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HomeMy WebLinkAboutA_Application_for_Land_Use_Permit_20181127print Form Reset Form Sane Form DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT Planning Division 1055 South Grady Way, 6th Floor Renton, WA 980571425-430-7200 IWO,:. www.rentonwa.gov LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) I NAME:Tuscany Construction, LLC ADDRESS: PQ Box 6127 CITY: Bellevue, WA ZIP: 98008 TELEPHONE NUMBER: (206) 714-6707 APPLICANT (if other than owner) NAME: COMPANY (if applicable): ADDRESS: CITY: ZIP: TELEPHONE NUMBER: CONTACT PERSON I NAME: Cliff Williams, PE COMPANY (if applicable): Dev. Man. Eng., LLC ADDRESS:5326 SW Manning St CITY: Seattle, WA ZIP: 98116 TELEPHONE NUMBER AND EMAIL ADDRESS: (206) 714-7161 PROJECT INFORMATION F T OR DEVELOPMENT NAME: hort Plat PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE: NE 6th St. and flwaco Ave NE, 98059 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 1023059230 EXISTING LAND USE(S): Vacant PROPOSED LAND USE(S): SFR EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Residential Medium Density PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) E=XISTING ZONING: SR -8 PROPOSED ZONING (if applicable): SITE AREA (in square feet): 58,515 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: 16943 SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: 0 PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) 7.3 NUMBER OF PROPOSED LOTS (if applicable) 7 NUMBER OF NEW DWELLING UNITS (if applicable): 7 1 H:\CED\Data\ronns-Templates\Self Help Handouts\Planning\MasterApplication.doc Rev:10/2017 PROJECT INFORMA NUMBER OF EXISTING DWELLING UNITS (if applicable) - 0 SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 0 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 TION (continued) PROJECT VALUE:�j �///}// //{ �(�J /]//) %jJ �r /% �L�i/ V V v 1 C 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 SE QUARTER OF SECTION 10 TOWNSHIP 23 RANGE 5 , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP 1, (Print Name/s)/c. l tr lveL !`J2 declare under penalty of perjury under the laws of the State of Washington that I am (please check one) a current owner of the property involved in this application or 0 the authorized representative to act for a corporation (plea attf of authorization) and that the foregoing statements and answers herein contained and thrpKatjbr�tireyyith e in re cts true and correct to the best of my knowledge and belief. r� STATE OF WASHINGTON'` ) SS COUNTY OF KING ) Signature of Owner/Representative Date certify that I know or have satisfactory evidence that ''I`GW 4 w-CYU 2 L signed acknowledge it to be his/her/their free and voluntary act for the uses and,pu�pose mentioned in the instrument is instrument and It-ks- Lot (6 r mated Not ry ublic in JULIO PEREZ o-,�o Notary public Notary (Print): State of Washington My Appointment Expires Dec 19, 2020 My appointment expires: z H:\CED\Data\Forms-Templates\Self-Help HandOuts\Planning\Master Application.doc t r the State of Washington i 1-�-10L-a)10 Rev: 10/2017