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A_LAND USE APPLICATION_CITY SIGNATURE
DEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTrinormjFormISave4—Renton0PlanningDivisionLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:CITYOFRENTONADDRESS:4260LakeWashingtonBlvdCITY:RentonZIP:TELEPHONENUMBER:(425)430-6619APPLICANT(ifotherthanowner)NAME:MAYORFORCITYOFRENTONCOMPANY(ifapplicable):ADDRESS:1055So.GRADYWAYCITY:RENTONZIP:98057TELEPHONENUMBER:(425)430-6619CONTACTPERSONNAME:BRYANSHAWCOMPANY(ifapplicable):HANSENSURVEYINGADDRESS:4227S.MERIDIANSTE,C-445CITY:PUYALLUPZIP:98373TELEPHONENUMBERANDEMAILADDRESS:(425)235-84401PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:FawCettLotLineAdjustmentPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:4260LakeWashingtonBLVDN.(3224059109)XXXXLakeWashingtonBLVD.N(3224059081)4008MeadowAve.N.(3224059043)KINGCOUNTYASSESSORSACCOUNTNUMBER(S):3224059109,32240590813224059043EXISTINGLANDUSE(S):RESIDENTIALMEDIUMDENSITYPROPOSEDLANDUSE(S):SAMEEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:RESIDENTIALMEDIUMDENSITYPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)SAMEEXISTINGZONING:R6PROPOSEDZONING(ifapplicable):SAMESITEAREA(insquarefeet):396,466SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/ASQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:3,323S.F.PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable).3559NUMBEROFPROPOSEDLOTS(ifapplicable)3NUMBEROFNEWDWELLINGUNITS(ifapplicable):0H:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:08/2015 PROJECTINFORMATION(continued)I,(PrintName/s)c-ActscDbdeclareunderpenaltyofperjuryundeLtlawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.SignatureofOwnRpres’entativeSTATEOFWASHINGTONCOUNTYOFKING)SSDateSignatureofOwner/RepresentativeDateIcertifythatIknoworhavesatisfactoryevidencethatL1’Li€D&YLA—t-ksignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPublicn1andfortheStateofWdhingtonNotary(Print):Myappointmentexpires:2PROJECTVALUE:NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):ISQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):2700SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):0SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):290NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):N/ANUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):AQUIFIERPROTECTIONAREAONEAQUIFIERPROTECTIONAREATWOFLOODHAZARDAREAGEOLOGICHAZARD______sq.ft.HABITATCONSERVATION25,973sq.ft.ciSHORELINESTREAMS&LAKES______sq.ft.WETLANDS______sq.ft.33,684sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENWQUARTEROFSECTION32,TOWNSHIP24,RANGE5E_,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPH:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:08/2015