HomeMy WebLinkAbout3_Land Use Permit Master App.pdfDEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENTRenton ,m
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME:
Tri Minh Phan and Diep Nguyen
ADDRESS:
13833 156th Ave SE
CITY: ZIP:
Renton 98059
TELEPHONE NUMBER:
APPLICANT (if other than owner)
NAME:
Patrick Danner
COMPANY (if applicable):
SSHI, LLC dba DR Horton
ADDRESS:
12910 Totem Lake Blvd. NE, Suite 220
CITY: ZIP:
Kirkland 98034
TELEPHONE NUMBER:
425 821-3400 Ext. 5144
CONTACT PERSON
NAME:
Patrick Danner
COMPANY (if applicable):
SSHI, LLC
ADDRESS:
12910 Totem Lake Blvd. NE, Suite 220
CITY: ZIP:
Kirkland 98034
TELEPHONE NUMBER AND EMAIL ADDRESS:
(425() 821-3400 Ext. 5144
pdanner@drhorton.com
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Meadowvue
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
13833156 1h Ave SE, Renton, WA 98059.
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
146340006007
EXISTING LAND USE(S): Single Family Residential
PROPOSED LAND USE(S): Single Family Residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Residential Low Density
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable) Residential Low Density
EXISTING ZONING: R-4
PROPOSED ZONING (if applicable): R-4
SITE AREA (in square feet): 197,762
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: 1,830
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
N/A
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) 3.71
NUMBER OF PROPOSED LOTS (if applicable)
14
NUMBER OF NEW DWELLING UNITS (if applicable):
14
P:\project\0035\15012\Permit Apps\13re-plat\3. masterapp.doc Rev: 08/2015
PROJECT INFORMA
NUMBER OF EXISTING DWELLING UNITS (if applicable):
1
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
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): N/A
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): N/A
TION (continued)
PROJECT VALUE:
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
❑ 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
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE SW QUARTER OF SECTION 14, TOWNSHIP 23, RANGE 05, IN THE CITY OF RENTON,
KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Kevin Capuzzi, 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 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.
-2-3-1
Signattjre of Ownere`�i sentative Date Signature of Owner/Representative Date
STATE OF W,ISHINGTON )
SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that , ��� t1 l 10,DI 11_�77 signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and pu,pose mentioned in the instrument.
Dated
NOTARY PUBLIC
;TATE OF WASHINGTON
JENNIFER ANN REINER
My Appointment Expires July 20, 2019
Notary Public in `end for the State of Washington
Notary (Print):
My appointment expires: -1' w I el
2
P:\project\0035\15012\Permit Apps\Pre-plat\3. masterapp.doc Rev: 08/2015
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE SW QUARTER OF SECTION 14, TOWNSHIP 23, RANGE 05, IN THE CITY OF RENTON,
KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Kevin Capuzzi, 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 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.
-2-3-1
Signattjre of Ownere`�i sentative Date Signature of Owner/Representative Date
STATE OF W,ISHINGTON )
SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that , ��� t1 l 10,DI 11_�77 signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and pu,pose mentioned in the instrument.
Dated
NOTARY PUBLIC
;TATE OF WASHINGTON
JENNIFER ANN REINER
My Appointment Expires July 20, 2019
Notary Public in `end for the State of Washington
Notary (Print):
My appointment expires: -1' w I el
2
P:\project\0035\15012\Permit Apps\Pre-plat\3. masterapp.doc Rev: 08/2015