HomeMy WebLinkAboutMaster Application Form CPA #23-M-01 - 1 - 06/09
City of Renton
LAND USE PERMIT
MASTER APPLICATION
PROPERTY OWNER(S) PROJECT INFORMATION
NAME: Kennydale United Methodist Church Malik Paras PROJECT OR DEVELOPMENT NAME:
N 30th St CPA and Rezone (CPA#23-M-01)
ADDRESS:
N/A PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
1315 N 30th St
N/A
2900 Park Ave N
PARCEL NUMBER: 3342103270
3342103256
3342103255
CITY: Renton ZIP: 98055
APPLICANT (if other than owner)
NAME: City of Renton
EXISTING LAND USE(S): ] Undeveloped
Gravel parking lot
Single-family detached house
COMPANY (if applicable): CED PROPOSED LAND USE(S): Small-scale commercial and residential
ADDRESS: 1055 S. Grady Way EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Residential Medium Density
CITY: Renton, WA ZIP: 98057 PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) Residential High Density
TELEPHONE NUMBER:
425-430-6575
EXISTING ZONING: Residential-6 (R-6)
CONTACT PERSON PROPOSED ZONING (if applicable):
Commercial Neighborhood (CN)
NAME: Paul Hintz, Principal Planner SITE AREA (in square feet): 60,112
COMPANY (if applicable):
Planning Division – Department of Community and Economic Development
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: N/A
ADDRESS: 1055 S. Grady Way SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
N/A
CITY:
Renton, WA ZIP: 98057 PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable): 20 du/ac
TELEPHONE NUMBER AND EMAIL ADDRESS:
425-430-7436
phintz@rentonwa.gov
NUMBER OF PROPOSED LOTS (if applicable): N/A
NUMBER OF NEW DWELLING UNITS (if applicable): N/A
PROJECT INFORMATION (continued)
- 2 - 06/09
NUMBER OF EXISTING DWELLING UNITS (if applicable): One
PROJECT VALUE: N/A
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): N/A
IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 2,090
AQUIFIER PROTECTION AREA ONE
AQUIFIER PROTECTION AREA TWO
FLOOD HAZARD AREA ______ sq. ft.
GEOLOGIC HAZARD _______ sq. ft.
HABITAT CONSERVATION _______ sq. ft.
SHORELINE STREAMS & LAKES _______ lin. ft.
WETLANDS _______ sq. ft.
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 applicable): N/A
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE ___SW___ QUARTER OF SECTION _32_, TOWNSHIP _24, RANGE 05_, IN THE CITY OF RENTON, KING COUNTY, WASHINGTON
TYPE OF APPLICATION & FEES
List all land use applications being applied for:
1. Environmental Review
2. Comprehensive Plan Amendment
3. Rezone
4.
Staff will calculate applicable fees: $ ___0__________
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) _Chip Vincent___ declare 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 __X__ 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.
I certify that I know or have satisfactory evidence that signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument. (Signature of Owner/Representative)
(Signature of Owner/Representative)
My appointment expires: