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HomeMy WebLinkAboutA_Master Application Form_170615_v1DEPARTMENT OF COMMUNITY e9TY on AND ECONOMIC DEVELOPMENT Planning Division LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: MKP Properties, LLC ADDRESS: 825 S. Stacy St CITY: ZIP: Seattle 98134 TELEPHONE NUMBER: 206-971-0306 APPLICANT (if other than owner) NAME: Jonathan Brandt COMPANY (if applicable): JB Architecture ADDRESS: 1922 NE 75th Street CITY: ZIP: Seattle WA TELEPHONE NUMBER: 206.526.1122 CONTACT PERSON NAME: Michael Porter COMPANY (if applicable): Greenwood Heating & Air Conditionin9�_ ADDRESS: 825 S. Stacy St C ITY: ZIP: Seattle 98134 TELEPHONE NUMBER AND EMAIL ADDRESS: 206-971-0306 michaelp@greenwoodheating.com PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: Greenwood Heating PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 1703 NE 4314 St Renton WA KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 3345700060 EXISTING LAND USE(S): Light Manufacturing PROPOSED LAND USE(S): Office/ Warehouse EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: CA PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) CA EXISTING ZONING: CA j PROPOSED ZONING (if applicable): CA SITE AREA (in square feet): 50,515 sqft SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: N/A SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: NIA j s PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) N/A NUMBER OF PROPOSED LOTS (if applicable) 1 NUMBER OF NEW DWELLING UNITS (if applicable): N/A _ I C:\Ljsers\Michael\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\3U52HL68\GR masterapp copy.doc Rev: 08/2015 PROJECTINFORMAT NUMBER OF EXISTING DWELLING UNITS (if applicable): 0 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): N/A SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): N/A SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 16,140 NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): n/a NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): N/A ION (continued) PROJECT VALUE: Nota Public 1W and for the $500,000 IS THE SITE LOCATED IN ANY TYPE OF Notary (Pin ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ....... ❑ AQUIFIER PROTECTION AREA ONE OR WAStN"N�```� ❑ AQUIFIER PROTECTION AREA TWO ❑ FLOOD HAZARD AREA sq. ft. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. ❑ WETLANDS 4420 sq, ft. LEGAL DESCRIPTION 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 Name/s) Michael Porter, 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 E 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 nd c rect o the best of my knowledge and belief. Signature of Owner/Representative Date Signature of Owner/Representative Date STATE OF WASHINGTON SS COUNTY OF KING I certify that I know or have satisfactory evidence that M I ( VIAf;'l TLIC-k—K signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument. 5.22.1' l...o011 .uultun�,,�� Dated ���` \��M0�2�i� , Nota Public 1W and for the '`Tic°r10TAW N:Ts 41'.'4W•� .= _ Nom'. PUBLIC Notary (Pin :?2 ....... My appointment expires: OR WAStN"N�```� of Washington C:\Users\Michael\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\3U52HL68\GR masterapp copy.doc Rev: 08/2015