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A_Land_Use_Permit_Master_Application_Docket_13_Group_D_180925
L1It-t2OO2?,’PROPERTYOWNER(S)n/aNAME:ADDRESS:n/aCITY:n/aZIP:n/aAPPLICANT(ifotherthanowner)NAME:CityofRentonCOMPANY(ifapplicable):CEDADDRESS:1055S.GradyWayCITY:Renton,WAZIP:98057TELEPHONENUMBER:425-430-6575CONTACTPERSONNAME:KatieBuchl-MoralesPlanningDivision—COMPANY(ifapplicable):DepartmentofCommunityandEconomicDevelopmentADDRESS:10555.GradyWayCITY:ZIP:Renton,WA98057TELEPHONENUMBERANDEMAILADDRESS:(425)430-6578kbuchlmorals@rentonwa.govPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:2078Docket73GroupD—AdministrativeCodeInterpretationsandaCodeAmendmenttoWirelessCommunicationFacilitiesPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:CitywidePARCELNUMBER:pCitywideEXISTINGLANDUSE(S):Manylanduses,including:vacant,single-family,multifamily,commercial,office,industrial,etc.PROPOSEDLANDUSE(S):n/aEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:CitywidePROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)n/aEXISTINGZONING:CitywidePROPOSEDZONING(ifapplicable):n/aSITEAREA(insquarefeet):24.03squaremilesSQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:n/aSQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:n/aPROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable):n/aNUMBEROFPROPOSEDLOTS(ifapplicable):n/aNUMBEROFNEWDWELLINGUNITS(ifapplicable):n/aCityofRentonLANDUSEPERMITMASTERAPPLICATION—106/09 PROJECTINFORMATION(continued)NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):n/aPROJECTVALUE:n/aSQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):n/aENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDE_________________________________________________SQUAREFOOTAGE(ifapplicable):n/aSQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):n/aUAQUIFIERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALUAQUIFIERPROTECTIONAREATWOBUILDINGS(ifapplicable):n/a_____________________________________________UFLOODHAZARDAREA______sq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):n/aUGEOLOGICHAZARD______sq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifUHABITATCONSERVATION______sq.ft.applicable):n/a_____________________________________________USHORELINESTREAMS&LAKES______lin.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):n/aUWETLANDS_______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHEn/aQUARTEROFSECTION,TOWNSHIPn/a,RANGEn/a,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONTYPEOFAPPLICATION&FEESListalllanduseapplicationsbeingappliedfor:1.EnvironmentalReview3._______________________________2._____________________________4.______________________________Staffwillcalculateapplicablefees:$______________AFFIDAVITOFOWNERSHIPI,(PrintName/s)ChipVincent,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationorXtheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallespects’riieandcorcttothebestofmyknowledgeandbelief.IcertifythatIknoworhavesatisfactoryevidencethat________________(SignatureofOwner/Representative)signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposesmentionedintheinstrument.(SignatureofOwner/Representative)Myappointmentexpires:-2-06/09