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DEPARTMENT OF COMMUNITY
O
AND ECONOMIC DEVELOPMENT
Planning Division ;R
1055 South Grady Way, 6th Floor I Renton, WA 98057 425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: GLACIAL VENTURE II LLC
ADDRESS: 11232 120th Ave NE, Suite 204
CITY: Kirkland
STATE:
�WA
ZIP:
98033
PHONE NUMBER:
EMAIL ADDRESS":
❑ I refer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NA-
ME: Salisbury
COMPANY (if applicable) GLAC IAL VENTURE II LLC
ADDRESS: 11232 120th Ave NE, Suite 204
CITY: Kirkland
TWSTA"TE:
ZIP:
98033
PHONE NUMBER: 425-629-3854
EMAIL ADDRESS*:Jordan@bluefern.com
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Jordan Salisbury
COMPANY (if applicable) GLAC IAL VENTURE II LLC
ADDRESS: 11232 120th Ave NE, Suite 204
CITY: Kirkland
STATE:
WA
ZIP:
98033
PHONE NUMBER 425-629-3854.
EMAIL ADDRESS*:Jordan@bluefern.com
❑ I prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Canopy
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
4130 Lincoln Ave NE, 8314 110TH PL
SE.
Renton, WA 98056
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
3345700015, 3345700016, 3345700017, 3345700018,
3345700020
EXISTING LAND USE(S):
Single Family
PROPOSED LAND USE(S):
Single Family
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Residential Medium Density
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable)
EXISTING ZONING:
R-8
PROPOSED ZONING (if applicable):
SITE AREA (in square feet):
438,101
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
0
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: 95,710 - row/alley
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) 6.9
NUMBER OF PROPOSED LOTS (if applicable)
55
NUMBER OF NEW DWELLING UNITS (if applicable).-
55
pplicable):55
NUMBER OF EXISTING DWELLING UNITS (if applicable):
2
PROJECT VALUE:
*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):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):0
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):0
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 0
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 0
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicoble):
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 10,400 sq. ft.
❑ HABITAT CONSERVATION sq. ft.
D SHORELINE STREAMS & LAKES 1,180 sq. ft.
WETLANDS 6,680 sq. ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE NE QUARTER OF SECTION 32 TOWNSHIP 24 N, RANGE 5 ,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) jordan S0.11S6r�1 declare under penalty of perjury u d the laws of the State of Washington that I
am (please check one) [I 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 ns ers herein contained and the information
herewith are in all respects true and correct to the best of my knowledge and belief.
S ure of Wvndrresentative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
Signature of Owner/Representative Date
I certify that I know or have satisfactory evidence that :1_0R 0t -#t signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose m Toned in the instrument.
Dated
MICHELLE K BRANLEY
Notary Public
State of Washington
Commission # 176727
My Comm. Expires Feb 10, 2023
Notary Public in and for the State of
Notary (Print):
My appointment expires: f`rar'uona /O, aoa3