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A_Land_Use_Permit_Master_Application_Docket_14_Group_A_190517
U1t,4Vt)O!ILPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:Docket74—GroupA(TUPCriteriaforWirelessFacilities,SEPAAmendments,CODesignDistrict,PhasingLargeProjects,Construction&DemolitionMaterialDiversion)PROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:CitywidePARCELNUMBER:CitywideEXISTINGLANDUSE(S):Manylanduses,including:vacant,single-family,multifamily,commercial,office,industrial,etc.PROPOSEDLANDUSE(S):n/aEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:CitywidePROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)n/aEXISTINGZONING:CitywidePROPOSEDZONING(ifapplicable):n/aCityofRentonLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:N/AADDRESS:N/ACITY:N/AZIP:N/AAPPLICANT(ifotherthanowner)NAME:CityofRentonCOMPANY(ifapplicable):CEDADDRESS:1055S.GradyWayCITY:Renton,WAZIP:98057TELEPHONENUMBER:425-430-6575CONTACTPERSONNAME:ChipVincentPlanningDivision—COMPANY(ifapplicable):DepartmentofCommunityandEconomicDevelopmentADDRESS:1055S.GradyWayCITY:ZIP:Renton,WA98057TELEPHONENUMBERANDEMAILADDRESS:(425)430-6575amathias@rentonwa.govSITEAREA(insquarefeet):24.03squaremilesSQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/ASQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable):n/aNUMBEROFPROPOSEDLOTS(ifapplicable):N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):N/A—1—06/09 PROJECTINFORMATION(continued)NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):n/aPROJECTVALUE:N/ASQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):N/AENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDE___________________________________________________SQUAREFOOTAGE(ifapplicable):n/aSQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/AAQUIFIERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALIAQUIFIERPROTECTIONAREATWOBUILDINGS(ifapplicable):N/A___________________________________________FLOODHAZARDAREA______sq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/AIJGEOLOGICHAZARD______sq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(iflJHABITATCONSERVATION______sq.ft.applicable):N/A_____________________________________________SHORELINESTREAMS&LAKES______un.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AWETLANDS_______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHESWQUARTEROFSECTION,TOWNSHIP23N,RANGE5,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONTYPEOFAPPLICATION&FEESListalllandUseapplicationsbeingappliedfor:1.EnvironmentalReview3._______________________________2.____________________________4._____________________________Staffwillcalculateapplicablefees:$______________AFFIDAVITOFOWNERSHIPI,(PrintName/s)ChipVincent,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseaachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewitharinallrespectstrueandorrecttothebestofmyknowledgeandbelief.IcertifythatIknoworhavesatisfactoryevidencethat(SignatureofOwner/Representative)signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposesmentionedintheinstrument.(SignatureofOwner/Representative)Myappointmentexpires:-7-06/09