Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
A_MASTER_APP_NEIMI_171030
PrintFoResetFormSaveFormDEPARTMENTOFCOMMUNITY&ECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA98057425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:ADDRESS:LI5h5CITY:ZIP:q,TELEPHONENUMBER:APPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:pv’ILyCOMPANY(ifapplicabiADDRESS:41CITY:ZIP.TELEPHONENUMBERANDEMAILADDRESS:%P&-1-o7k1H:\CED\Data\Eorms-Templates\Self-HeIpHandouts\Planning\MasterApplication.docPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:z3éDLLPROJECTIADDRESS(S)ILOCATIONANDZIPCODE:\‘flLk0OS5KINGCOUNTYASSESSORSACCOUNTNUMBER(S):72cx4cx72oczô4EXISTINGLANDUSE(S):PROPOSEDLANDUSE(S):EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONINGPROPOSEDZONING(ifapplicabIe)rSITEAREA(insquarefeet):SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:/SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELLINGUNITS(ifapplicable):IRev:10/2017 PROJECTINFORMATION(continued)I,(PrintName/s)JOfdeclareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)ecurrentownerofthepropertyinvolvedinthisapplicationorfltheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief./d-30-I?SignatureofOwner/RepresentativeDateSignatureofOwner/RepresentativeDateSTATEOFWASHINGTONCOUNTYOFKING)SSIcertifythatIknoworhavesatisfactoryevidenceacknowledgeittobehis/her/theirfreeandvoluntarytaYA7Dated/jDANTOUMANOTARYPUBLICSTATEOFWASHINGTONCOMMISSIONEXPIRESMyappointmentexpires:2NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):zio-zSQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):PROJECTVALUE:ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):IIAQUIFERPROTECTIONAREAONEAQUIFERPROTECTIONAREATWOFLOODHAZARDAREA______sq.ft.lGEOLOGICHAZARD______sq.ft.IHABITATCONSERVATION______sq.ft.1SHORELINESTREAMS&LAKES______sq.ft.WETLANDS______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE.QUARTEROFSECTIONt9TOWNSHIPZ2,RANGE‘,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPsignedthisinstrumentandinandfortheStateofWashingtonNotary(Print):H:\CED\Data\Forms-Templates\Self-HeIpHandouts\PIanning\MasterApplication.docRev:10/2017