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Home My WebLink AboutA1 Master Application Falcon Crit Area (signed)PrintFormResetFormSaveFormDEPARTMENTOFCOMMUNITY&ECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA980571425-430-7200www.rentonwa,govLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:CityofRentonADDRESS:1055SGradyWayCITY:Renton,WAZIP:98057TELEPHONENUMBER:(425)430-7206APPLICANT(ifotherthanowner)NAME:RentonWastewaterUtilityCOMPANY(ifapplicable):ADDRESS:1055SGradyWayCITY:RentonWaZIP:98057TELEPHONENUMBER:(425)430-7206CONTACTPERSONNAME:MichaelBenoitCOMPANY(ifapplicable):RentonWastewaterUtilityADDRESS:1055SGradyWayCITY:RentonWaZIP:98057TELEPHONENUMBERANDEMAILADDRESS:(425)430-72061PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:FalconRidgeLiftStationReplacementPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:2471SE8thP1,98058KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):212305-9003EXISTINGLANDUSE(S):Park/UndevelopedPROPOSEDLANDUSE(S):Park/UndevelopedEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:ResidentialLowDensityPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)N/AEXISTINGZONING:RCPROPOSEDZONING(ifapplicable):N/ASITEAREA(insquarefeet):3,500SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:0SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:0PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)0NUMBEROFPROPOSEDLOTS(ifapplicable)0(1exist,noproposedadditional)NUMBEROFNEWDWELLINGUNITS(ifapplicable):0H:\CED\Data\Forms-Templates\SeIf-HelpHandouts\Planning\MasterApplication.docRev:10/2017 PROJECTINFORMATION(continued)I,(PrintName/s)MichaelA.Benoit,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.April6,2018SignatureofOwner/RepresentativeSTATEOFWASHINGTONCOUNTYOFKINGSSDateSignatureofOwner/RepresentativeDateIcertifythatIknoworhavesatisfactoryevidencethat(‘ii?Cia,e’Osignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPublicinidfortheStatecfWashingtonNotary(Print):-r-iIK)(—--/?/‘o(-/Myappointmentexpires:2NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):0SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):0SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):92.4SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):0NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):0NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):0PROJECTVALUE:$800,000ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):UAQUIFERPROTECTIONAREAONEUAQUIFERPROTECTIONAREATWOUFLOODHAZARDAREA___ __ _sq.ft.liGEOLOGICHAZARD3500sq.ftUHABITATCONSERVATION___ __ _sq.ft.USHORELINESTREAMS&LAKES___ __ _sq.ft.UWETLANDS___ __ _sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENWQUARTEROFSECTION,TOWNSHIP,RANGEINTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPH:\CED\Data\Forms-Templates\SeIf-HeIpHandouts\Planning\MasterApplication.docRev:10/2017