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Home My WebLink AboutA_LAND_USE_APPLICATION_170718,beset Fora Save Fors DEPARTMENT OF COMMUNITYCITY OF AND ECONOMIC DEVELOPMENT 1ent®� uI '�� J51"k Planning Division LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: GIREGOR M,,FAWCETT rn �a ADDRESS: -'/ i([(j CITY: )VAZIP: TELEPHONE NUMBER: 9 APPLICANT (if other than owner) NAME: MAYOR FOR CITY OF RENTON COMPANY (if applicable): ADDRESS: 1055 So. GRADY WAY CITY: RENTON ZIP: 98057 TELEPHONE NUMBER: (425) 4.30-6619 CONTACT PERSON NAME: BRYAN SHAW COMPANY (if applicable): HANSEN SURVEYING ADDRESS: 4227 S. MERIDIAN ST E, C-445 CITY: PUYALLUP ZIP: 98373 TELEPHONE NUMBER AND EMAIL ADDRESS: (425) 235-8440 IJ PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: Fawcett Lot Line Adjustment PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 4260 Lake Washington BLVD N. (3224059109) XXXX Lake Washington BLVD. N (3224059081) 4008 Meadow Ave. N. (3224059043) KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 3224059109,3224059081,3224059043 EXISTING LAND USE(S): RESIDENTIAL MEDIUM DENSITY PROPOSED LAND USE(S): SAME EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: RESIDENTIAL MEDIUM DENSITY PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) SAME EXISTING ZONING: R6 PROPOSED ZONING (if applicable): SAME SITE AREA (in square feet): 396,466 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: N/A SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: 3,323 S.F. PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) .3559 NUMBER OF PROPOSED LOTS (if applicable) 3 NUMBER OF NEW DWELLING UNITS (if applicable): 0 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015 PROJECT INFORMAT NUMBER OF EXISTING DWELLING UNITS (if applicable): 1 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 0 SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 2700 SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): 0 SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 290 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 ION (continued) PROJECT VALUE: 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. EI GEOLOGIC HAZARD 25,973 sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. 0 WETLANDS 33,684 sq. ft. LEGAL DESCRIPTION OF PROPERTY Attach legal description on separate sheet with the following information inclu SITUATE IN THE NW QUARTER OF SECTION 32 , TOWNSHIP 24 , RANGE 5E , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) GREGORY M. FAWCETT declare under penalty of perjury under the laws of the State of Washington that I am (please check one' the current owner of the property involved in this application or 12�the authorized representative to act for a corporation (please attach proof of authorization) and that the foregoing statements and answers herein cont d and �the information herewith are in all respects and correct to the best of my knowledge and belief. "Jl1 r� 7 tr 7�e /� Signature of wner/Representative Date Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that o'— *CL W r_e + signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument. --I 1 S l a. C)1--1 Dated __ T�toa'a�, P(t b iic State of Washington CHRISTINE E. JOHNSON MY COMMISSION EXPIRES OCTOBER 16, 2019 Notary Public in and for the oil, Notary (Print): My appointment expires: 2 e-- a . (Its In ✓' G co V-1 WIM H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev:08/2015 DEPARTMENT OF COMMUNITYCITY OF AND ECONOMIC DEVELOPMENT Renton 0 Planning Division LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: GREGORY M. FAWCETT ADDRESS: CITY: - I� r� ZIP: ' TELEPHONE NUMBER: I APPLICANT (if other than owner) NAME: MAYOR FOR CITY OF RENTON COMPANY (if applicable): ADDRESS: 1055 So. GRADY WAY CITY: RENTON ZIP: 98057 TELEPHONE NUMBER: (425) 430-6619 CONTACT PERSON NAME: BRYAN SHAW COMPANY (if applicable): HANSEN SURVEYING ADDRESS: 4227 S. MERIDIAN ST E, C-445 CITY: PUYALLUP ZIP: 98373 TELEPHONE NUMBER AND EMAIL ADDRESS: (425) 235-8440 PROJECT INFORMATION PROJECT OR DEVELOPMr_ ENT NAME: Fawcett Lot Line Adjustment PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 4260 Lake Washington BLVD N. (3224059109) XXXX Lake Washington BLVD. N (3224059081) 4008 Meadow Ave. N. (3224059043) KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 3224059109,3224059081,3224059043 EXISTING LAND USE(S).- RESIDENTIAL SE(S):RESIDENTIAL MEDIUM DENSITY PROPOSED LAND USE(S): SAME EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: RESIDENTIAL MEDIUM DENSITY PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) SAME EXISTING ZONING: R6 PROPOSED ZONING (if applicable): SAME SITE AREA (in square feet): 396,466 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: N/A SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: 3,323 S.F. PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) .3559 NUMBER OF PROPOSED LOTS (if applicable) 3 NUMBER OF NEW DWELLING UNITS (if applicable): 0 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015 PROJECT INFORMT NUMBER OF EXISTING DWELLING UNITS (if applicable): 1 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 0 SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 2700 SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): 0 SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 290 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 ION continued PROJECT VALUE: 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. El GEOLOGIC HAZARD 25,973 sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. El WETLANDS 33,684 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 RANGE 5E IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) GREGORY M. FAWCETT , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) ✓ the current owner of the property involved in this application or Q 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. 