HomeMy WebLinkAboutA_Proof of Authorization for Edward SmithPROJECT INFORMATION (CONTINUED)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable)N/A
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable) N/A
i SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable). 360 Sq ft
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable). all t0 remain
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 360 sq ft
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable). N/A
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 following information included
SITUATE IN THE NW, NW QUARTER OF SECTION 30 , TOWNSHIP 23 N, RANGE 05 E _,W.M IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Namels) Edward Smith . 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 authonzed 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 o(i6wner/Representative Date
SigfakK of Own esentative at
STATE OF WASHINGTON )
) SS
COUNTY OF KING ) I certify that I know or have satisfactory evidence that e8t_..'0.r• SM signed this instrument and
acknowledge it to be hisiherftheir free and voluntary act for the uses and purpose mentioned in the instrument.
Yk 7- 17-0?_(
Dat
M
H A STONERY PUBLIC WASHINGTONSION EXPIRESST 22, 2021
No ,r_y-Pub— and for the State of
Washington
Notary (Print)
My appointment expires UP, i,p
ACKNOWLEDGMENT OF AUTHORIZED PERSON
STATE OF WASHINGTON )
) ss.
COUNTY OF KING )
I certify that I know or have satisfactory evidence that l es-rS4 T"ym ► -ws o- p, IJ
is the person who appeared before me, and said person acknowledged tha said person signed this
instrument, on oath stated that said person was authorized to execute the instrument and
acknowledged it as the P «5 , Olympic Pipe Line Company LLC a Delaware
limited liability company, to be the free and voluntary act of such company for the uses and
purposes mentioned in the instrument.
WITNESS my hand and official seal hereto affixed on this ZS day of
^
) C —D , 2021.
Signa re 1pf Noiary
Notary lic in and for the County of King
State of Washington.
My Commission Expires: u ZZ W v5
JOSEPH A STONE
NOTARY PUBLIC # 112303
STATE OF WASHINGTON
COMMISSION EXPIRES
AUGUST 22, 2025