HomeMy WebLinkAboutA_Master Land Use Application_170403_v1‘k4f%.DEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivisionLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:NAME:bA0vor;‘vtei___PROJECT/ADDRESS(S)/LOCATIONANDZIPCODEADDRESS:7\v‘7Io,VcCITY:ZIP:65)KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):TELEPHONENUMBER:/74APPLICANT(ifotherthanowner)____________________________________EXISTINGLANDUSE(S):NAME:MAvC1el_____________________PROPOSEDLANDUSE(S):COMPANY(ifapplicable):jyUCIEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:ADDRESS:f’tt3O37)I(1C/t-CITY:jjjZIP:TELEPHONENUMBER:CONTACTPERSONNAME:_____________________COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBERANDEMAILADDRESS:1H:\CED\Data\Forms-Iemplates\SeIf-HeIpHandouts\Planning\MasterApplication.docPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:PROPOSEDZONING(ifapplicable):NSITEAREA(insquarefeet):SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:(\f/JPROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWappIicale):-Rev:08/2015
PROJECTINFORMATION(continued)SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):ASQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):I,(PrintNamels)/,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)‘thecurrentownerofthepropertyinvolvedinthisapplicationorEltheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.STATEOFWASHINGTONSSCOUNTYOFKINGNotaryPutinandfortheStateofWashington(4ot1,P0-NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):PROJECTVALUE:ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):ElAQUIFIERPROTECTIONAREAONEElAQUIFIERPROTECTIONAREAT’NOElFLOODHAZARDAREAsq.ft.ElGEOLOGICHAZARDsq.ft.ElHABITATCONSERVATIONsq.ft.SHORELINESTREAMS&LAKESsq.ft.ElWETLANDSsq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE____QUARTEROFSECTION____,TOWNSHIP____,RANGE____,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTON--AFFIDAVITOFOWNERSHIPSignatureofOwner/ReprntativeDate‘SgnatureofOwner/RepresentativeDateDatdIcertifythatIknoworhavesatisfactoryevidencethatftlprC‘vnsignedthisinstrumentandacknowledgeittobhe#th.erfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.Notary(Prirft)iMyappointmentexpires:2H:\CED\Data\FormsRev:08/2015