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DEPARTMENT OF COMMUNITY & ECONOMIC DEVETOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 | 425-43O-72AO
www.rentonwa.gov
PROPERTY OWNER(S)
NAME:Trudel, LLC
ADDRESS: PO Box 956
crw: Kirkfand zrP: 98083
TELEPHoNE NUMBER; (425) 766-7 077
APPLICANT (if other than owner)
NAME:Wayne Seminoff
cOMPANY (if applicable): The Seminoff Co
ADDRESS: PO Box 956
crv: Kirkland aP: 98083
TELEPHoNE NUMBER: (425) 766-7077
CONTACT PERSON
NAME: George Steirer
cOMPANY (if appticable): Plan to Permit, LLC
ADDRESS:7233 Douglas Ave SE
ctrY: Snoqualmie ztp: 98065
TELEPHONE NUMBER AND EMAIL ADDRE$S:
(206) 90e-2893
george@plantopermit. com
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Benson Trails Variance
PROJECT/ADDRESS(SyLOCATTON AND Ztp CODE:
Benson Trails Variance
18300 121st Pl SE, Renton, Washington, 98058
K|NG COUNTY ASSE$SOR'S ACCOUNT NUMBER(S):
07415-0080
EXTSTTNG LAND USE(S):
Vacant property
PROPOSED LAND USE(S):
one single-family residence
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Residential Medium Density
PROPOSED COMPREHEN$IVE PLAN MAP DESIGNATION
fif aoolicable)
NA''
EXISTING ZONING:
R-4
PROPOSED ZONING (if applicable):
(no change to zoning designation proposed)
SITE AREA (in square feet):
3,529 square feet
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
0
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
0
PROPOSED RESIDENTIAL DENSlry IN UNITS PER NET
ACRE (if applicable)
Not a short/long plat. Not applicable.
NUMBER OF PROPOSED LOTS (if applicable)
No new lots proposed
NUMBER OF NEW DWELLING UNITS (if applicable):
1
LAND USE PERMIT MASTER APPLICATION
1
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017
PROJECT INFORMATION (continued
NUMBER OF EXISTING D\ /ELLING UNITS (if applicable):
0
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): 1,099.6 fOotprint
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS To REMAIN (if applicable): 151 .6 ENCROAC
SQUARE FOOTAGE OF PROPOSED NON.RESIDENTIAL
BUILDINGS (if applicable): 6
SQUARE FOOTAGE OF EXISTING NON.RESIDENTIAL
BUILDINGSTO REMAIN (if applicable): p4
NET FLOOR AREA ON NON-RESTDENTIAL BUILDTNGS (if
applicable): 6
NUMBER OF EMPLOYEES TO BE EMPLOYED BYTHE NEW
PROJECT (if applicable): p4
PROJECT VALUE:
$320,000
IS THE SITE LOCATED IN ANYTYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
tr AQUIFER PROTECTION AREA ONE
N AQUIFER PROTECTION AREA TWO
fl FLOODHAZARDAREA _sq.ft.
n GEOLOGIC HAZARD _sq.ft.
tr HABITAT CONSERVATION _sq. ft.
O SHORELINE STREAMS & LAKES -.- sq. ft.
n WETLANDS _sq.ft.
LEGAL DESCRIPTION OF PROPERTY
on seoarate sheet with the followino information
SITUATE IN THE NW QUARTER OF SECTION 33 , TOWNSHIP 23 , RANGE 05 , IN THE CITY
OF RENTON" KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
t, (Print Name/s) Lisa seminoffwashinstontha.am(pr ,'tiffii,iffi:fflll[:1,fiH#:1ffif]ffi'ff::*"
representative to act for a corporation (please attach proof of authorization) and that the foregoing statements and answers herein
contained and the information
Signature of
STATE OF WASHINGTON
COUNTY OF KING
I certiff that I know or have satisfactory evidence that
are in all respecls true and corect to the be$t of my knowledge and belief
Signature of Owner/Representative
))ss
)
Date
signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned the instrument.
in and for the of Washington
nyro ll ffin
Notarf (Print):
My appointment expires: lg ,'t,
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,'t t" NoTARy $ii
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H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev: 10/2017