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A_Master_Application_170912_v1
DEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTC—‘Renton0PlanningDivisionLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:\/ADDRESS:jZc1’-lfthCITY:wA-z1:9csTELEPHONENUMBER:2SC——2-f77APPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:7;tki’fCherCOMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBERANDEMAILADDRESS:IPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:‘u&y‘VcCiiav’PROJECT/AdDRESS(S)/LOCATIONANDZIPCODE:ISvnf1,€5Ax,icjg’oc-7KINGCOUNTYASSESSORSACCOUNTNUMBER(S):73’LJQ3QOfl()EXISTINGLANDUSE(S):—PROPOSEDLANDUSE(S):EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONING:/PROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet):oc)SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELLINGUNITS(ifapplicable):H:\CED\Data\Forms-Templates\seIf-HeIpHandouts\Planning\MasterApplicationdocRev:08/2015 PROJECTINFORMATION(continued)I,(PrintName/s)—rcni,frCNJdeclareunderpenaltyofperjuryundlawsoftheStateofWashingtonthatIam(pleasecheckone)LZJthecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcDrrecttothebestofmyknowledgeandbelief.rnø/cf7SignatureofbwnerlRepresentativeDateSTATEOFWASHINGTONCOUNTYOFKING55CI6IcertifythatIknoworhavesatisfactoryevidencethatThv71signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.c__INotaryPublicinandfortheStateofWashingtonDJmIIWLA-fz../ICNotary(Print):C’n-ThCrNUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):PROJECTVLE:UISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):UAQUIFIERPROTECTIONAREAONE‘3AQUIFIERPROTECTIONAREATWO3FLOODHAZARDAREA______sq.ft.Li-GEOLOGICHAZAftD0sq.ft.(‘5i7qtc)UHABITATCONSERVATION______sq.ft.USHORELINESTREAMS&LAKES______sq.ft.LiWETLANDS______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE_________QUARTEROFSECTION___TOWNSHIP___RANGE___TNTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPSignatureofOwner/RepresentativeDateDatedMyappointmentexpires: