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A_MasterApplication_220909_v1
PROPERTYOWNER(S)NAME:WASATCHPREMIERBURNETTLLCADDRESS:595sRIVERWOODSPKWY#400CITY:STATE:ZIP:LoganUT84321PHONENUMBER:EMAILADDRESS*:jmjtchell@netwasatchcornDIprefertoreceiveallcorrespondenceviaUSMail.APPLICANT(ifotherthanowner)NAME:IngridTessaMitchellCOMPANY(ifapplicable)WasatchCollectionADDRESS:339BurnettAveSCITY:STATE:ZIP:RentonWA98057PHONENUMBER:(425)357-7203EMAILADDRESS*:jmjtchell@netwasatch.cornDIprefertoreceiveallcorrespondenceviaUSMail.CONTACTPERSONNAME:IngridTessaMitchellCOMPANY(ifapplicable)WasatchCollectionADDRESS:339BurnettAveSCITY:STATE:ZIP:RentonWA98057PHONENUMBER(425)357-7203EMAILADDRESS*:imjtchell@neasatch.comUIprefertoreceiveallcorrespondenceviaUSMail.PrintFormResetFormSaveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorRenton,WA98057I425-430-7200www.rentonwa.ovLANDUSEPERMITMASTERAPPLICATIONPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:ForestLightsPublicMuralPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:339BurnettAveSRenton,WA98057KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):7839300305EXISTINGLANDUSE(S):ApartmentPROPOSEDLANDUSE(S):sameEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:CAPROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:0SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:Q-PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NANUMBEROFPROPOSEDLOTS(ifapplicable)0NUMBEROFNEWDWELLINGUNITS(ifapplicable):0NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):0*Bycompletingtheemailaddressfieldtheowner/applicant/contactpersonisoptingtoreceiveallformalnotificationsandprojectdocumentsindigitalformatviaemailunlessotherwiserequested.PROJECTVALUE:$7,000 PROJECTINFORMATION(CONTINUED)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):oENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):oCAQUIFERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALCAQUIFERPROTECTIONAREAiWOBUILDINGS(ifappIicable):‘.‘CFLOODHAZARDAREAsq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):CGEOLOGICHAZARDsq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifCHABITATCONSERVATIONsq.ft.applicable):CSHORELINESTREAMS&LAKESsq.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicle):CWETLANDSsq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHESEQUARTEROFSECTION18TOWNSHIP23N,RANGE05_,WM.INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONIAFFIDAVITOFOWNERSHIPII,(PrintName/s)IngridTessaMitchelldeclareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)0thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactfora(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationareinaflresoect&trueandcorrecLto,thebestofmyknowledgeandbelief.COUNTYOFKINGSignatureofOwner/RepresentativetrdDateIcertifythatIknoworhavesatisfactoryevidencethat.signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactforthusesandpurposementionedintheinstrument.1IaoDatedNotaryPublicinandfortheStofWashington-Notary(Print):Myappointmentexpires:1lfSTATEOFWASHINGTONSS