HomeMy WebLinkAboutA_MasterApplication_230731_v1CITY OF RENTON I PERMIT CENTER
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
APPLICANT (if other than owner)
NAME: Lynn Reynolds COMPANY (if applicable):
PHONE: 253-630-9717 EMAIL: lynn_e_reynolds@hotmail.com
MAILING ADDRESS.28202 193rd Ave SE Kent, WA. 98042
1 prefer to receive all correspondence via US mail.
CONTACT PERSON
NAME: Lynn Reynolds COMPANY (if applicable):
PHONE: 253-630-9717 EMAIL*lynn_e_reynolds@hotmail.com
MAILING ADDRESS:28202 193rd Ave SE kent, WA. 98042
1 prefer to receive all correspondence via US mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME: Bernice Soto
PROJECT/ADDRESS(ES) AND PARCEL NUMBERS:11902 SE 170th pl Renton, WA, 98058 #1432400885
EXISTING LAND USE(S): Residential PROPOSED LAND USE(S).
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable):
EXISTING ZONING: 134 PROPOSED ZONING:
SITE AREA (in square feet):7560 s/f
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: none
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable):
NUMBER OF PROPOSED LOTS (if applicable):one
NUMBER OF NEW DWELLING UNITS (if applicable): none
NUMBER OF EXISTING DWELLING UNITS (if applicable): One PROJECT VALUE.•
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable):
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LAND USE PERMIT MASTER APPLICATION
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): none
SQUARE FOOTAGE OF DUSTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): none
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): none
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): residential home
IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable):
AQUIFER PROTECTION AREA ONE
FLOOD HAZARD AREA
GEOLOGIC HAZARD
HABITAT CONSERVATION
AQUIFER PROTECTION AREA TWO
SQ, FT. SHORELINE STREAMS & LAKES —SQ' FT.
SQ. FT. WETLANDS —
SQ, FT.
SQ. FT.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following information included)
SITUATE IN THE Plat Block 7,Plat Lot 14 QUARTER OF SECTIONSW , TOWNSHIP28 N, RANGE 23 5
W.M IN THE CITY OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Berenice, 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 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 ` • 0110 19 3
Signature of Owner/Representative Date
STATE OF WASHINGTON )
SS
COUNTY OF KING )
Signature of Owner/Representative Date
o, \ g signed this instrument andIcertifythatIknoworhavesatisfactoryevidencethat \'"'"
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acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
JUSTIN LUNA
Notary Public
State of Washington
Commission X 22033029
My Comm, Expires Dec 22, 2025
Notarypublic in and for the State of Washington
Gv%A
Notary (Print):
My appointment expires: JIa a bsDa
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