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HomeMy WebLinkAbout02_Master Application_signedPROPERTYOWNER(S)CITYOFRENTONIPERMITSERVICESLANDUSEPERMITMASTERAPPLICATIONNAME:Multiple(refertoSitePlan)PHONE:Multiple(refertoSitePlan)MAILINGADDRESS:1055S.GradyWay,Renton,WA98057EMAIL:JStowell@Rentonwa.govprefertoreceiveallcorrespondenceviaUSmail.APPLICANT(ifotherthanowner)NAME:JosephStowellCOMPANY(ifapplicable):Cij11yeoiTIrorpinentPHONE:425-430-7212EMAIL:JStowell@Rentonwa.govMAILINGADDRESS:10555.GradyWay,Renton,WA98057IprefertoreceiveallcorrespondenceviaUSmail.CONTACTPERSONNAME:MarleneMeadersCOMPANY(ifapplicable):ConflUenCeEnvironmentalPHONE:2067245781EMAIL:marlene.meaders@confenv.comMAILINGADDRESS:146NCanalSt,Suite111,Seattle,WA981031iprefertoreceiveallcorrespondenceviaUSmail.PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:KennydaleLakelineSewerSystemReplacementProject-GeotechnicalExplorationsPROJECT/ADDRESS(ES)ANDPARCELNUMBERS:Multiple(refertoSitePlan)EXISTINGLANDUSE(S):SingleFamily(ResUse/Zone)PROPOSEDLANDUSE(S):sameEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:ResidentialMediumDensityPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable):N/AEXISTINGZONING:Residential-8,Residential-6PROPOSEDZONING:Residential-8,Residential-6SITEAREA(insquarefeet):MultiplegeotechnicalboringlocationsalongWashingBlvdNinpublicROWSQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable):N/ANUMBEROFPROPOSEDLOTS(ifapplicable)N/Ai.NUMBEROFNEWDWELLINGUNITS(ifapplicable):N/A...NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):N/APROJECTVALUES-‘$130k(geotechonly)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable)N/A-SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/A1lIrentonwa.gov/permitservicesIplanningcustomerservice@rentonwa.govI425-430-729410/24/2023IPage1of2 LANDUSEPERMITMASTERAPPLICATIONLEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENWQUARTEROFSECTION31,TOWNSHIP24N,RANGE5EW.MINTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPI,(PrintName/s),declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyowledgeandbelief./_____________SignatureofOwner/RepresentativeDateSignatureofOwner/RepresentativeDateSTATEOFWASHINGTON)SSCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatsignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryubkcinandfortheStatWashingtonNotary(Print):Myappointmentexpires:SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ANETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):N/ANUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):OAQUIFERPROTECTIONAREAONEElAQUIFERPROTECTIONAREATWOOFLOODHAZARDAREA_______________SQ.FT.SHORELINESTREAMS&LAKES_______________SQ.FT.OGEOLOGICHAZARD______________SQ.FT.ElWETLANDS______________SQ.FT.0HABITATCONSERVATION______________SQ.FT.rntnnwa.ov/nermitcervicesInIannincustomerserviceirntonwaI425-430-729410/24/20231Page2of2