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LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME. 2300 E. Valley Prop. Mgmt., LLC
ADDRESS: 413 3rd Ave. West
CITY: Seattle
0STATE:
98119
PHONE NUMBER: (206) 499-1172
EMAIL ADDRESS*:greg@westwardfishing.com
❑ I refer to receive all corres ondence via US Mail.
APPLICANT (if other than owner)
MmEd
NAME: Jody Erickson
COMPANY (if applicable) -
'Create Hair Studio
ADDRESS: 9646 S. 206th Place
CITY: Kent
STATE:
WA
ZIP:
98031
PHONE NUMBER: (206) 261-2006
EMAIL ADDRESS*-jecreates@gmail.com
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: torjan ronhovde
COMPANY (if applicable): ronhovde architects, llc
ADDRESS: 14900 interurban ave south, #138
CITY: tUi(WIIa �WA
STATE:
ZIP:
98168
PHONE NUMBER (206) 859-5500
EMAIL ADDRESS*:torjan@ronhovdearchitects.com
❑ I prefer to receive al corres ondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Create Hair Studio
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
2300 east valley road, suite "B"
Renton, WA 98055
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
302305-9132
EXISTING LAND USE(S):
commercial office building
PROPOSED LAND USE(S):
same - no chane proposed
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
commercial
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable) N/A
EXISTING ZONING:
CA
PROPOSED ZONING (if applicable):
no change
SITE AREA (in square feet):
52,845
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
0
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: 0
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) N/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:
$50,000
*By completing the email address field the owner/applicant/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): N/A
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): N/A no Change
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 10,405
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): N/A
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable): 3-4
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE
FOOTAGE (if applicable):
❑
AQUIFER PROTECTION AREA ONE
❑
AQUIFER 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
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE NE QUARTER OF SECTION 30 TOWNSHIP 23 N, RANGE 05 east W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) torjan ronhovde , 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 or ❑✓ the authorized representative to act for a
coraoratio (please attach pro of authorization) and that the foregoing statements and answers herein contained and the information
erewithe�n all r true and correct to the best of my knowledge and belief.
�� 71 7" July 25, 2019
ature of;Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
Signature of Owner/Representative Date
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated Notary Public in and for the State of Washington
Notary (Print):
My appointment expires: