HomeMy WebLinkAboutA_Land Use Permit Master Application_20180326_v1DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor
www.rentonwa.gov
Renton, WA 98057 1425-430-7200
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LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Alexander M. Henry Revocable Living
Trust
ADDRESS: 13727 156th Ave. SE
CITY: Renton
TELEPHONE NUMBER:
ZIP: 98059
(206) 853-5608
APPLICANT (if other than owner)
Patricia Henry, as successor Trustee of the
NAME: Alexander M. Henry Revocable Living
Trust
COMPANY (if applicable): N/A
ADDRESS: 13727 156th Ave. SE
CITY: Renton
TELEPHONE NUMBER
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Henry Testamentary Division
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
13727 156th Ave. SE
Renton, WA 98059
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
146340-0051
EXISTING LAND USE(S): single family
PROPOSED LAND USE(S): single family
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Residential Low Density
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
ZIP: 98059 (if applicable) N/A
(206) 853-5608
CONTACT PERSON
NAME: Britney K. Bergen, Applicant's Attorney
COMPANY (if applicable): Hanson Baker Ludlow
Drumheller P.S.
ADDRESS: 2229 112th Avenue NE, Suite 200
CITY: Bellevue ZIP:
TELEPHONE NUMBER AND EMAIL ADDRESS:
(425) 454-3374
bbergen@hansonbaker.com
98004
EXISTING ZONING: R-4
PROPOSED ZONING (if applicable): N/A
SITE AREA (in square feet): 98,629
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: N/A
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS.
N/A
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) N/A
2 UMBER OF PROPOSED LOTS (if applicable)
NUMBER OF NEW DWELLING UNITS (if applicable)
N/A
NUMBER OF EXISTING DWELLING UNITS (if applicable).
PROJECT VALUE:
1
N/A
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
IS THE SITE LOCATED IN ANY TYPE OF
'BUILDINGS (if applicable): N/A
ENVIRONMENTALLY CRITICAL AREA, PLEASE
INCLUDE
SQUARE FOOTAGE (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): existing house is
❑ AQUIFER PROTECTION AREA ONE
1,641 sq. ft. and existing garage/shop is 500 sq. ft.
_
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
[__1 AQUIFER PROTECTION AREA TWO
BUILDINGS (if applicable): N/A
❑ FLOOD
HAZARD AREA
sq. ft.
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
❑ GEOLOGIC HAZARD
sq. ft.
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
❑ HABITAT CONSERVATION
sq. ft.
applicable): N/A
❑ SHORELINE STREAMS & LAKES
sq. ft.
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): N/A
L ❑ WETLANDS
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on se arate sheet with the following information included
SITUATED IN THE NE QUARTER OF SW QUARTER OF SECTION 14, TOWNSHIP 23 N, RANGE 5-E, IN
THE CITY OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Patricia Henry,as successor Trustee of the Alexander M. HenryRevocable Living Trust , 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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S�igOwneroMpr en�;stive�.
Signature of Owner/Representative Date
STATE OF WASHINGTON
COUNTY OF KING ) SS
1!� jj fie;��,
I certify that I know or have satisfactory evidence that �a TYl C!-) Yi.� signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose menti ned in the instrument.
r 01' ` � L AN1) "too
Dated : �
op
&ZIW A40. p1X
Notary Pubic in and for the State of Washington
rzf-Anderson
Notary (Pri t):
My appointment expires: 1J�'
LEGAL DESCRIPTION OF PROPERTY
THE SOUTH HALF OF LOT 2, BLOCK 2,
ACCORDING TO PLAT THEREOF RECORDED
RECORDS OF KING COUNTY, WASHINGTON;
EXCEPT ROADS.
CEDAR RIVER FIVE ACRE TRACTS
IN VOLUME 16 OF PLATS, PAGE 52,
SITUATED IN THE NE'/4 OF THE SW/40F SECTION 14, TOWNSHIP 23 N, RANGE 5 E,
IN THE CITY OF RENTON, KING COUNTY, WASHINGTON.