HomeMy WebLinkAboutAdditional Animals Permit Application FormDEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENT Renton rzn
ADDITIONAL ANIMALS PERMIT APPLICATION
Planning Division
1055 South Grady Way -Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwasov
ALL REQUESTED ITEMS MUST BE PROVIDED IN ORDER TO PROCESS THIS APPLICATION
A fee of $ is required at the time of application submittal
1. Property Address: 1 0 rN, i10 "I' St< alb✓) , UJA f Zip Code:
2. Property Owner's Name: �M�rR >yj� qAl ytie
T Tom`
3. Pet Owner's Name: (if other than above): f °QA e9Jm1W,4. Daytime Phone:
4. Site Plan: Please provide 4 copies of a fully dimensioned site plan drawn at a scale of 1" =10' or i"
= 20' (or other scale approved by the City) showing the following:
• Date, scale and north arrow (oriented to the top of the paper/plan sheet)
• Subject property with all property lines dimensioned
• Location of existing driveways, alleys, and streets abutting the subject property
• Public improvements (i.e.: sidewalks) adjacent to the subject line
• Location of existing and proposed fencing, hedges, or retaining walls
t
• Parking areas, driveways, and existing easements
• On -site trees, topographical features or other natural features relevant to proposal
• Location of proposed animal shelter(s) on property. Indicate distance in feet between shelter(s) and
lot lines
Description of facility where animals will be kept (include dimensions):
`/ i VlfM p��.� a �` �S G�/ o�+'c .> ce aufdAor e.? olGu+o
6,�%Q
Description of fence surrounding shelter (type, height): � �� vc/U
7. Farm Management Plan (needed only for the keeping of horse, llamas, donkeys or cows).
8. Description of Animals:
Number: Type (ex. cat, dog): Weight: Breed:
I (kI7�6s SavaP) h a tit
I Cat-
E Cam /0 4f Sa.✓a a 17g
Cal+ li lhs Sa t/un•1aA,
I, understand, declare under penalty of perjury under the laws of the State of Washington, that to the best of my
knowledge the above information is true, correct, and complete and that the applicable requirements of the City
of Renton will be met. If the applicant is not the property owner, please attach the property owner's signed
authorization to apply for this permit.
Applicant's Signature: Date:
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Additional Animals Application.doc Rev:12/2015