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DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 980571425-430-7200
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Office at Southport, LLC
ADDRESS: 1133 Lake Washington Blvd N
CITY: Renton ZIP: 98056
TELEPHONE NUMBER: (425) 282-5833
APPLICANT (if other than owner)
1 NAME: same as above
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Scott ROsenstock
COMPANY (if applicable): SECO Development, Inc.
ADDRESS: 1083 Lake Washington Blvd. N
CITY: Renton ZIP: WA
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 383-3484
srosenstock@secodev.com
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Houser Way Fence Banner
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
082305PUBL
EXISTING LAND USE(S):
Public R.O.W.
PROPOSED LAND USE(S):
N/A
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
*1
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
tj
EXISTING ZONING:
IJ14
PROPOSED ZONING (if applicable):
i0A
SITE AREA (in square feet):
d I -A ,
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (if applicable)
NUMBER OF NEW DWELLING UNITS (if applicable):
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017
PROJECT INFORMAT
NUMBER OF EXISTING DWELLING UNITS (if applicable):
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable):
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable):
Attach
ION continued
PROJECT VALUE:
1,500.00
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
on separate sheet with the following information included
SITUATE IN THE QUARTER OF SECTION , TOWNSHIP , RANGE , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Scott Rosenstock , 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 or [ the authorized
representative to act for a corporation (please attach proof of authorization) and that the foregoing statements and answers herein
contained and the information herewith are in all respects true and correct to the best of my knowledge and belief.
C August 24, 2^
Sin ure of Owne Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that Rsigned this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
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H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017