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Home My WebLink AboutA_Land_Use_Permit_Application_Form_180629_v1.pdfPrint Form Reset Form Save Form DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT Planning Division 1055 South Grady Way, 6th Floor I Renton, WA 980571425-430-7200 www.rentonwa.gov L;R LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: Polygon WLH, LLC ADDRESS: 11624 SE 5th ST CITY: Bellevue ZIP: 98005 TELEPHONE NUMBER: (425) 586-7700 APPLICANT (if other than owner) NAME: David Avenell COMPANY (if applicable): Polygon WLH, LLC ADDRESS: 11624 SE 5th ST CITY: Bellevue ZIP: 98005 TELEPHONE NUMBER: (425) 586-7700 CONTACT PERSON NAME: David Avenel[ COMPANY (if applicable): Polygon WLH, LLC ADDRESS: 11624 SE 5th ST CITY: Bellevue ZIP: 98005 TELEPHONE NUMBER AND EMAIL ADDRESS: (425) 586-7700 PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: Earlington Townhomes PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: 13043 Renton Ave S, 8074 S 132nd St KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 214480-0285, 0295, 0487, 0500 EXISTING LAND USE(S): VACANT/NURSERY PROPOSED LAND USE(S): TOWNHOMES EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: RESIDENTIAL H IGH DENSITY PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) EXISTING ZONING: R-14 PROPOSED ZONING (if applicable): SITE AREA (in square feet): 181,007 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: 36,274 SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: 15,452 PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) 20.2 NUMBER OF PROPOSED LOTS (if applicable) 0 NUMBER OF NEW DWELLING UNITS (if applicable): 60 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017 PROJECT INFORMAT NUMBER OF EXISTING DWELLING UNITS (if applicable): 0 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 50,000 SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 0 SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): 0 SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): 0 NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): 0 NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): 0 ION continued PROJECT VALUE: IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ❑ AQUIFER PROTECTION AREA ONE ❑ AQUIFER 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 Attach legal description on separate sheet with the following information included SITUATE IN THE NE QUARTER OF SECTION 13 , TOWNSHIP 23 , RANGE 04 , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) R-�' 3.", , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) the current owner of the property involved in this application orthe authorized representative to act for a corporation (please attach proof of authorization) and that the foregoing statements and answers herein T and t formation herewith are in all respects true and correct to the best of my knowledge and belief. (0/1V13 Signatu of O er/Represen a ive Date Signature of Owner/Representative Date STATE OF WASHINGTON ) ) SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that Rom acknowledge it to be his/her/their free and voluntary act for the uses and pu(pp Jk4n,' /S -M 20/8' Dated \�\N\Un ii II///I/ Jennifor''%,,, 9yo99` 9 o-4 CD = My appointment expires: 11111i I imni► H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc signed this instrument and mentioned in the instrument. pe& 1' ublic in and for the State of i Zl�i /lois Rev: 10/2017 1, Cason I : l iljestrom, do hereby certify that I ain. the duly electedg gizalifred and acting Nice President, Oene�al Counsel and Corp€�rate Secretary of �7;TIIJI,IAIth I,�t�l� I-1C�Ii�E �., a California corporation (the "Company''}. i 11 Executive Chairman President and Chief Executive Officer Sr, Vice President and Chief Financial Officer Vice president, General Counsel and Corporate Secretary Sr. Vice President — Finance & Acquisition Executive Vice President — Operations Sr. Vice President — Operations Sr, Vice President Vice President — Human Resources dice President — Information Technology Vice President — Accounting & Finance Vice president — Corporate Marketing Vice President — Risk Management Assistant Secretary, Executive assistant Brandon Sclieibner Division president Division president Bruce `fscliider Vice President Vice President — Warranty Service Nick Abdelnour Designated Signer for Bands; Utilities; processing: Contract Agreement for: Professional Services, Change Orders, Purchase Orders, Invoices; Consultants: Addendums to Contract Agreement for Professional Services, Change Orders, Purchase Orders, Invoices; .Development Delated Activities (Plats, bonds, easements, entitlements, permits, etc) Alaina Robertson Designated Signer for Sales Agreements, Escrow Closings, Addendums and Amendments Holly Smith Designated Signer for Processing & Consultants: Contract Agreements, Addendutns, Change Orders, Purchase Orders, Invoices, Bonds, Utilities and. Construction up to $100,000 illiam, Lyon Homes, Inc., a California corporation Certificate of Secretary Page 2 AS IVB ION IVISION a' C S— P€ L Y ON IN IVES I LL�.y�� Curtis I-luson Designated Signer for Construction Contracts and band Development Related Activities (flats, Entitlement Permits, etc.) Ron Bowen Designated Signer for Construction Contracts and band Development Delated Activities (Plats, Entitlement Permits, etc.) Ron Smith Designated Signer for Construction Contracts Richard Rawlings Designated Signer for Land Development Related Activities IrI, TIIIC) EE IT . SOLED that the Cfticers of the Company be and they Hereby are authorized to negotiate and execute any and all contractual agreements on behalf of the Company, according to the following stipulations. r "designated employee(s)" as designated from time