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Home My WebLink AboutA_Land_Use_Permit_Master_Application_170718_v1DEPARTMENT OF COMMUNITY --m"9000" CITY OF .fig e ��tu-ni AND ECONOMIC DEVELOPMENT0"R --_...._.®,,........��, 4W Planning Division LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: ACH Homes LLC ADDRESS: 9675 SE 36" St #105 CITY: ZIP: Mercer Island 98040 TELEPHONE NUMBER: (206) 588-1147 APPLICANT (if other than owner) I NAME: COMPANY (if applicable): ADDRESS: CITY: ZIP: TELEPHONE NUMBER: CONTACT PERSON NAME: Dmitrly Mayzlin COMPANY (if applicable): ACH Homes LLC ADDRESS: 9675 SE 36th St #105 CITY: ZIP: Mercer Island 98040 TELEPHONE NUMBER AND EMAIL ADDRESS: 206-588-1147 x114 Dmitriy@AmericanClassicHomes.com I I r PROJECT INFORMATION ��®•fid PROJECT OR DEVELOPMENT NAME: Kennydale 33rd PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 1203 N 33`d PI Renton, WA 98056 12XX N 33rd PI Renton, WA 98056 12XX N 33rd PI Renton, WA 98056 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 3342102102 3342102105 3342102110 EXISTING LAND USE(S): SFR PROPOSED LAND USE(S): SFR EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: R-8 PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) R-8 EXISTING ZONING: R-8 PROPOSED ZONING (if applicable): R-8 SITE AREA (in square feet): 5,100 sq ft each SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: 0 SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: 0 PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) N/A NUMBER OF PROPOSED LOTS (if applicable) 3 NUMBER OF NEW DWELLING UNITS (if applicable): 3 New, 2 New (Net) /Users/Eva nderson/Downloads/mastera pp. doc Rev: 08/2015 PROJECT INFORMAT NUMBER OF EXISTING DWELLING UNITS (if applicable): 1 (To be Removed) SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 4,000 sq ft each SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 0 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 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. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. ❑ WETLANDS sq. ft. LEGAL DESCRIPTION OF PROPERTY on separate sheet with the following information includ SITUATE IN THE SW QUARTER OF SECTION 32 , TOWNSHIP 24 , RANGE 5 , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) Joel Mezistrano declare under penalty of perjury and laws of the State of Washington that I am (please check one) ✓ 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. May 4, 2017 ature of Owner/Representative Date STATE OF WASHINGTON ) Signature of Owner/Representative Date ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that TMk signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument. Atm - LAG Ire i Notary (Print): in of Washington 'sU - •My appointment expires: Oct -0 9 -'ZoZJ i v �Z,r i NX�" ns U` `0 OL w H:\CED\Data\Forms-Temp/la1� ��Vel Touts\PlanningWasterApplication.doc Rev: 08/2015 Legal Description LOTS 20,21 AND 22, BLOCK 17, C.D. HILLMANS LAKE WASHINGTON GARDEN OF EDEN ADDITION TO SEATTLE NO. 1, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 11 OF PLATS, PAGE 63, IN KING COUNTY, WASHINGTON. ACH HOMES, LLC Detail Report - Corporations - WA Secretary of.. ACH HOMES, LLC https:,. www.sos.wa.gov/corps/search-app.aspx#,detail/603133578 URI# 603133578 Status ACTIVE Category Limited Liability Regular Type Profit Duration 54 years State of Incorporation WA Expiration Date 08/31/2017 Filing Date 08/022011 Registered Agent HODA MEZISTRANO 7603 SE 37TH PLACE MERCER ISLAND, WA 98040-0000 Governing Persons (as defined in RCW 23.95.105 f12 MEZISTRANO, JOEL Governor GLADSTEIN, ROBERT Governor GLADSTEIN, MICHAEL Governor Governing Persons Address Information Governing person addresses are not available for the following entity types: WA Association un- der Fish Marketing Act, Miscellaneous and Mutual, Public Benefit Corporation, Non-profit Corpo- ration, Non -Profit Professional Service Corporation, Bank Corporation, Limited Liability Com- pany, Professional Limited Liability Company, Unregistered Corporation, Limited Liability Part- nership, Corporation Sole, Credit Union, Fraternal Building Association, Fraternal Society, Grange, Military Corporation, Savings and Loan Association, Joint Municipal Utility Service, Lim- ited Partnership, Insurance Company, Limited Liability Limited Partnership. 1 of 1 7/17/17, 10:47 AM