Loading...
HomeMy WebLinkAboutA_MasterApplication_230217_v1DEPARTMENT OF COMMUNITY % AND ECONOMIC DEVELOPMENT Planning Division ;R 1055 South Grady Way, 6th Floor I Renton, WA 98057 1 425-430-7200 www.rentonwa.gov LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: Vladimir Bejenari ADDRESS:104 236 Place SW clTY: Bothell STATE: IWA ZIP: 198021 PHONE NUMBER: (206) 650-6372 EMAIL ADDRESS*:reklamamd@yahoo.com I ❑ refer to receive all corres_ondence via US Mail. APPLICANT (if other than owner) NAME: COMPANY (if applicable): ADDRESS: CITY: STATE: ZIP: PHONE NUMBER: EMAIL ADDRESS*: ❑ I prefer to receive all correspondence via US Mail. CONTACT PERSON NAME: Vladimir Bejenari COMPANY (if applicable): ADDRESS: CITY: STATE: ZIP: PHONE NUMBER EMAIL ADDRESS*: ❑ I prefer to receive all correspondence via US Mail. PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: Tree Removal PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 10502 SE 166 Street Renton, WA 98055 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 0087000022 EXISTING LAND USE(S): Residential PROPOSED LAND USE(S): N/A EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Residential medium density PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) N/A EXISTING ZONING: R-8 PROPOSED ZONING (if applicable): N/A SITE AREA (in square feet): 17,600 SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: N/A SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: N/A PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) N/A 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: N/A *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. PROJECT INFORMATION (CONTINUED) ENNEWMN� 7 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): N/A SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A 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 applicfft: IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ❑ AQUIFER PROTECTION AREA ONE ❑ AQUIFER PROTECTION AREA TWO ❑ FLOOD HAZARD AREA sq. ft. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. ❑ WETLANDS sq. ft. LEGAL DESCRIPTION OF PROPERTY (Attach legal description on separate sheet with the following information included C ITI IA1 1 AI1A/ • -•• UUAK i LK ur SECTION Ly TOWNSHIP 23 N, RANGE 5 E W.M. IN THE CITY OF RENTON, KING COUNTY, WASHINGTON — AFFIDAVIT OF OWNERSHIP I, (Print Name/s) Vladimir Bejenari , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) E 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. ©2- Sig ure of Owner/Representative Date Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF � ;S� Sq I certify that I know or have satisfactory evidence that V IR Cl t I v"`^'- e'," A"" 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 JENNY MCFARLAND Notary Public State of Washington Commission # 176076 My Comm. Expires Jan 19, 2027 Notary Public in and for the State of Washington Notary (Prin�: My appointment expires: