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DOE2_A_Master Application_190116_v1
DEPARTMENTOFCOMMUNITY&ECONOMICDEVELOPMENTPlanningDivision1055SouthGradyWay,6thFloorIRenton,WA980571425-430-7200www.rentonwa.govLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:CityofRenton,ATTN:LeslieBetlachADDRESS:1055S.GradyWayCITY:Renton,WAZIP:98057TELEPHONENUMBER:(425)430-6619APPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:StephanieModjeskiCOMPANY(ifapplicable):Otak,Inc.ADDRESS:2731WetmoreAye,#300CITY:EverettZIP:98201TELEPHONENUMBERANDEMAILADDRESS:(425)493-52231PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:MayCreekTrailExtensionProjectPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:ProjectislocatedwithinWSDOTrightofwayforlnterstate-405andincludestwoCityofRentonownedparcels.ProjectislocatedwithintheCityofRenton,Washington,98056KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):3224059109,3224059010EXISTINGLANDUSE(S):MayCreekTrail,OpenSpace,1-405overpassPROPOSEDLANDUSE(S):TrailextensionfromexistingMayCreekTrailtoJonesAvenueNEEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:3224059109-RMD-ResidentialMediumDensity3224059010-RLD-ResidentialLowDensityPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)N/AEXISTINGZONING:3224059109-R6-Residential6DU/AC3224059010-RCResourceConservationPROPOSEDZONING(ifapplicable):N/ASITEAREA(insquarefeet):84,450squarefeetSQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/ASQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)N/ANUMBEROFPROPOSEDLOTS(ifapplicable)N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):N/AH:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:10/2017 PROJECTINFORMATION(continued)LeslieBetlachI,(PrintName/s)________________________________________________declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationorJ7theauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.//-/_____________________ignahireofOwner/RepresentativeDateSTATEOFWASHINGTON)SSCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethat________________________________________signedthisinstrumentandacknowledgeittobehis/her/theirfreeandçptfortheusesandpurposementionedintheinstrument.H2-DI__________________________PROJECTVALUE:$136,000.00NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):N/ASQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ASQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ANETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):N/ANUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):AQUIFERPROTECTIONAREAONEIJAQUIFERPROTECTIONAREATWOFLOODHAZARDAREA3,660sq.ft.GEOLOGICHAZARD______sq.ft.LiHABITATCONSERVATION______sq.ft.SHORELINESTREAMS&LAKES3,660sq.ft.LiWETLANDS______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENE&NWQUARTEROFSECTION32,TOWNSHIP24N_,RANGE05E_,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPSignatureofOwner/RepresentativeDateDated7LL5UryPublicinand-fbrtheStateofWashington5-W3Jotary(Print):expires:2H:\CED\Data\Forms-Templates\SeIf-HeIpHandouts\Planning\MasterApplication.docRev:10/2017