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Home My WebLink AboutMASTER APPPri1tFOiWRetØflsaveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVEWPMENT—Renton0PlanningDivisionLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:ADDRESS:CITY:ZIP:TELEPHONENUMBER:APPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESS:\73oc;o—667CITY:\\ZIP:TELEPHONENUMBER:IeoOICONTACTPERSONNAMECOMPANY(ifapplicable):ADDRESS:k2P°Pdt‘-‘--QI€CITY:ZIP:TELEPHONENUMBERANDEMAILADDRESS:1PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:oieteQPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:’L)7,]]KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):Z57XXOEXISTINGLANDUSE(S):PROPOSEDLANDUSE(S):EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:PROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELLINGUNITS(ifapplicable):H:\CED\Data\Forms-Templates\Self-HeIpHandouts\Planning\MasterApplication.docRev:08/2015 PROJECTINFORMATION(continued)I,(PrintName/s),declareunderpenaltyofperjuryunderthlawsoftheStateofWashingtonthatIam(pleasecheckone)LEIthecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatements.ndnswershereincontainedantheinformatioerewithreinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.SureoOwner/ReprentativeDateSTATEOFWASHINGTON)SSCOUNTYOFKINGNUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):PROJECTVALUE:ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):AQUIFIERPROTECTIONAREAONELAQUIFIERPROTECTIONAREATWOL)FLOODHAZARDAREA______sq.ft.]GEOLOGICHAZARD_____sq.ft.IJHABITATCONSERVATION______sq.ft.SHORELINESTREAMS&LAKES______sq.ft.CIWETLANDS______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE________QUARTEROFSECTION___,TOWNSHIP___RANGE___,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPSignatureofOwner/Representative5-t6-J7DateDatedIcertifythatIknoworhavesatisfactoryevidencethatJ7oIin/YWtt4’d%’L_signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPublicinaridJortheStateofWashingtonNotary(Print):expires:H:\CED\Data\Forms-Templates\SeIf-HeIpHandouts\Planning\MasterApplication.docRev:08/2015