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HomeMy WebLinkAboutA_Land_Use_Permit_Master_Application_Dreamliner_210727_v1Print Form Reset Form Save Form DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENTRW Planning Division � 1055 South Grady Way, 6th Floor Renton, WA 98057 425-430-7200 www.rentonwa.gov LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) NAME: Dreamliner LLC ADDRESS: 14545 NE 57th Street cITY: Bellevue IST:ATE: A : A007 PHONE NUMBER:(4255) 772-8230 EMAIL ADDRESS*surya1302@amail.com ❑ I prefer to receive all correspondence via US Mail. APPLICANT (if other than owner) NAME: COMPANY (if applicable): ADDRESS: CITY: STATE: ZIP: PHONE NUMBER: EMAIL ADDRESS*: ❑ I prefer to receive all correspondence via US Mail. CONTACT PERSON NAME: James Howton COMPANY (if applicable): ADDRESS:4621 123rd Ave SE CITY: Bellevue STATE: WA P: 0006 PHONE NUMBER (425) 985-2024 EMAIL ADDRESS*jimhjim1111 @comcast.net ❑ t prefer to receive all correspondence via US Mail. PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: Dreamliner PROJECTIADDRESS(S)/LOCATION AND ZIP CODE: 511 AIRPORT WAY 98057 KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): 722930-0580 EXISTING LAND USE(S): Vacant PROPOSED LAND USE(S): Commercial and Residenstial EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: CA and CD PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable) NIA EXISTING ZONING: CA and CD PROPOSED ZONING (if applicable): N/A SITE AREA (in square feet): 16000 sq ft SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS: 0 SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: 0 PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable) CA-60 and CD- 100 NUMBER OF PROPOSED LOTS (if applicable) 1 NUMBER OF NEW DWELLING UNITS (if applicable): 25 NUMBER OF EXISTING DWELLING UNITS (if applicable): 0 PROJECT VALUE: $7,500,000 *By completing the email address field the owner/applicant/contact person is opting to receive all formal notifications and project documents in digital format via email unless otherwise requested. PROJECT INFORMATION (CONTINUED) SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): 32,375 sq ft SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable):N/A SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): 3,625 sq ft SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): NIA NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): First Floor - 9,000 sq ft NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): 7f f_ 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 sq. ft. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS & LAKES sq. ft. ❑ WETLANDS sq. ft. LEGAL DESCRIPTION OF PROPERTY Attach legal description on separate sheet with the f6flowing information included SITUATE IN THE NE QUARTER OF SECTION 18 , TOWNSHIP 23 N, RANGE 05 _,W.M. IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print NamelsL%chaK G)M1a V.71 iNA ;® 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. Signature of Own IDate STATE OF WASHINGTON ) ) SS COUNTY OF KING } Signature of Owner/Representative Date I certify that I know or have satisfactory evidence that 'She k-a1'_G•U1h/lfJC4:V`- f!:t\&'Y,&Ji4—signed this instrument and acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument. g� I'.,t tI Dated w`q`�\g`llittlliP 131034 P f (fi i •U G � � Notary Public in and forthe State of Washington Notary (Print): My appointment expires: ✓