to time by the Executive Chairman or i be and they hereby are authorized: resident and Chief Executive Officer, nits manufactured by the Company, which documents shall include but sliall not 5e limited tagreements,deeds, grant deeds and escrow �3e To execute and ale ariy and all tentative and, final tract reaps, and any applications and Subdivision Questionnaires far the State Division of Real Estate; as needed for projects of the Company. ,• t- s - - - •LJ2UV t ' s s a, D. To negotiate and execute Labor and/or material contracts with subcontractors pertinerttto construction of pzo�ects oftlie Company: E. To execute a t subdivision is t bonds as may be -� s t •t - - - - e: � s • a - • , F. To execute any and all documents pertinent to the construction projects of the Contpany, including notices of completion, all house tivar°ranty fortes required by government regulatory agencies, and other miscellaneous required certification. G. To execute contractual agreements on behalf of the Company for subdivision improvement and development, including but not Limited to Load Improvement Agreements; Water Main Extension agreements, Underline Extension Agreements, and Utility Easements. Miliiain Lyon Homes, Inc., a California corporation "ertificate of Secretary Mage 3 _nI. io enter into agreements with agencies for gas, power, telephone; vVaier or any other required utility. t eXeCULt 011 ot specifically designated in these paragraphs, provided they have the prior approval of the xecutive Chairman or the President and Chief Executive Officer o e ompany. SC�I,I;II� ��`i"�Il;, that aIi actions heretofore taken. by each of the above-named officers with respect to the foregoing matters be, and they hereby are, affirmed and approved. IIS I S ISE i�p`, the undersigned has e�ecutecl this certificate on this the I2th day of August, 2016. �i�e �resictent, t=ieneral i:ounsei anct corporate Secretary CERTIFICATE OF SECRETARY I, Jason R. Liljestrom, do hereby certify that I am the duly elected, qualified and acting Vice President, General Counsel and Corporate Secretary of WILLIAM LYON HOMES, INC., a California corporation, sole member of POLYGON WLH, LLC (the "Company"). I further certify that the Board of Directors of the Company has authorized the appointments of the following off cers and duly adopted the following resolutions, in part, which have not been amended or rescinded as of the date hereof: I. CORPORATE OFFICERS: Officers: Titles: Matthew R. Zaist President and Chief Executive Officer Colin T. Severn Sr. Vice President and Chief Financial Officer Jason R. Liljestrom Vice President, General Counsel and Corporate Secretary Richard S. Robinson Sr. Vice President — Finance & Acquisition WASHINGTON DIVISION QFFICERS —POLYGON NORTI-IWEST Brandon Scheibner Division President Division President Bruce Tschider vice -Fres ent Vice President — Wan•anty Service Nick Abdelnour Designated Signer. for Bonds; Utilities; Processing: Contract Agreement for Professional Services, Change Orders, Purchase Orders, Invoices; Consultants: Addendums to Contract Agreement for Professional Services, Change Orders, Purchase Orders, Invoices; Development Related Activities (Plats, bonds, easements, entitlements, permits, etc) Alaina Robertson Designated Signer for Sales Agreements, Escrow Closings, Addendums and Amendments Holly Smith Designated Signer for Processing & Consultants: Contract Agreements, Addendums, Change Orders, Purchase Orders, Invoices, Bonds, Utilities and Construction up to $100,000 Curtis Huson Designated Signer for Construction Contracts and Land Development Related Activities (Plats, Entitlement Permits, ete.) Ron Bowen Designated Signer for Construction Contracts and Land Development Related Activities (Plats, Entitlement Permits, etc.) Ron Smith Designated Signer for Construction Contracts Richard Rawlings Designated Signer for Land Development Related Activities 'Nillian Lyon Homes, Inc., a California corporation Certificate of Secretary page 2 I�%�J, `f _,IZEFi� �, �� IT St�L'FIEi� that the Cf�cers of tie Company be and they hereby are authorized to negotiate and execute any and all contractual agreements on behalf of the Company, according to the following stipulations. residentr "designated eniployee(s)" as designated from time to time by the Executive Chairman or • they hereby are authorized: Lnits manufactured by r, documents shall include but shall agreements,o: security deeds, grant deeds s escrow instructions; P. �`o execute and file any and all tentative and final treat wraps, and ani applications and. Subdivision Questionnaires for the State Division of Deal Estate, as needed for projects of the Company* INGIEN01 sJuvoug"L0391441s. �. `fo negotiate and execute labor andlor material contracts with subcontractors pertinent to construction of projects of the Company. the to construction yo - Ca. To execute contractual agreements on- behalf of the Company for subdivision improvement and development; including but not limited to Road Improvement Agreements, Water Alain Extension Agreements, Underline Extension Agreements, and Utility Easements. vVitharn Lyon Tomes, Inc., a California corporation certificate of Secretary mage 3 rl, Td enter into agreements with agencies for gas, power, telephone, water or any other required utility. I% To negotiate and execute on behalf of the ®tnpany contractual agree renis not specifically designated in these paragraphs, provided they have the prior approval of the l xecutive Chairman or the President and Chief Executive Officer of the Company. C:��L,�1�I7 ftJI�TI�EI�, that all actians heretofore tal{en b�� each. of the above-narrAed officers with respect to the foregoing matters be, and they hereby are, affirmed and approved, 1