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HomeMy WebLinkAboutA_Master_Land_Use_Application_170802_V1PROPERTYOWNER(S)NAME:RichardLeeBierleinADDRESS:2106SE21StcCITY:ZIP:Renton98055TELEPHONENUMBER:206-771-4341APPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:RichardBierleinCOMPANY(ifapplicable):ADDRESS:2106SE21stcCITY:ZIP:Renton98055TELEPHONENUMBERANDEMAILADDRESS:206-771-4341Richieb56@comcast.netDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTCITYOF—Renton0PlanningDivisionLANDUSEPERMITMASTERAPPLICATIONPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:BierleinResidencePROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:2106SE21stcRenton,Wa98055KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):739930-0350-04EXISTINGLANDUSE(S):SinglefamilyPROPOSEDLANDUSE(S):SingleFamilyEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:RollingHillsVillage3Plot35PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:R-8PROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):6968SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELLINGUNITS(ifapplicable):C:\Users\Owner\Desktop\Variance\A_Master_Land_Use_Application_170802_V1.docRev:08/2015 PROJECTINFORMATION(continued)I,(PrintName/s)RichardBierlein,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationorQtheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief./2/7__________________SignatureofOwner/RepresentativeDateSTATEOFWASHINGTON)SSCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatRI(14A1Ztt>L.Isignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPublkS-in-ndfortheStateoashingtonTrv-’1c0CA17.(ZNotaryfømntMyappointmentexpires:2/NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):1SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):PROJECTVALUE:$110,000ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):ElAQUIFIERPROTECTIONAREAONE[1AQUIFIERPROTECTIONAREATWOElFLOODHAZARDAREA____sq.ft.ElGEOLOGICHAZARD____sq.ft.ElHABITATCONSERVATION____sq.ft.ElSHORELINESTREAMS&LAKES____sq.ft.ElWETLANDS____sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHESEQUARTEROFSECTION20,TOWNSHIP23,RANGE5,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPSignatureofOwner/RepresentativeDateDatedC:\Users\Owner\Desktop\Variance\A_Master_Land....Use_Application_170802_V1.docRev:08/2015 CITYOFANDECONOMICDEVELOPMENTAFFIDAVITOFINSTALLATIONOFPUBLICINFORMATIONSIGNPlanningDivision1055SouthGradyWay,Renton,WA98057Phone:425-430-7200Iwww.rentonwa.govSTATEOFWASHINGTON55COUNTYOFKING1.I,ii’ti),certifyunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthattheforegoingistrueandcorrect,beingfirstdulyswornonoath,deposesandsays:2.Onthedayof_____________________,20/7,Iinstalled/publicinformationsign(s)onthepropertylocatedatZ/c1S/2,r(iforthefollowingproject:/CE11)ProjectName/LLY,OwnerName3.Ihaveattachedacopyoftheneighborhooddetailmapmarkedwithan“X”toindicatethelocationoftheinstalledsign.4.This/thesepublicinformationsign(s)was/wereconstructedandinstalledinlocationsinconformancewiththerequirementsofChapter8Title4ofRentonMunicipalCodeandtheCity’s“PublicInformationSignsInstallation”handoutpackage.InstallerSignatureSUEtobeforemethis‘—dayof(R-.._k,20IN&IARYPUBLICLfnandfortheStateofWashington,residingatccS-1A..Jq,-Mycommissionexpireson-C:\Users\cclose\Desktop\Work\Handouts\PubInfoSignHandout.docxRev.02/2017