HomeMy WebLinkAboutLand Use ApplicationCity of Renton
LAND USE PERMIT
MASTER APPLICATION
PROPERTY OWNER(S)
NAME AI H . L rC 'y'AJ])lt /'<..ovo~r
ADDp,o.:g OX 1'19;J....
CITY: R.£A)lfJtJ J lUJ.1. ZIP:9S'r;s 7
TE/tt:;r;)M:~3()_ ~ 6bK'
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER
CONTACT PERSON
NAME: o (It) t1J e ~S (:s~ Cl bwe )
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER AND E·MAIL ADDRESS:
Q: weblpw/devserv/formsJplaoninglmasterapp.doc
PROJECT INFORMATION
P OJECT OR DEVELOPMENT NAME:
oVOS
PROJECT/ADDRESS(S)ILe>yATION AND ZI'l CODE:
"37o'f LAke bUtt, &lIn ,f-J)01J.Hf'
18056
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
"331.f:J.70-CJ~50-03
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(H applicable): N /1-'
EXISTING ZONING:
PROPOSED ZONING (if applicable): ~.~
SITE AREA (in square feet): '3 36:5 fARC <L ! A>
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable):
NUMBER OF PROPOSED LOTS (if applicable): 1
NUMBER OF NEW DWELLING UNITS (if applicable): 1
07129/05
PnvJECT INFORMATION (continued)
NUMBER OF EXISTING /;WELLING UNITS (if applicable): PROJECT VALUE:
tJ fA
IS THE SITE LOCATED IN ANY TYPE OF SQUARE FOOTAGE OF PROPOSED RESpoNTIAL (::.
BUILDINGS (if applicable): .3,9S1 .'c· '-', 3Sk! IP/~ ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BOA ....
BUILDINGS TO REMAIN (if applicable): /,07/ CJ tifEi. '" o AQUIFER PROTECTION AREA ONE '.
SQUARE FOOTAGE OF PROP~$ NON-RESIDENTIAL o AQUIFER PROTECTION AREA TWO
BUILDINGS (if applicable): ,V, 'I} o FLOOD HAZARD AREA sq. ft.
SQUARE FOOTAGE OF EXISTING NON-R~%ENTIAL
BUILDINGS TO REMAIN (if applicable): ;t) ~ o GEOLOGIC HAZARD sq. ft.
o HABITAT CONSERVATION NET FLOOR AREA OF NON-RESIDENTIAL BUILDINGS (if sq. ft.
applicable): 1J/1'1 ulSHORELINE STREAMS AND LAKES ~.1~3 sq. ft.
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE o WETLANDS sq. ft. NEW PROJECT (if applicable):
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following Information Included)
SITUATE IN THE t.k t 'flll!Jt.sfQUARTER OF SECTION 32. TOWNSHIP~. RANGE5..f'IN THE CITY
OF RENTON. KING COUNTY. WASHINGTON .
.
TYPE OF APPLICATION & FEES
list all land use applications being applied fo.r:
1. .s f1{J (2.EV N £ U 1tF1/J f'v!C£. 3.
2. 4.
Staff will calcUlate applicable fees and postage: $
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) A I liN £ (C YATr H I ~ Ii, -aoV~ lhatl am (please check one) )( Iha current owner of the property
InVolved in this application or __ the authorized representative 10 act fOr a corporation (p1aase allach proof of authorization) and lhat the foregoing
statemenls and answers herein contained and the infonnatlon herewith are in all respects boo and correct to the best of my ~ and belief. ta. ~ I certlfylhat I know or have. satisfactoryevidencelhat A-ltlV\ ? LJ\1tl11 t( fl/CV65t "1:2 S . signed this instrument and acknowledged H to be hlsiherllheir free voluntary act lor the
uses and purposes mentioned in the inslrument
--<
I
(Signature 01 OWnerlRepresentative) I
Notary Public
State of WosI1ington
MY KHANH TRAN
My Appointment Expires Nov. 19. 2008
Q:webJpw/devserv/fonnslplaDninglmasterapp.doc
fOr the State 01 Washington
Notary (PriIlt) (\A~ ~11 C\ t~ h 1 ~ i1
My appointment expires: \ \ \ I q I 16
2