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HomeMy WebLinkAboutA_Temporary Use Permit Full Submittal Package_180213_v1DEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENT,‘JSJSUBMIHALREQUIREMENTSTIER1TEMPORARYUSEPERMITCityofRentonPlanningDivision1055SouthGradyWay-Renton,WA98057Phone:425-430-7200(thenpress#4)Fax:425-430-7231A)MasterApplicationForm(completedwithpropertyownersignature/s)andapplicationfeeB)TwocopiesofasiteplanwhichmeetsALLOFTHEFOLLOWINGREQUIREMENTS:1.ElIncludesnameandtypeoftheproposedbusiness2.L1Descriptionoftheproposedtemporaryuse(discusstimeframeusewilloperate).3.Drawntoscale:1”=20’(OranalternativescaleapprovedbythePlanningDivision)DateandNortharrow:Orientedtothetopofthepaper!plainsheet5.[]Lotsize:lnsquarefeet6.ElLocationanddimensionsofallexistingandproposed:a)Structuresb)Vendor-usevehiclesorotherexteriordisplayareasc)Distanceinfeettopropertylinesd)Refuseareae)Parkingspaces7.LIIdentifyand/ordimensionall:a)Businessesonproperty1)Sidewalksb)Propertylinesg)Landscapeareasc)Streetsh)Firehydrantsd)Alleysi)Electricallineconnectionse)DrivewaysC)OnecopyoftheSeattle&KingCountyHealthDepartmentapproval(forfood/drinkserviceusesonly)H:\CED\Data\Forms-Templates\SeIf-HeIpHandouts\Planning\TemporaryUseTier1.doc05/14 DEPARTMENTOFCOMMUNITYtY“rm(rtANDECONOMICDEVELOPMENTCityofRentonPlanningDivision1055SouthGradyWay,Renton,WA98057Phone:425-430-7200Fax:425-430-7231Y1oi7/?SIingtheApplicantfortheTemporaryUsePermitattheLocationof:52/,yi’c.-HerebyauthorizetheCityofRentontosummarilyeliminatetheTemporaryUseandallevidenceoftheuseifithasnotbeenremovedasrequiredbythetermsofthepermit.IalsoagreetoreimbursetheCityforanyexpenseincurredinabatingthisTemporaryUse.e,Qc2/s/7-i9cSTATEOFWASHINGTONCOUNTYOFKING55IcertifythatIknoworhavesatisfactoryevidencethat/-1))J,(.tinstrumentandacknowledgedittobehis/her/theirfreeandvolunaryactfortheusesandpurposesmentionedintheinstrument.Dated:%fl________NotaryPublicinanOtheStateofWashingtonNotary(Print):_____________________________Myappointmentexpires:_________________-2-ABATEMENTAGREEMENTTEMPORARYUSEtJ),291QDc-7Signature:PrintName:Date:;2Z2_H:\CED\Data\Fomis-Templates\SeIf-HeIpHandouts\Planning\TemporaryUseTier1.doc05/14 PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:&‘ey‘g77!%)PROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:/‘jKINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):?oEXISTINGLANDUSE(S):PROPOSEDLANDUSE(S):EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:PROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELLINGUNITS(ifapplicable):CityofRentonLANDUSEPERMITMASTERAPPLICATIONH:\CED\Data\Forms-Templates\SeIf-HelpHandouts\Piarining\MasterApplication.doc-1- PROJECTINFORMATION(continued)____NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):PROJECTVALUE:SQUAREFOOTAGEOFPROPOSEDRESIDENTIAL5THESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):’ENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDE_____________________________________________________SQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):LIAQUIFIERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALLIAQUIFIERPROTECTIONAREATWOBUILDINGS(ifapplicable):_________________________________________LIFLOODHAZARDAREA______sq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):LIGEOLOGICHAZARD______sq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifLIHABITATCONSERVATION______sq.ft.applicable):____________________________________________OSHORELINESTREAMS&LAKES______sq.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):LIWETLANDS_______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)-.SITUATEINTHE________QUARTEROFSECTION___TOWNSHIP‘,RANGE___,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPI,(PrintName/s)(1l,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)\,hecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformatiperewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.SignatureofOwner/RepresentativeDateSignatureofOwner/RepresentativeDateSTATEOFWASHINGTON))SSCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatCt)/signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvolunyactfortheusesandpurposementionedintheinstrument.V.,VV1’1J(q(?/______________________________________Dated1’JotaryPublicinandfortheStateofWashingtonrInrr-CHRISTOPHERJCONN..VNOTARYPUBLICNotary(Print):f/’€ISTATEOFWASHINGTONMComnurnnExPire$NOVembIrl4,2021Myappointmentexpires://///?.z’H:\CED\Data\Forms-Templates\SeIf-HelpHaidouts\Planning\MasterApplication.doc-2- cLrJjaPublicHealth1Seattle&KingCountyPermanentFood-RiskBasedJP!!I1::I11’4’LI1’PERMITNO.PR0076704MobileFoodUnit-RiskCategoryIIIPIE6783GRANTEDTOLUNCHTRUCKELASADERO@257RAINIERAVESLOCATION314PARKAVEN#CRENTON,WA98057FORAPERIODBEGINNING4/1/2017ANDENDING3/31/2018MAILINGADDRESSLUNCHTRUCKELASADEROC/OMARIASOLTERO&ARMANDOROSALES1722HARRINGIONAVENERENTON,WA98056DirectorDATED04/05/2017BYSUBJECTTOALLSTATELAWS.COUNTYBOARDOfHEALTHRULESANDREGULATIONS,AND/ORCITYORCOUNTYORDINANCESPERTAININGTHERETO.THISPERMITMAYBESUSPENDEDORREVOKEDUPONVIOLATIONBYTHEqHOLDEROFANYOfTHETERMSOFTHESEREGULATIONS.THISPERMITISNOTTRANSFERABLEANDMUSTBEPOSTEDINACONSPICUOUSPLACE.THISPERMITISNOTVALIDUNLESSSIGNEDBYOPERATOR.NEWOWNERSMUSTAPPLYANDPAYFORANEWPERMITBEFOREBEGINNINGOPERATION.xriOPERATORSIGNATURE5t)OOftrTTh