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HomeMy WebLinkAboutMaster Application FormPrint Form Reset Form Save Form DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT , Planning Division 1055 South Grady Way, 6th Floor Renton, WA 98057 425-430-7200 LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME. SHLP Benson Downs, LLC ADDRESS:11100 SE Petrovitsky Road clN:Renton STATE: I ZIP: WA 198055 PHONE NUMBER:(425) 271-7797 EMAIL ADDRESS`: [D I prefer to receive all correspondence via US Mail. APPLICANT (if other than owner) NAME:Jessy Linzy COMPANY (if applicable)A Plus Tree, LLC ADDRESS:985 Walnut Ave cITY:Vallejo �drE: �qgK PHONE NUMBER:(925) 459-4051 EMAIL ADDRESS-Jlinzy@aplustree.com ❑ I prefer to receive all correspondence via US Mail. CONTACT PERSON NAME: Jessy Linzy COMPANY (if applicable)A Plus Tree, LLC ADDRESS:985 Walnut Ave CITY:Vallejo STATE: z41�92 PHONE NUMBER (925) 459-4051 EMAIL ADDRESS*jlinzy@aplustree.com ❑ I refer to receive all correspondence via US Mail. PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: 73807 - June Removals / Benson Downs / Simpson PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 1100 SE Petrovitzky Rd., Renton, WA 98055 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 92305-9015 EXISTING LAND USE(S): Apartments PROPOSED LAND USE(S): /A EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable)N/A EXISTING ZONING: -14 PROPOSED ZONING (if applicable): /A SITE AREA (in square feet): 1,090,306 SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: /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) /A NUMBER OF NEW DWELLING UNITS (if applicable): N/A NUMBER OF EXISTING DWELLING UNITS (if applicable): N/A PROJECT VALUE: $3,301.35 *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) 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) f4/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 applir: 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. P1 WETLANDS -218,061sq. ft. LEGAL DESCRIPTION OF PROPERTY (Attach legal description on separate sheet with the following information included) SITUATE IN THE SE QUARTER OF SECTION 29 TOWNSHIP 23 N, RANGE 5 _,W.M. IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP 1, (Print Name/s)I ddeclare 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 [ 411_e�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 th est of my knowledge and belief. Z,_4f.'L� 'j Signature of Owner/Representative Date Signature of Owner/Representative Date DTc o- STATE OF ) NANG yvj,' ) SS COUNTY OF 14I4E',,W ) I certify that I know or have satisfactory evidence that �Lti ;� fM,1r'il `S signed this instrument and acknowledge it to be his/her/their free and voluntary ac for the uses and purpose mentioned in the instrument. C. iC{s,l..{7lrilRIP , r iOSE t.r'ARL0S SIN,' RAUC. � iti' s N(; i ,i y !'U131iC - Xtary Public in and for the State of WaSIA-4 tonty'?C V- Oln otary (Print): My appointment expires: " i 3 20 ZS'- CORPORATE AUTHORIZATION The undersigned, being the Assistant Secretary of Colomba LLC, a Delaware limited liability company, the sole general partner of Simpson Housing LLLP, a Delaware limited liability limited partnership, the managing member of SHLP Benson Downs, LLC, a Delaware limited liability company, the owner ("Owner") of the property known as Benson Downs Apartments located at 11100 SE Petrovitsky Road, Renton, WA 98055. Owner hereby authorizes the following individual to act as agent on its behalf and to serve as the contact for the Owner in all manner necessary to obtain the permit from the City of Renton for tree removal at Benson Downs Apartments. Name I Title Dana Salinas Senior Regional Pro ert 1VManager I declare that the foregoing Corporate Authorization and facts stated herein are true. Date: April 12, 2023 OWNER: SHLP Benson Downs, LLC, a Delaware limited liability company By: Simpson Housing LLLP, a Delaware limited liability limited partnership, its Managing Member By: Colomba LLC, a Delaware limited liability company, its General Partner By: Name: Debra A. McDonald Title: Assistant Secretary State of Colorado County of Denver This record was signed and acknowledged before me on April 12, 2023 by Debra A. McDonald. �l (NotaryV official signature) BRIGID O'GRADY NOTARY PUSUC Notary Public STATE OF COLORADO M Commission Ex ires: t 7 NOTARY ID 20214000889 y P ' iRSION EXPIRES 01"2025