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DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 980571425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Torreno Realty/ Corporation
ADDRESS: 101 Montgomery St Suite 200
CITY: San Franciscco Zip. 94104
TELEPHONE NUMBER: 415.655.4595
APPLICANT (if other than owner)
NAME: Jared Walters
COMPANY (if applicable): Kraken VC
ADDRESS: 3540 SW Rose St
I
CITY: Seattle y —zip: 98126
TELEPHONE NUMBER: 206.353.1248
CONTACT PERSON
NAME: Jared Walters
COMPANY (if applicable).
Kraken VC
ADDRESS: 3540 SW Rose St
CITY: Seattle Z1P: 98126
jared� waa�tersC�KlaKenvc org A�06.�g�.1248
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Kraken VC - 3�4�05(gLind Ave SW
3405 �in�TdveeSVlrRertfdn� WAV ND ZIP CODE:
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
EXISTING LAND USE(S):
Storage
PROPOSED LAND USE(S)--
Indoor
SE(S):Indoor Recreation
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
EXISTING ZONING:
IL
PROPOSED ZONING (if applicable):
SITE AREA (in square feet):
29,890
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (if applicable)
NUMBER OF NEW DWELLING UNITS (if applicable):
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017
PROJECT INFORMATION (continued
NUMBER OF EXISTING DWELLING UNITS (if applicable):
'
PROJECT VALUE:
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
IS THE SITE LOCATED IN ANY TYPE OF
BUILDINGS (if applicable):
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):
❑ AQUIFER PROTECTION AREA ONE
❑ AQUIFER PROTECTION AREA TWO
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):
_
❑ FLOOD HAZARD AREA sq. ft.
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 29,890
❑ GEOLOGIC HAZARD sq. ft.
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
❑ HABITAT CONSERVATION sq. ft.
applicable):
--�_
❑ SHORELINE STREAMS & LAKES sq. ft.
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): 10
❑ WETLANDS sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal descri tion on se arate sheet with the following information included
SITUATE IN THE QUARTER OF SECTION , TOWNSHIP , RANGE , IN THE CITY
OF RENTON, ICING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) I}_I�av� declare under penalty of penury and 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.
of
SVTE OF WASHINGTON )
) SS
COUNTY OF KING )
Signature of Owner/Representative Date
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 purpose mentioned in the instrument.
Dated Notary Public in and for the State of Washington
Notary (Print)_
My appointment expires:
2
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of CalifoorCrnia-- -- )
County of �LT;M�6 S co )
On 12 — ?— a0 ( -7 before me, &rnm6q�
Date Here Insert Name and Title of the Officer
personally appeared J • VVh&4-k .t...a c QPrl.Yl, --
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
KAREN SIMMONS
�. NotaryPublic- California
San Francisco County
Commission # 2213182 Signature
3 My Comm. Expires Sep 8, __ Signseure of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:. )2_ — t —.617 Number of Pages: __ Z
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other: _
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association • www. National Notary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907
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