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A_Fall_Grouping_Master_Application_171006
PROPERTYOWNER(S)NAME:N/AADDRESS:N/ACITY:N/AZIP:N/AAPPLICANT(ifotherthanowner)NAME:CityofRentonCOMPANY(ifapplicable):CEDADDRESS:1055S.GradyWayCITY:Renton,WAZIP:98057TELEPHONENUMBER:425-430-6575CONTACTPERSONNAME:ChipVincentPlanningDivision—COMPANY(ifapplicable):DepartmentofCommunityandEconomicDevelopmentADDRESS:1055S.GradyWayCITY:Renton,WAZIP:98057TELEPHONENUMBERANDEMAILADDRESS:(425)430-6575amathias@rentonwa.govPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:2077FallWorkProgram—AdministrativeCodeInterpretations,FinalPlatAuthority,GroupHomes,NonconformingDevelopmentStandards,TextAmendmentExemptions.Also,SafeInjectionFacilitiesPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:CitywidePARCELNUMBER:CitywideEXISTINGLANDUSE(S):]Manylanduses,including:vacant,single-family,multifamily,commercial,office,industrial,etc.PROPOSEDLANDUSE(S):n/aEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:CitywidePROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)n/aEXISTINGZONING:CitywidePROPOSEDZONING(ifapplicable):n/aSITEAREA(insquarefeet):24.03squaremilesSQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/ASQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(iiapplicable):n/aNUMBEROFPROPOSEDLOTS(ifapplicable):N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):N/ACityofRentonLANDUSEPERMITMASTERAPPLICATION—1—06/09 PROJECTINFORMATION(continued)NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):n/aPROJECTVALUE:N/ASQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):N/AENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDE__________________________________________________SQUAREFOOTAGE(ifapplicable):n/aSQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ADAQUIFIERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALDAQUIFIERPROTECTIONAREATWOBUILDINGS(ifapplicable):N/A____________________________________________0FLOODHAZARDAREA______sq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/A0GEOLOGICHAZARD______sq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(if0HABITATCONSERVATION______sq.ft.applicable):N/A____________________________________________0SHORELINESTREAMS&LAKESlin.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/A0WETLANDS_______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHESWQUARTEROFSECTION,TOWNSHIP23N,RANGE5,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONTYPEOFAPPLICATION&FEESListalllanduseapplicationsbeingappliedfor:1.EnvironmentalReview3.________________________________2.___________________________________________________________Staffwillcalculateapplicablefees:$______________AFFIDAVITOFOWNERSHIPI,(PrintName/s)ChipVincent,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationorXtheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief._____________________________________________rIcertifythatIknoworhavesatisfactoryevidencethat_______________(Signatureofwner/Representative)1114Csignedthisinstrumentandacknowledgeittobehis/her/theirtreeandvoluntaryactfortheusesandpurposesmentionedintheinstrument.(SignatureofOwner/Representative)Myappointmentexpires:____________________-2-06/09