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HomeMy WebLinkAboutAlfredo Mata Master App and Abatement Agreement-——-PROJECTINFORMATION._ __ _ _ _ _ _ _——-________I_————PROJECTORDEVELOPMENTNAME:AifredoMataPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:515RainierAvenueNRenton,WA98057KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):956480-0176EXISTINGLANDUSE(S):ServiceBuildings,EspressoStandPROPOSEDLANDUSE(S):ServiceBuildings,EspressoStand&FoodTrucEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:CAPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)sameEXISTINGZONING:CAPROPOSEDZONING(ifapplicable):sameSITEAREA(insquarefeet):32,826SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:0SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:0PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)0NUMBEROFPROPOSEDLOTS(ifapplicable)1NUMBEROFNEWDWELLINGUNITS(ifapplicable):0PrintFormResetFormSaveFormDEPARTMENTOFCOMMUNITY&ECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA98057I425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATION— - - --PROPERTYOWNEPS)NAME:WayneMillerADDRESS:pQBox58187CITY:RentonZIP:98058TELEPHONENUMBER:(206)718-6591-—- - -—___.__—APPLICANT(ifotherthanowner)NAME:AlfredoMataCOMPANY(ifapplicable):TitantiresADDRESS:5y5RainierAveNCITY:RentonZIP:98057TELEPHONENUMBER:(206)592-7385—- - -.CONTACTPERSONNAME:PattyAlbertCOMPANY(ifappficable):PatriciaAlbert,ArchitectADDRESS:67071StAvenueNWCITY:SeattleZIP:98117TELEPHONENUMBERANDEMAILADDRESS:(206)949-17581H:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:10/2017 PROJECTINFORMATION(continued)I,(PrintName/s)WayneMillerdeclareunderpenaltyofperjuryunderthlawsoftheStateofWashingtonthatIam(pleasecheckone)LJthecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.I;01‘“S’ae‘;DOwner/RepresentativeDateSTATEOFWASHINGTON))55COUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethatV’JC&YY_.-f’f\vsignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheOsesandpurposementionedintheinstrument.9/q//ç4NotaryPublicinandfortheStateofWashington4\eXaVafr\otfr\L)Notary(Print):Myappointmentexpires:27LO/L/‘c:JNUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):0SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):oSQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):oSQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):y47(existing)SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):4147NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):2PROJECTVALUE:ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):AQUIFERPROTECTIONAREAONEAQUIFERPROTECTIONAREATWOL:jFLOODHAZARDAREA______sq.ft.LIGEOLOGICHAZARD______sq.ft.HABITATCONSERVATION______sq.ft.SHORELINESTREAMS&LAKESsq.ft.LIWETLANDS______sq.ft.__ _ . ---LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationinclud4————- -SITUATEINTHESWQUARTEROFSECTION,TOWNSHIP23RANGE05INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONr —____j__--—--- -- --i_—AFFN3AflTOFOWNERSHU’SignatureofOwner/RepresentativeDateDatedNotaryPublicStateofWashingtonALLENXAYANANHMyAppointmentExpiresOct13,2018H:\CED\Data\Forms-Templates\Self-HeIpHandouts\Planning\MasterApplication.docRev:10/2017 DEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENT—Renton0ABATEMENTAGREEMENTTEMPORARYUSEPlanningDivision1055SouthGradyWayIRenton,WA98057Phone:425-430-7200Fax:425-430-7231I,A/d/flL1beingtheApplicantfortheTemporaryUsePermitattheLocationof:/5,p,t-F7Me/,iii,,W/1‘9t6HerebyauthorizetheCityofRentontosummarilyeliminatetheTemporaryUseandallevidenceoftheuseifithasnotbeenremovedasrequiredbythetermsofthepermit.IalsoagreetoreimbursetheCityforanyexpenseincurredinabatingthisTemporaryUse.Signature:PrintName:At/rdoJmi/Date:(,;—//f—STATEOFWASHINGTONCOUNTYOFKING)55DatedIcertifythatIknoworhavesatisfactoryevidencethatAIfreSo1Y\t.b-’signedthisinstrumentandacknowledgeittobehislher/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.-otary(Print):PublicinahEJfortheStateofWashingtonCtJ.\jJerc:,-tcVzeJlctlentexpires:2H:\CED\Data\Forms-Templates\SeIf-HeIpHandouts\Planning\TemporaryUseTier1.docRev:02/2017