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Home My WebLink AboutA_MASTER_APP_FORD_171030'T� crap wit'�7" 1rintform l�e3ei(Farrr Save Form DEPARTMENT OF COMMUNITYy� CITY OF AND ECONOMIC DEVELOPMENT R 11ta11 Planning Division LAND USE PERMIT MASTER APPLICATION PROJECT INFORMATION PR,RJECT OR [DEVELOPMENT NAME: aep LL. X - PROJECT! DDRESS(S)/LOCATION AND ZIP CODE: Re A c-(8 055 - KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): -7Z Z2 ext>4db ?ZZZ.,aaCA 10 EXISTING LAND USE(S): cS*z' PROPOSED LAND USE(S): EXISTING COMPREHENSIVE: PLAN MAP DESIGNATION: c PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) EXISTING ZONING: PROPOSED ZONING (if applicable): SITE AREA (in square feet): SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: it SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) NUMBER OF PRO OSED LOTS (if applicable) tS 114 NUMBER OF NEW DWELLING L H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc PROJECT INFORMA NUMBER OF EXISTING DWELLING UNITS (if applicable): SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): hI Q SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 223 (co SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): u,A SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): G i7 NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): TION (continued) PROJECT VALUE: IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ❑ AQUIFIER PROTECTION AREA ONE ❑ AQUIFIER PROTECTION AREA TWO ❑ FLOOD HAZARD AREA sq. ft. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. ❑ WETLANDS sq. ft. I, (Print Name/s) � V0A-F_> , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) a current owner of the property involved in this application or Q 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. G r IR -11 _�4L 1 ('41 Signature of Owner resentative ate Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) �. I certify that I know or have satisfactory evidence that _ acknowledge it to be his/herltheir free and voluntary act /b z-7 Dated DAN TOUMA NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES APRIL 28, 2021 signed this instrument and mentioned in the instrument. in and for the State of Washington Notary (Print): My appointment expires: _4 Z t H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015 I, (Print Name/s) � V0A-F_> , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) a current owner of the property involved in this application or Q 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. G r IR -11 _�4L 1 ('41 Signature of Owner resentative ate Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) �. I certify that I know or have satisfactory evidence that _ acknowledge it to be his/herltheir free and voluntary act /b z-7 Dated DAN TOUMA NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES APRIL 28, 2021 signed this instrument and mentioned in the instrument. in and for the State of Washington Notary (Print): My appointment expires: _4 Z t H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015 Print Form Reset Form Save Form 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: fz 1.1I ��, ,t ADDRESS: V11-1 she- T1 u� 1' ue, 5 CITY: � \on ZIP: C1 bu&5- TELEPHONE NUMBER - APPLICANT APPLICANT (if other than owner) NAME: COMPANY (if applicable): ADDRESS: CITY: ZIP: TELEPHONE NUMBER: CONTACT PERSON NAME: I ouMC^ COMPANY (if T� applicabla`11 O�M— ADDRESS: CITY: ZIP: 0,805--7 TELEPHONE NUMBER AND EMAIL ADDRESS: Cu 11�C� •�c-f -?.f�Co� -� fDv t1122i1pokynaAWC061 oil PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: -F:�> lao L. --A PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 7727ma 4I0i) 72z2oci� �e4 1 o EXISTING LAND USE(S): S� PROPOSED LAND USE(S): EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) EXISTING ZONING- // 7R-(' PROPOSED ZONING (if applicable)r7_,' SITE AREA (in square feet): �1��.• ': ( Lt. 503 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: H/,A PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) N A NUMBER OF PROPOSED LOTS (if applicable) N NUMBER OF NEW DWELLING UNITS (if applicable): ri H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017 PROJECTINFORMAT NUMBER OF EXISTING DWELLING UNITS (if applicable): 2 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): K) A SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 2 Ibc7 SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): µ JA SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): ION (continued) PROJECT VALUE: IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ❑ AQUIFER PROTECTION AREA ONE ❑ AQUIFER PROTECTION AREA TWO ❑ FLOOD HAZARD AREA sq. ft. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. ❑ WETLANDS sq. ft. LEGAL DESGRIPTION OF PROPERTY Attach legal description on separate sheet with the following information included SITUATE IN THE_ QUARTER OF SECTION, TOWNSHIP, RANGE, IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Names) wrP 'declare under penalty of perjury under the laws of the State of Washington that I am (please check one) a current owner of the property involved in this application or Q 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. D� ut4l -'Y, A4J'.ti 10-30-17 Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that acknowledge it to be his/herttheir free and voluntary a !t3 ?ro / Dated 1. DAN To' NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES APRiL 28, 2021 Signature of Owner/Representative Date signed this instrument and in and for the State of Washington 7p4n Jo"Mc__ Notary (Print): My appointment expires: �ka i!TZI H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017 DEPARTMENT OF COMMUNITY CITY °F AND ECONOMIC DEVELOPMENT —'`Renton 4 DENSITY WORKSHEET 1. Gross area of property Planning Division 1055 South Grady Way -Renton, WA 98057 Phone: 425-430-7200 1 www.rentonwa.gov 82,045 square feet 2. Deductions: Certain areas are excluded from density calculations. These include: Public Streets* square feet Private access easements* square feet Critical Areas** 13,600 square feet Total excluded area: 13,600 square feet 3. Subtract line 2 (total excluded area) from line 1 for net area 68,445 square feet 4. Divide line 3 by 43,560 for net acreage 1.5713 acres 5. Number of dwelling units or lots planned 6 units/lots 6. Divide line 3 by line 4 for net density 3.8185 = dwelling units/acre *Alleys (public or private) do not have to be excluded. **Critical Areas are defined as "Areas determined by the City to be not suitable for development and which are subject to the City's Critical Areas Regulations including very high landslide areas, protected slopes, wetlands, or floodways."Critical Areas buffers are not deducted/excluded. 1 H:\CED\Data\Forms-Templates\Sell-Help Handouts\Planning\density.doc Rev:08/2015