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HomeMy WebLinkAboutLand Use ApplicationPrint Form Reset form Save Form DEPARTMENT OF COMMUNITY1171 of AND ECONOMIC DEVELOPMENT — Renton ' Planning Division LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: Sherry & Robert Cline ADDRESS: 4267 Williams Ave N CITY: Renton, WA ZIP: 98056 TELEPHONE NUMBER: (425) 226-6888 APPLICANT (if other than owner) NAME: COMPANY (if applicable): ADDRESS: CITY: ZIP: TELEPHONE NUMBER: CONTACT PERSON NAME: Evan Wehr COMPANY (if applicable): ecco design Inc. ADDRESS: 203 N 36th St. Suite 201 CITY: Seattle, WA ZIP: 98103 TELEPHONE NUMBER AND EMAIL ADDRESS: (206) 706-3937 PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: Cline Shoreline Repair PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 4267 Williams Ave N Renton, WA 98056 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 0518500230 EXISTING LAND USE(S): Single Family Residence PROPOSED LAND USE(S): N/A EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: RHD PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) N/A EXISTING ZONING: R-10 PROPOSED ZONING (if applicable): N/A SITE AREA (in square feet): 8,650 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: N/A SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: N/A PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) N/A NUMBER OF PROPOSED LOTS (if applicable) N/A NUMBER OF NEW DWELLING UNITS (if applicable): N/A H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015 PROJECT INFORMA NUMBER OF EXISTING DWELLING UNITS (if applicable): 1 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): N/A SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 2,660 SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): N/A SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A 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 TION continued PROJECT VALUE: $4,000 IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ❑ AQUIFIER PROTECTION AREA ONE ❑ AQUIFIER PROTECTION AREA TWO ❑ FLOOD HAZARD AREA sq. ft. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. © SHORELINE STREAMS & LAKES 8,650 sq. ft. ❑ WETLANDS sq. ft. LEGAL DESCRIPTION OF PROPERTY Attach legal description on separate sheet with the following information included SITUATE IN THE NW QUARTER OF SECTION 32 , TOWNSHIP 24 N, RANGE 5 E , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) Sherry & Robert Cline , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) I ✓ I the current owner of the property involved in this application oro 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 STATE OF WASHINGTON SS COUNTY OF KING Signature of O er/Representative Ds e I certify that I know or have satisfactory evidence that 4"AAC � f.a 5 Lr r C -1n. -signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose menti nedb in the instrument. Dated Notary Public State of Washington BRANDON SHELBY My Appointment Expires Sep 5, 2018 Public in and for the State of Washington Notary (Print): My appointment expires:�'t . J' H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015 LEGAL DESCRIPTION OF PROPERTY Attach legal description on separate sheet with the following information included SITUATE IN THE NW QUARTER OF SECTION 32 , TOWNSHIP 24 N, RANGE 5 E , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) Sherry & Robert Cline , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) I ✓ I the current owner of the property involved in this application oro 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 STATE OF WASHINGTON SS COUNTY OF KING Signature of O er/Representative Ds e I certify that I know or have satisfactory evidence that 4"AAC � f.a 5 Lr r C -1n. -signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose menti nedb in the instrument. Dated Notary Public State of Washington BRANDON SHELBY My Appointment Expires Sep 5, 2018 Public in and for the State of Washington Notary (Print): My appointment expires:�'t . J' H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015