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A_Master Application_180219_v1
IPROPERTYOWNER(S)NAME:/Op7D/1-i15ADDRESS:_II0v5dR)AiPCITY:ZIP:TELEPHONENUMBER:-206Yo/Y5APPLICANT(ifotherthanowner)NAME://,‘rncYOCOMPANY(ifapplicable):ADDRESS:6/6s‘4its,CITY:ZIP:c-1ycJ£1C)-LA1CcMO3TELEPHONENUMBER:-.153S/IISYCONTACTPERSONNAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBERANDEMAILADDRESS:H:\CED\Data\Forms-Temptes\S&f-HeipHandcut5\PIannin\MasterAppBction.docPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:LF/,-PROJEtT/ADDRESS(S)/LOCATIONANDZIPCODE:(qQc/fy(Qôi?,4EUJOKINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):3Ds-qo-EXISTINGLANDUSE(S):___0_flPROPOSEDLANDUSE(S):EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:PROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWEWNGUNITSfitapplicable):-1-CityofRentonLANDUSEPERMITMASTERAPPLICATION ____-—PROJECTINFORMATcontinued________NUMBEROFEXISTINGDWELLiNGUNITSffapplicable):PROJECTVALUE:ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDE_____________________________________-SQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):I,(PrintName/s)__________________________________________-,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)—thecurrentownerofthepropertyinvoivedinthisapplicationortheauthorizedrepresentativetoactforacorporation%leaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedarijltheirmationherev1f)iareinallrespectstreandorrecttothebestofmyknowledgeandbelief./,vsAl)__________,p’teSignatureofOwner/RepresentativeDateofOwnerJReprtative’STATEOFWASHINGTON)COUNTYOFKING)SSIcertifythatIknoworhavesatisfactoryevidencethat4’k4S..%5-signedthisinstrumentandacknowledgeittobehis/her/theirtreeandvoluntaryactortheusesandpurposementionedintheinstrument.e1OIotvNotaryPubicinandfortheStateofWashingtonNotary(Print):—Myappointmentexpires:/P_%__f4).k1.ñ’i---5-1—o?_f___SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBULDINGS(ifapplicable):SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):UAQUICIERPROTECTIONAREAONEOAQUIFIERPROTECTIONAREATWOUFLOODHAZARDAREA-sq.ftOGEOLOGICHAZARD___sq.ft.OHABITATCONSERVATION______sq.ftOSHORELINESTREAMS&LAKES______sq.ft.OWETLANDS______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE________QUARTEROFSECTIONTOWNSHIP‘,RANGE,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTON-.AFFIDAVITOFOWNERSHIPDatedAppication.doc-2-