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A_Land_Use_Permit_Master_Application_PRNAPlan_191125
4kt’{-OOO?MPROPERTYOWNER(S)NAME:N/AADDRESS:N/ACITY:N/AZIP:N/AAPPLICANT(ifotherthanowner)NAME:CityofRentonCOMPANY(ifapplicable):CEDADDRESS:1055S.GradyWayCITY:Renton,WAZIP:98057TELEPHONENUMBER:425-430-6575CONTACTPERSONNAME:ChipVincentPlanningDivision—COMPANY(ifapplicable):DepartmentofCommunityandEconomicDevelopmentADDRESS:1055S.GradyWayCITY:Renton,WAZIP:98057TELEPHONENUMBERANDEMAILADDRESS:(425)430-6575amathias@rentonwa.govPROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:Parks,Recreation,andNaturalAreasPlanUpdatePROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:CitywidePARCELNUMBER:n/aEXISTINGLANDUSE(S):]Manylanduses,including:vacant,multi-family,commercial,office,etc.PROPOSEDLANDUSE(S):n/aEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:n/aPROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)n/aEXISTINGZONING:n/aPROPOSEDZONING(ifapplicable):n/aSITEAREA(insquarefeet):Rentonisapproximately23.5squaremilesSQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/ASQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:N/APROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable):n/aNUMBEROFPROPOSEDLOTS(ifapplicable):N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):N/ACityofRentonLANDUSEPERMITMASTERAPPLICATION—1—06/09 PROJECTINFORMATION(continued)NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):n/aPROJECTVALUE:N/ASQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):N/AENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDE___________________________________________________SQUAREFOOTAGE(ifapplicable):n/aSQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/AUAQUIFIERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALUAQUIFIERPROTECTIONAREATWOBUILDINGS(ifapplicable):N/A_____________________________________________UFLOODHAZARDAREA______sq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/AUGEOLOGICHAZARD______sq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGSUHABITATCONSERVATION______sq.ft.applicable):N/A_____________________________________________USHORELINESTREAMS&LAKESin.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/AUWETLANDS_______sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHESWQUARTEROFSECTION,TOWNSHIP23N_,RANGE5INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONTYPEOFAPPLICATION&FEESListalllanduseapplicationsbeingappliedfor:1.EnvironmentalReview3.__________________________________2._________________________________________________________Staffwillcalculateapplicablefees:$______________AFFIDAVITOFOWNERSHIPI,(PrintName/s)ChipVincent,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationorXtheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewiarein,llrespectstrueandcorrecttothebestofmyknowledgeandbelief.IcertifythatIknoworhavesatisfactoryevidencethat_______________(SignatureofOwner/Representative)signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposesmentionedintheinstrument.(SignatureofOwner/Representative)Myappointmentexpires:____________________06/09