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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: City Of Renton
ADDRESS: 200 Mill Ave S Suite 100
CITY:Renton
STATE:
WA
ZIP:
98057
PHONE NUMBER: 425-430-6605
EMAIL ADDRESS':
❑ I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME: Dr. David -Paul Zimmerman
COMPANY (if applicable):
ADDRESS: 200 Mill Ave S Suite 110
CITY: Renton
STATE:
WA
ZIP:
98057
PHONE NUMBER: 206-723-5526
EMAIL ADDRESS•drzimmerman@rentonprep.org
0 I prefer to receive all correspondence via US Mail.
CONTACT PERSON
same as applicant
NY (if applicable):
L
S:
CITY:
STATE:
ZIP:
PHONE NUMBER
EMAIL ADDRESS`:
❑ I prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Renton Preparatory Christian School
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
200 Mill Ave S Renton, WA 98057
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
7685000010
0007200050
EXISTING LAND USE(S):
Office Space and K-12 School
PROPOSED LAND USE(S):
Add additional classroom space and school offices
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Urban Center
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable) NA
EXISTING ZONING:
CD
PROPOSED ZONING (if applicable):
NA
SITE AREA (in square feet):
153,796 sf
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
None
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: None
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) NA
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLIR9UNITS &(if,applicable):
NA,i`"1, rr
NUMBER OF EXISTINGeD',S'(i(a"' pplicable):
NA ;h
PROJECT VALUE: 'i:
$#1000.00
*By completing the email address field the owner/applicant/contact person is opting to rec ive'alffbma(rtiitiftcations
and project documents in digital format via email unless otherwise requested.
PROJECT INFORMATION (CONTINUED)
[SQUARE
UARE FOOTAGE OF PROPOSED RESIDENTIAL
ILDINGS (if applicable): NA
FOOTAGE OF EXISTING RESIDENTIAL
ILDINGS TO REMAIN (if applicable): NA
UARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
LDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): NA
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 45,000 Sf
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable): 20
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
23,400 sq. ft.
❑ GEOLOGIC HAZARD
_ sq. ft.
❑ HABITAT CONSERVATION
sq. ft.
❑ SHORELINE STREAMS & LAKES
$.000 sq ft
❑ WETLANDS
_ sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following information included
SITUATE IN THE avv QUARTER OF SECTION , TOWNSHIP RentorN, RANGE ,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) David -Paul Zimmerman , 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.
11 /01 /2019
Wnat Own g ntative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that 1��
acknowledge it to b is edtheir free and voluntary act for the
OC�bev -3l, 2019
Dated
..ff01i
�„�pNNlNhylr/
��� rQtAA� 4H.y
411j.OFWP`'.
I lel I I I 111-L_P ffgHe8 this instrument and
and purpose mentioggd in the instrument.
Public in and for the State of Washington
Notary (Print):
My appointment expires: I - 2 1 - 2-02,2-