2'�!' `� i Signature of Owner/Representative Date Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that G -c o✓ Ak. TlWce--` k signed this instrument and acknowledge it to be his/her/their free and voluntary act for the use nd purpose mentioned in the instrument. C- Dated Notal'i) Public Stat® of Washington CHRISTINE E. JOHNSON MY COMMISSION EXPIRES 0070 ER 16, 2619 - Notary Public in and for the State Of Washington Notary (Print): appointment expires: tp 1 l(0 2 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015 Print Form Reset Form Save Form DEPARTMENT OF COMMUNITYCITY OF AND ECONOMIC DEVELOPMENT Renton ' aor Planning Division LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: SABRA FAWCETT ADDRESS: P D Gp X H D 2— CITY: CITY: C.1� I GI+� (1310 ZIP. C1 P 0 ZL j TELEPHONE NUMBER: ( Ll Z S) L4 66 — 3 Z -Z —I APPLICANT (if other than owner) NAME: MAYOR FOR CITY OF RENTON COMPANY (if applicable): ADDRESS: 1055 So. GRADY WAY CITY: RENTON ZIP: 98057 TELEPHONE NUMBER: (4.25) 430-6619 CONTACT PERSON NAME: BRYAN SHAW COMPANY (if applicable): HANSEN SURVEYING ADDRESS: 4227 S. MERIDIAN ST E, C-445 CITY: PUYALLUP ZIP: 98373 TELEPHONE NUMBER AND EMAIL ADDRESS.- (425) DDRESS:(425) 235-8440 PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: Fawcett Lot Line Adjustment PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 4260 Lake Washington BLVD N. (3224059109) XXXX Lake Washington BLVD. N (3224059081) 4008 Meadow Ave. N. (3224059043) KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 3224059109,3224059081,3224059043 EXISTING LAND USE(S): RESIDENTIAL MEDIUM DENSITY PROPOSED LAND USE(S): SAME EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: RESIDENTIAL MEDIUM DENSITY PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) SAME EXISTING ZONING: R6 PROPOSED ZONING (if applicable): SAME SITE AREA (in square feet): 396,466 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED.- N/A EDICATED:N/A SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: 3,323 S.F. PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) .3559 NUMBER OF PROPOSED LOTS (if applicable) 3 NUMBER OF NEW DWELLING UNITS (if applicable): 0 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015 PROJECT INFORMAT NUMBER OF EXISTING DWELLING UNITS (if applicable): 1 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 0 SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 2700 SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): 0 SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 290 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 ION (continued) PROJECT VALUE: 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. 0 GEOLOGIC HAZARD 25,973 sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. EI WETLANDS 33,684 sq. ft. LEGAL DESCRIPTION OF PROPERTY Attach le al descri tion on se crate sheet with the followin information included SITUATE IN THE NW QUARTER OF SECTION 32 , TOWNSHIP 24 , RANGE 5E , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) SABRA FAWCETT , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) M the current owner of the property involved in this application or 0 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 ) Signature of Owner/Representative Date ) SS COUNTY OF KING ) II I certify that I know or have satisfactory evidence that b �' fG re, L'I C eft signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument. D6 /.3o f/Zo17 Dated GERITT C FRANTZ Notary Public State of Washington My Appointment Expires Jul 17, 2021 in and for the State of Washington C r 4 f J�- /c"" f 7— Notary Notary (Print): My appointment expires: �(,i I y �7 , 2021 4 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015 Print Form Reset Form Save Fora; DEPARTMENT OF COMMUNITY CITY OF AND ECONOMIC DEVELOPMENT i Renton V40"k Planning Division LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: GEORGE A. FAWCETT ADDRESS: P C) CITY: 7c�r-,'�Dy�1 {J ZIP: q 80 c 7 TELEPHONE NUMBER: (LI 2 S) L4 L) S ^ Si D � APPLICANT (if other than owner) NAME: MAYOR FOR CITY OF RENTON COMPANY (if applicable): ADDRESS: 1055 So. GRADY WAY CITY: RENTON ZIP: 98057 TELEPHONE NUMBER: (425) 430-6619 CONTACT PERSON NAME: BRYAN SHAW COMPANY (if applicable): HANSEN SURVEYING ADDRESS: 4227 S. MERIDIAN ST E, C-445 CITY: PUYALLUP ZIP: 98373 TELEPHONE NUMBER AND EMAIL ADDRESS: (425) 235-8440 PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: Fawcett Lot Line Adjustment PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 4260 Lake Washington BLVD N. (3224059109) XXXX Lake Washington BLVD. N (3224059081) 4008 Meadow Ave. N. (3224059043) KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 3224059109,3224059081,3224059043 EXISTING LAND USE(S): RESIDENTIAL MEDIUM DENSITY PROPOSED LAND USE(S): SAME EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: RESIDENTIAL MEDIUM DENSITY PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) SAME EXISTING ZONING: R6 PROPOSED ZONING (if applicable): SAME SITE AREA (in square feet): 396,466 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: N/A SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: 3,323 S.F. PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) .3559 NUMBER OF PROPOSED LOTS (if applicable) 3 NUMBER OF NEW DWELLING UNITS (if applicable): 0 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): 0 SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 2700 SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): 0 SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 290 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: 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. O GEOLOGIC HAZARD 25,973 sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. El WETLANDS 33,684 sq. ft. LEGAL DESCRIPTION OF PROPERTY Attach le al _description on separate sheet with the followino information included SITUATE IN THE NW QUARTER OF SECTION 32 , TOWNSHIP 24 RANGE 5E , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) GEORGE A. FAWCETT , 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 or= 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. CLX_�" c� Signature of O er/Representative Date Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that 6' e d rye A • rgw c e t)" signed this instrument and acknowledge it to be his/her/their free and voluntary act for the u and purpose mentioned in the instrument. 06 %3012or7 Dated GERITT C FRANTZ Notary Public State of Washington My Appointment Expires Jul 17, 2021 Notary Public in and for the State of Washington Notary (Print): My appointment expires: 2 Ju/y 17, 20 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 08/2015