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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor i Renton, WA 98057 j 425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Black River Ventures, LLC
ADDRESS: 800 South 3rd Street
Renton STATE:
WA
ZIP:
98057
PHONE NUMBER: (425) 646-6120
EMAIL ADDRESS-:cnssacugini@DWr.com
• I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME: Scott Haines
COMPANY (if applicabie): Pillar Properties
ADDRESS: 1938 Fairview Avenue East
CITY: Seattle STATE:
WA
ZIP:
98102
PHONE NUMBER: (253) 448-3081
EMAIL ADDRESS-:2achl(gpillarproperties.com
^^^grefeMoreceive^al^^
CONTACT PERSON
NAME: Zach Lunden
COMPANY (if applicabie): Pillar Properties
ADDRESS: 1938 Fairview Avenue East
CITY: Seattle STATE:
WA
ZIP:
98102
PHONE NUMBER (253) 448-3081
EMAIL ADDRESS*:2achl@plllarproperties.com
• I prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Merrill Gardens Temporary Kitchen
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
710 2nd Street, Renton, WA 98055
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
7231502085
EXISTING LANDUSE(S):
Parking lot
PROPOSED LANDUSE(S):
Temporary Kitchen
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Commercial Mixed Use (CMU)
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable) N/A
EXISTING ZONING:
Center Downtown (CD)
PROPOSED ZONING (if applicable):
N/A
SITE AREA (in square feet):
66,000 sf
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
6.240 Sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: |S|/A
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) fsJ/A
NUMBER OF PROPOSED LOTS (if applicable)
N/A
NUMBER OF NEW DWELLING UNITS (if applicable):
N/A
NUMBER OF EXISTING DWELLING UNITS (if applicable):
N/A
PROJECT VALUE:
$182,276.00
*By completing the email address field the owner/appHcant/contact person is opting to receive all formal notifications
and project documents in digital format via email unless otherwise requested.
PROJECT INFORMATION (CONTINUED)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): ^^p^
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicabie): ^jp^
SQUARE FOOTAGE OF PROPOSED NON-RESiDENTIAL
BUILDINGS (if applicable);ygQ
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if appiicabie): |^/^
NET FLOOR AREA ON NON-RESiDENTIAL BUILDiNGS (if
applicable): ygQ
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if appiic^)j,hange from existing
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
• AQUIFER PROTECTION AREA ONE
n AQUIFER PROTECTION AREA TWO
D FLOOD HAZARD AREA
• GEOLOGIC HAZARD
• HABITAT CONSERVATION
• SHORELINE STREAMS & LAKES
• WETLANDS
sq ft.
sq ft.
sq ft.
sq ft.
sq ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE NW QUARTER OF SECTION 17 . TOWNSHIP 23 N, RANGE 5 East .W.M. IN THE CITY
OF RENTON. KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) declare under penalty of perjury under the laws of the State of Washington that I
am (please check one) • the current owner of the property involved in this application orpTthe authorized representative to act for a
corporation (please attach proof of authorization) and that the foregoing statements and answers herein contained and the information
herewith are in all respects true and correct to the best of my knowledge and belief.
Signature of Owner/Represemanve Date Signature of Owner/Representative Date
SS
STATE OF WASHINGTON )
COUNTY OF KING )
I certify that I know or have satisfactory evidence that _ signed this instrument and
acknowledge it to be his/her/their free and voiuntary act for the uses and purpose mentioned in the instrument.
Dated
-7/;z/7^c7f ?
ELiZABETHAGEPPERT
Notary Public
State of Washington
My Apijointment Expires
Oct 23,2021
Notary Pqplic in and for the State of Washingrqn^
Notary (Print):
My appointment expires: