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HomeMy WebLinkAboutMaster app highberg notorizedCITY OF RENTON I PERMIT CENTER ' LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER($) NAME: Erik Highberg _ PHONE:425-894-1834 ' j MAILING ADDRESS_ 10542 SE 200th Street, Kent WA 98031 EMAIL: erikhi0l Qlnoa.nintendo.co��n ❑ 1 prefer to receive al; rcrrespondence via US mail_ 'AP'PUCANT (if otherthan owner) — IJ ci V e COMPANY (if applicable); Plantrak Decks + LC _ PHONE: A S 3 ` 31 EMAIL: Dave @plantrak.com MA#UNG ADDREss: 26255 124th Ave SE, Kent WA 98030 _ - © 1 prefer to receive all correspondence vTa US ma 1. — - CONTACT PERSON NAME: Dave Thacker--- T _-^ - WCOMPANY (if applicable): Plantrak Deck_ LLC PHONE: 253-312-2224 — Y- EMall daya4ttantfak.corn -- --. MAILING ADDRESS:26255 124th Ave SE, Kent, WA 98030 — ❑ 1 prefer to receive all correspondence via U5 mail. -- PROJECTiNFQRMAT10Bi PROJECT OR DEVELOPMENT NAME: Highberg addition PROJECT/ADDRESS(ES) AND PARCEL NUMBERS:10642 SE 200th Street, Ken WA 98031, Parcel #052205`�.- i 58 EXWWGLAND USEft Single family residence PROPOSED tAND USE(S). S` -- —_ --- ---- __---_--_. �---.__ _- FR*'fdf11{jy f@SiC'?IICf? EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Not Sure what this is. --- PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable)- -- ---- - - EXISTING ZONING: R-4 �— — PROPOSED ZONING: R-4 f - SITE AREA (in square `eet):6,956 SQUARE FOOTAGE OF PLIELIC ROADWAYS TO BE DEDICATED: Not applicaiblp PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicabl—)?" NUMBER OF PROPOSED LOTS Of applicable): • ��. NUMBER OF NEW DVdELUNG UNITS (if applicable); 1 - }UMBEkCIF EXISTING DWELLING UNITS if applicable), - (- `Pk)' CT VALUE: SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicab( SQUARE FOOTAGE OF EX!i i ING RESIDENTIAL BUILDINGS TO REMAIN (if applicable); tm/oermitccn_�r In r I p wa. ov 1 a25-430-7294 2/1512023 1 Pa,: f i LAND USE PERMIT MASTER APPLICATION SQ 'ARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if apn icable): f: .ARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable) NE �'FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): NU MBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): f 15? HE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): { 13 AQUIFER PROTECTION AREA ONE ❑ AQUIFER PROTECTION AREA TWO ❑ FLOOD HAZARD) AREA. SQ FT. ❑ SHORELINE STREAMS & LAKES SQ. FT.. ❑ GEOLOGIC HAZARD SQ. FT. © WETLANDS SO, FT. 0 HABITAT CONSERVATION SQ. FT. LEt;AL DESCRIPTION OF PROPERTY (At ach legal description on separate sheet with the following information included) SIT 'ATE IN THE QUARTER OF SECTION TOWNSHIP N, RANGE W 1 iN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I. (1 rint Name/s) La . eclare under penalty of perjury under the laws of the State of Washington that I am (please cheek one) the Curren owner of the property involved in this application or the authorized representative to act for a cor ,oration (please attach proof of authorization) and that the foregoing statements and answers herein contained anc the information herewith are in all respects true and correct to the best of my knowledge and belief. Ci � Ibf t01 Z023 S: ;nature of Owner/Representative Date Signature of Owner/Representative --TE OF WASHINGTON ) ) S5 COUNTY OF KING ) I certify that I know or have satisfactory evidence thatz6"-signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpo4 mentioned in the instrument- _ 0�-�- U 0 w C rrr/z� C Gr4,...... CJ1A4 11iNotary P lic in and for the State of W Iington E F�� CyAR* Ufa�a; i s o Z 00e,9�*; Notary (Print): �. 5` r'IIIItIo�� `lvt�y appointment expires: luey rent, ,We, oveperMlIcenter j st erse i r o+twa ov 1 42S-43D-7294 2/16/2023 I Page 2 of 2