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Master Application Form_Heather Downs Tree Removal
DEPARTMENTOFCOMMUNTVANDECONOMICDEVELOPMENTOF—“RentonC)PlanningDivisionLANDUSEPERMITMASTERAPPLICATIONLPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:•HEATHERDOWNSPROJECT/ADDRESS(S)!LOCATIONANDZIPCODE:413CHELANAVESERENTON,WA98059KINGCOUNTYASSESSORSACCOUNTNUMBER(S):3211100370EXISTINGLANDUSE(S):RESIDENTIALPROPOSEDLANDUSE(S):TREEREMOVALPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:RESIDENTIALPROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):8400SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:0SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:0PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)0NUMBEROFPROPOSEDLOTS(ifapplicable)1NUMBEROFNEWDWELLINGUNITS(ifapplicable):0PROPERTYOWNER(S)NAME:JustinAlbrechtADDRESS:413CHELANAVESECITY:ZIP:RENTON98059TELEPHONENUMBER:206-550-3078APPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:JUSTINALBRECHTCOMPANY(ifapplicable):ADDRESS:413CHELANAVESECITY:ZIP:RENTON98069TELEPHONENUMBERANDEMAILADDRESS:206-550-3078JALBRECH@NCELECCOMEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:C:\Users\jeffrey.toll\AppData\Local\Microsoft\Windows\ThrnporaryInternetFiles\Cantent.Outlcok\OQ5KFUJV\TREEAPPLICATION.dacRev:08/2015 PROJECTINFORMATION(continued)NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):NASQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):1780SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):NASQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NANETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):0PROJECTVALUE:$5000ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):LiAQUIFIERPROTECTIONAREAONELiAQUIFIERPROTECTIONAREATWOLiFLOODHAZARDAREAQGEOLOGICHAZARDLiHABITATCONSERVATIONLiSHORELINESTREAMS&LAKESLiWETLANDS_____sq.ft.sq.ft._____sq.ft._____sq.ft._____sq.ft.I,(PrintName/s)JUSTINALBRECHT,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationorLitheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinrespectstrueandcorrecttothebestofmyknowledgeandbelief.Signatureofdwner/Repres’entativeDateSTATEOFWASHINGTON)SSCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatJtsh‘tbcv/p.SAlbiiIttsignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPuIicinandfortheStateofWashingtonLEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE____QUARTEROFSECTION____,TOWNSHIP____,RANGE____,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPSignatureofOwner/RepresentativeDateDatedLI71-1d.nNotary(Print):--L.jMyappointmentexpires:o,/1q2C:\Users\jeffrey.toll\AppData\Local\Microsoft\Windows\TemporaryInternetFiles\Content.Outlook\OQSKFUJV\TREEAPPLICATION.docRev:08/2015