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DEPARTMENT OF COMMUNITY CITY of -
AND ECONOMIC DEVELOPMENT Renton 0
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
SNY Mellon, a Natlonat Banking Association, JOSEPH R- DESIMONE and KAREN
NAME: as Co -Trustees under the Testamentary Trust of GIUSEPPE DESIMONE, deceased
SNY Mellon, a Nationat Banking Association, JOSEPH R. DESIMONE and KAREN
Co -Trustees under the Testamentary Trust of ASSUNTA DESIMONE. deceased
CIO - BNY Mellon Wealth Management
ADDRESS: 1201 Third Avenue, Suite 5010
CITY: Seattle ZIP: 98101
TELEPHONE NUMBER: (206) 664-8837
APPLICANT (if other than owner)
NAME: Franklin Ng
COMPANY (if applicable): Architectural Werks, Inc.
ADDRESS: 11416 98th Ave. NE - Suite 200
CITY: Kirkland ZIP: 98033
TELEPHONE NUMBER. (425) 823-2244
CONTACT PERSON
NAME: Mark A. Sandler (Owner's Representative)
COMPANY (if applicable): Benchmark Development
Company
ADDRESS- 5020 141 st Ave. SE
CITY: Bellevue ZIP. 98006
TELEPHONE NUMBER AND EMAIL ADDRESS:
(o): 425-747-8055
(m): 206-409-0770
mark_sandler@comcast.net
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PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Renton Dental Arts
PROJECTIADDRESS(S)ILOCATION AND ZIP CODE:
17818108th Avenue SE
Renton, WA 98055
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
322305-9054
EXISTING LAND USE(S):
Restaurant (Vacant)
PROPOSED LAND USE(S):
Medical/Dental Office
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
CMU, Commercial Mixed Use
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
N/A No Change)
EXISTING ZONING:
CA, Commercial Arterial
PROPOSED ZONING (if applicable):
NIA (No Change)
SITE AREA (in square feet):
36,927 sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
2,234 sf
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
N/A
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NIA
NUMBER OF PROPOSED LOTS (if applicable)
N/A
NUMBER OF NEW DWELLING UNITS (if applicable):
N/A
H.\CED\Data\Forms-Templates\Self-Help Handouts\Planning\MasterAppllcation.doc Rev: 08/2M
PROJECT INFORMATION (contin
NUMBER OF EXISTING DWELLING UNITS (if applicable)'
N/A
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable) N/A
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable). N/A
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable) 7,796 9.S.f.
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 0 S.f.
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 7,370 S.f.
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable) 20_25
PROJECT VALUE:
$1.45M
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable): N/A
❑ AQUIFIER PROTECTION AREA ONE
❑ AQUIFIER 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
on separate sheet
SITUATE IN THE NE QUARTER OF SECTION 32 , TOWNSHIP 23 , RANGE 05 , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s)rje{ 1 z6_- [ declare under penalty of perjury under ih laws of the State of
Washington that I am (please check one) the current owner of the property involved in this application or the authorized
representative to act for a corporation (please attach proof of authorization) and that the foregoing statements and answers herein
contained and the information hherevAh are in all respects true and correct to the best of my knowledge and belief.
1 4 wc)_
-Siga r�p�e�ntativ
Djtc Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING }7
I certify that I know or have satisfactory evidence that c I Zn 1� r h 1 art -A S+014-7 signed this instrument and
acknowledge it to be hWherMteir free and voluntary act for the uses and purpose mentioned in the instrument.
r 1 Notary Publics c �"
Dated 1LAUWE SOiLOWA'>< OWAg r` Notary Public in and for the State ofJ(Nashington
iMY oa" tom. Laurie. Sc' +C' 1oaq
Notary (Print):
My appointment expires: I Z 1 zC)
2
H.\CED\Data\Forms-Templates\Self-Help Handouts\Pla nning\M aster Application.doc
Rev:08/2015
BNY MELLON, NATIONAL ASSOCIATION
CERTIFICATE OF INCUMBENCY
I, Patricia A. Bicket, DO HEREBY CERTIFY that I am duly elected, qualified and acting
Secretary of BNY MELLON, National Association (the "Bank"), and I FURTHER CERTIFY that each
person whose name, title and signature appears below is a duly elected, qualified and acting officer of the
Bank and holds on the date of this Certificate the office set forth opposite his or her name, and that the
signature appearing opposite his or her name is the genuine signature of such officer.
NAME OF OFFICER
James M. Barnyak
J. Kim Cacace
Christine L. Benson
Troy J. Bruschetto
Dominic J. Cozzetto
Chadwick T. Johnsrud
Bo Y. Lee
Elizabeth Parrott Stultz
TITLE OF OFFICER
Managing Director
First Vice President
Vice President
SIGNATURE OF OFFICER
Vice President
Vice President �L
Vice President —
Vice President
Vice President
I FURTHER CERTIFY that of this date they have been authorized to sign on behalf of the Bank
in discharging or performing their duties in accordance with the signing powers provided under Article
Six, Section 2 of the By -Laws of the Bank.
Attached hereto is a true and correct copy of the excerpt of the By -Laws of the Bank, which have
not been amended or revised since August 11, 2009, and remain in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Bank this
�- 04ay of March, 2014.
Patricia A. Bicket, gecretary