HomeMy WebLinkAboutA_Master Application_170619_v1DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
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H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-3708 Cedar River Levee Recertification\5000 Shoreline
Exemption Permit\Master Application.doc Rev: 08/2015
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)PROJECT INFORMATION
NAME:City of Renton
PROJECT OR DEVELOPMENT NAME:
Cedar River 205 Project Levee Certification
ADDRESS:
1055 South Grady Way
CITY:Renton, WA ZIP:98057
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
Left bank of the Cedar River aloing Renton Municipal
Airport and West Perimeter Road, and Right bank of
the Cedar River at N 6th St. Zip Code 98057.
TELEPHONE NUMBER:425-430-6400
APPLICANT (if other than owner)
KING COUNTY ASSESSOR’S ACCOUNT NUMBER(S):
072305-9007
NAME:City of Renton Surface Water Utility
Attn: Joseph Farah
EXISTING LAND USE(S): Employment Area
COMPANY (if applicable):
PROPOSED LAND USE(S): No Change
ADDRESS:
1055 South Grady Way
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Employment Area
CITY:
Renton, WA
ZIP:
98057
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable) NA
TELEPHONE NUMBER:
425-430-7205
EXISTING ZONING: Medium Industrial, Heavy Industrial
CONTACT PERSON PROPOSED ZONING (if applicable): NA
NAME:Same as Applicant
SITE AREA (in square feet): 60,000
COMPANY (if applicable):
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: 0
ADDRESS:
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
0
CITY:
ZIP:
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) NA
NUMBER OF PROPOSED LOTS (if applicable)
NATELEPHONE NUMBER AND EMAIL ADDRESS:
NUMBER OF NEW DWELLING UNITS (if applicable):
NA
PROJECT INFORMATION (continued)
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H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-3708 Cedar River Levee Recertification\5000 Shoreline
Exemption Permit\Master Application.doc Rev: 08/2015
NUMBER OF EXISTING DWELLING UNITS (if applicable):
NA
PROJECT VALUE:
$140,000
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): NA
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): NA
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): NA
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
AQUIFIER PROTECTION AREA ONE
AQUIFIER PROTECTION AREA TWO
FLOOD HAZARD AREA 60,000 sq. ft.
GEOLOGIC HAZARD sq. ft.
HABITAT CONSERVATION sq. ft.
SHORELINE STREAMS & LAKES 60,000 sq. ft.
WETLANDS sq. ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE NE QUARTER OF SECTION 07, TOWNSHIP 23N, RANGE 5E, IN THE CITY OF RENTON,
KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Joseph Farah, 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.
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 signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
PROJECT INFORMATION (continued)
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H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-3708 Cedar River Levee Recertification\5000 Shoreline
Exemption Permit\Master Application.doc Rev: 08/2015