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DEPARTMENT OF COMMUNITY '
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: PS Business Parks
ADDRESS: 879 Ranier Ave N
CITY: Renton STATE: ZIP:
IWA
98057
PHONE NUMBER: (425) 883-1300
EMAIL ADDRESS•:macuna@psbusinesspa rks.com
❑ I refer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME: Andrew EI Daye
COMPANY (if applicable): Desert Coach
ADDRESS: 2716 S Quinn Ave
CITY: Gilbert
STATE:
AZ
ZIP:
85295
PHONE NUMBER: (602) 781-4195
EMAIL ADDRESS•:andrew@desertcoach.com
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME:
Jessica Breuer
COMPANY (if applicable): Desert Coach
ADDRESS: 4449 Easton Way
CITY: Columbus
STATE: ZIP:
OH '43219
PHONE NUMBER (480) 282-8635
EMAIL ADDRESS•�essica@desertcoach.com
❑ I prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Seattle Desert Coach _
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
879 Ranier Ave N., Ste A200
Renton, WA 98057
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
Parcel 1180002940
EXISTING LAND USE(S):
Office Park
PROPOSED LAND USE(S):
Office Park _
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable)
EXISTING ZONING:
Office Park
PROPOSED ZONING (if applicable):
SITE AREA (in square feet):
91780
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (if applicable)
NUMBER OF NEW DWELLING UNITS (if applicable):
NUMBER OF EXISTING DWELLING UNITS (if applicable):
PROJECT VALUE:
$0
*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):
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 13480
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable):
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable): 13
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 QUARTER OF SECTION TOWNSHIP N, RANGE _,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) M r �L I�L0V142 +J , 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.
ovvil 10 _
Signature of Owner/Representative
STATE OF WASHINGTON )
Signature of Owner/Representative Date
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that �(,h o 21 Ba 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 ����Notaryublic in and fo a State of Washington
Ot% PAgk rfe, park-
% •• Notary (Print):
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My appointment expires:
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