0Iprefertoreceiveallcorrespondencevia135Mail.Bycompletingtheemailaddressfieldtheowner/applicant/contactpersonisoptingtoreceivealtformalnotificationsandprojectdocumentsindigitalformatviaemailunlessotherwiserequested. PROJECTINFORMATION(CONTINUED)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):N/AENVIRONMENTALLYCRITICALAREAPLEASEINCLUDESQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/AUAQUIFERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALUAQUIFERPROTECTIONAREATWOBUILDINGS(ifapplicable):“ANI121FLOODHAZARDAREA240sq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/AUGEOLOGICHAZARDsq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifUHABITATCONSERVATIONsq.ft.applicable):N/A12]SHORELINESTREAMS&LAKES240sq.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AUWETLANDSsq.ft.fLEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENWQUARTEROFSECTION17TOWNSHIP23N,RANGE05E_,W.M.INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONIAFFIDAVITOFOWNERSHIPII,(PrintName/s)AlanJ.Wyattdeclareunderpenaltyofper)uryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)IJthecurrentownerofthepropertyinvolvedinthisapplicationor0theauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief./2t/2O2Z§natureofr/RkeijtabvebateSTATEOFWASHINGTONCOUNTYOFKINGSSIcertifythatIknoworhavesatisfactoryevidencethat/1viisignedthisinstrumentandacknowledgeittobehis/her/theirfr,-dvoluntaryactfortheusesandpurpose’mentionedintheinstrument.Notary/’ubhcinandfo,eStateofWashington\JclNotary(Prin’):SignatureofOwner/RepresentativeDateDatedMyappointmentexpires: