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A_Master_Application_170829_v1
PrintFormResetFormSaveFormDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivisionCITYOF—“Renton0LANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:StonegateHomeowner’sAssociationADDRESSP0Box2691CiTY:RentonZIP:98056TELEPHONENUMBER:(425)243-3501APPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESSCITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:SusanSlatonCOMPANY(ifapplicable):ADDRESS:5511NE21stCtCITY:RentonZIP:98059TELEPHONENUMBERANDEMAILADDRESS:(425)271-32311PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME.StonegatePROJECT(ADDRESS(S)ILOCATIONANDZIPCODE:CornerofNE24thCtandLyonsAveNE95059KINGCOUNTYASSESSORSACCOUNTNUMBER(S)::803540TRCTEXISTINGLANDUSE(S)CommonprotectedareaPROPOSEDLANDUSE(S):n/aEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:n/aPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)n/aEXISTINGZONING:R-1PROPOSEDZONING(ifapplicable)n/aSITEAREA(insquarefeet)n/aSQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:n/aSQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:n/aPROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)n/aNUMBEROFPROPOSEDLOTS(ifapplicable)n/aNUMBEROFNEWDWELLINGUNITS(ifapplicable):n/aH:\CED\Data\Fcrrns-Templates\SeIf-HelpHandout5\Planning\MasterApplication.docRev:08/2015RECEIVED08/29/2017amorganrothPLANNING DIVISION PROJECTINFORMATION(continued)NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable)n/aSQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):n/aSQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):n/aSQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):n/aSQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):n/aNETFLOORAREAONNON-RESIDENTIALBUILDINGS(if______Fapplicable):n/aNUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):n/aI,(PrintName/s)SusanSlatondeclareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontdandtheinformation-areinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.9ZF________________atureoOwner/RepresentativeateSignatureofOwner/RepresentativeDateSTATEOFWASHINGTONSSCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatSuSpn—jSLA—n)rJsignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPubli6-11nandfortheStpteofWashingtonTh.TtnUCOL4-17ffrrNotary(Print):Myappointmentexpires:S/2PROJECTVALUE:n/aISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):UAQUIFIERPROTECTIONAREAONEUAQUIFIERPROTECTIONAREATWOUFLOODHAZARDAREA______sq.ft.UGEOLOGICHAZARD______sq.ft.UHABITATCONSERVATION______sq-ft.USHORELINESTREAMS&LAKES______sq.ft.UWETLANDS______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE_________QUARTEROFSECTION___TOWNSHIP___RANGE___INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPH:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:08/2015