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DTPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Divlsion
1055 South Grady Way, 6th Floor I Renton, WA 98057 I 425-43O-72AO
www.Ientcnuig.goli
LAzuM USE PERMIT MASTER APPLICATION
PROJECT/ADDRESS(SyLOCATTON AND ZiP CODE
: t'113r /ofe 7 5ei
TZ"uro*1, NA \$at{
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
: AUUr(trbJ PROPOSED COMPREHENSiVE PLAN MAP
DESIGNATION (i{ applicable)
ADDRESS:NUMBER OF PROPOSED LOTS {if applicabie)
.By completingthe emailaddressfield the owner/applicant/contact person is opting io receive all formalnotifications
and project documents in digitalformat via email unless otherwise requested,
PROJECT OR DEVELOPMENT NAMEg*' V,c,** 6 g
pRopERTY OWNERt$)
AUUr(CJJ:
PH.NE NUMBER: f-at"'fi*- a6L
Er\,lArL ADDRTSS.: $1r9f, L ge*?gR co r+
I prefer to receive all
COMPANY (if applicable): , D)[eo&r{ y'A?z*ntS
i PHONE NUMBER:W-1u-Ltsz
APPLICANT {it other than owner}
EXISTING LAND USE(S)r
cn- frr.,r rr-Y
PROPOSED LAND USE{S):
EXISTING COMPREHENSIVE PLAN MAP DESIGNATI
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EXISTING ZONING:
PROPOSED ZONING (if apPlicable):
SITE AREA (in squai.e teet):
1Z | " €3LrMAIL ADDRESS-fuantcQ>a*'rc*,()t\
all correspondence via US Mail.' Ll I ptefer to
: NAME: Sdr- I("
COMPANY {if applicable);
CONTACT PERSON i SOUARE FOOTAGE OF PRIVAI€ ACCESS EASEMENiS
SQUARE FOOTAGE OF PUELIC ROADWAYS TO BE
DEDICATED: -
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
5{P Are , S,re fToe:
PHONE NUMBER l-g?c{Ti-ola7
NUMBER OF NEW DWELLING UNITS (if applicable)
NUMBER OF EXISTING DWELLING UNITS (if applicable)
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