HomeMy WebLinkAbout3 A_Land Use Master Application0
PROPERTY OWNER(S)
CITY OF RENTON I PERMIT SERVICES
LAND USE PERMIT MASTER APPLICATION
NAME: Nhi Nguyen, Toan Ngo
MAILING ADDRESS: 18312 112th Ave SE Renton, WA 98055
nprefer to receive all correspondence via US mail.
APPLICANT (if other than owner)
NAME: Dawa Loga Karnanga
PHONE: 2S3-486-86S9
MAILING ADDRESS: 7911 165th Street Ct E Puyallup WA 98375
prefer to receive all correspondence via US mail.
CONTACT PERSON
NAME: Dawa Loga Kamanga
PHONE: 253-486-8659
PHONE: (206) 375 - 9503
EMAIL: nnguyen643 @ hotmail-com
Fountain of Hope Ministries
COMPANY (if applicable): International Church
EMAIL: prophetessclawakarnanga(@gmall-corn
Founbin of Hope Ministries
COMPANY (if applicable): International Church
EMAIL: prophetessdawakamanga((Dgmail.com
I MAILING ADDRESS: 7911 165th Street Ct E Puyallup WA 98375
� I prefer to receive all correspondence via US mail.
PROJECT INFORMATION
� PROJECTOR DEVELOPMENT NAME: Establishment of Fountain of Hope Ministries International Church building as a Religious Facility/ Church �
■
� PROJECT/ADDRESS(ES) AND PARCEL NUMBERS: 300 So 3rd St Renton, WA 98057 Parcel #: 0007200184 & 0007200157
� Funeral Home � Parkin Lot oChurchlReli ous Facility £� Parkin Lot
EXISTING LAND USE(S): 8 PROPOSED LAND USE(S). 8� h 8
[EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable):
EXISTING ZONING: CD PROPOSED ZONING: CD
SITE AREA (in square feet): Parcel # 0007200184,10000 sq ft; Parcel # 0007200157,17666 sq ft
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: 0 sq ft
� PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable):
� NUMBER OF PROPOSED LOTS (if applicable):
NUMBER OF NEW DWELLING UNITS (if applicable):
NUMBER Of EXISTING DWELLING UNITS (if applicable): PROTECT 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): 7005 sq ft
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable):
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable):
NUMBER OF EMPLOYEES TO
7005 sq ft
BE EMPLOYED BY THE NEW PROJECT (if applicable):
IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAG
L] AQUIFER PROTECTION AREA ONE ❑ AQUIFER PROTECTION AREA TWO
1:1 FLOOD HAZARD AREA _ _ SQ. FT. ❑ SHORELINE STREAMS & LAKES
❑ GEOLOGIC HAZARD
O HABI
TAT CONSERVATION
SQ. Ff. ❑ WETLANDS
SQ. FT.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
E (if applicable):
SITUATE IN THE QUARTER OF SECTION ,TOWNSHIP N, RANGE
W.M IN THE CITY OF RENTON, KING COUNTY, WASHINGTON
SQ. FT,
SQ. FT.
AFFIDAVIT OF OWNERSHIP
I, (Print Nam,/s) Nhi Nguyen, Toan N90 , 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.
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Signature of Owner/Representative Date Signature of Owner/Representative Date
05/0
STATE OF WASHINGTON
COUNTY OF KING
6/202
4
05/06/202
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certify that I know or have satisfactory evidence that Dk\J A F . L t) �Uwt A i kr�11%A signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
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Notary P_ubecin and for the State of Washington
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Notary (Print):
My appointment expires:
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