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PrintFormResetFormSaveForm—Renton0PROPERTYOWNER(S)NAME:LakeridgeDevelopmentILLCADDRESS:PoBox146CITY:RentonZIP:WATELEPHONENUMBER:(425)228-9750APPLICANT(ifotherthanowner)NAME:WayneJonesCOMPANY(ifapplicable):ClassicConceptsVIILLCADDRESS:PCBox146CITY:RentonZIP:WATELEPHONENUMBER:(425)228-9750CONTACTPERSONNAME:DavidDetzlerCOMPANY(ifapplicable):ClassicConceptsVIIILLCADDRESS:PCBox146CITY:RentonZIP:WATELEPHONENUMBERANDEMAILADDRESS:(206)809-3683dQJ2f(o,ca51n’-i’1PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:MindyPlace,1,d--IHbP’i.QSTOPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:44@X-160thAveSERentonWA98059,qozcKINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):145750-0106EXISTINGLANDUSE(S):VacantLandPROPOSEDLANDUSE(S):EightlotsinglefamilyresidencesEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:R-4PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)N/AEXISTINGZONING:R-4VestedPreliminaryPlatPROPOSEDZONING(ifapplicable):SameSITEAREA(insquarefeet):180,455SFSQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:14,313SfSQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:NonePROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)2.52dwellingunitspernetacreNUMBEROFPROPOSEDLOTS(ifapplicable)EightNUMBEROFNEWDWELLINGUNITS(ifapplicable):EightDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPlanningDivisionLANDUSEPERMITMASTERAPPLICATIONH:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:08/2015 PROJECTINFORMATION(continued)I,(PrintName/s)WayneJonesdeclareunderpenaltyofperjuryundrthelawsoftheStateofWashingtonthatIaip(pIasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedtoacfrdcorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswersherein‘theiflforma’ioherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.SignatureofOwner/RepresentativeDateIcertifythatIknoworhavesatisfactoryevidencethatft.)i1&)s1Lc_if3signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesanpurposementionedintheinstrument.Mt%—NotaryPublicinandfortheStateofWashingtonrn.C-c2h)NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):NoneSQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):3200-3700SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NoneSQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):NoneSQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NoneNETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NoneNUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):PROJECTVALUE:ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):AQUIFIERPROTECTIONAREAONELIAQUIFIERPROTECTIONAREATWOLIFLOODHAZARDAREA_ ___ _ _sq.ft.LIGEOLOGICHAZARD__ __ _ _sq.ft.LIHABITATCONSERVATION__ __ _ _sq.ft.LISHORELINESTREAMS&LAKES__ __ _ _sq.ft.WETLANDS27,747sq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHESEQUARTEROFSECTION_ _ ,TOWNSHIP23N_,RANGESE_,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPSignatureSTATEOFWASHINGTONCOUNTYOFKINGDate)SSIIIIii,Notary(Print):Myappointmentexpires:It’/‘2H:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:08/2015 ofDEPARTMENTOFCOMMUNITYJtDIJABATEMENTAGREEMENTTEMPORARYUSEPlanningDivision1055SouthGradyWayIRenton,WA98057Phone:425-430-7200IFax:425-430-7231/1—beingtheApplicantfortheTemporaryUsePermitatHerebyauthorizetheCityofRtontosummarilyeliminatetheTemporaryUseandallevidenceoftheuseifithasnotbeenremovedsrecjuredbythetermsofthepermit.IalsoagreetoreimbursetheCityforanyexpenseincurreçabathiemporaryUse.Signature:tr4,\JPrintName:\1,,iDate:-kc?17STATEOFWASHINGTONCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethat14)ct)(ILc.signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.____________________A1.NotaryPublicinandfortheStateofWashingtonUqj%r)Notary(Print):Myappointmentexpires:2ID-JO-iI,Lt1a11otheLocationof:M1nC/v’,Pt/t55DatedH:\cED\Data\Forms-Templates\SeIf-HelpHandouts\Planning\TemporaryUseTier1.docRev:05/2015 DEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENT)JReleaseandIndemnificationAgreementforModelHomesThisagreementismadebyandbetweentheCityofRenton,Washington,amunicipalcorporationoftheStateofWashington(“City”)and1-ePc’L”tC1j9Ih(%lfrQZ’e)L_(.RecitaIsTheOwnersownrealpropertyintheCitylegallydescribedinExhibitA,attached.TheOwnershavesubmittedanapplicationforbuildingpermit(s)and/oraTemporaryUsePermittoconstructmodelhomesontherealpropertypriortorecordingofashortplatorfinalplat.Sincechangestotheshortplatorfinalplatmaybenecessaryafterconstructionofthemodelhomesrenderingthehomesillegal,thereissomeriskinbuildingthemodelhomes.Inconsiderationoftheinherentrisksassociatedwiththeconstructionofbuildingsinadvanceoftherecordingoftheplat,theCityrequirestheownertoexecuteanindemnificationagreementpriortoanymodelhomeconstructionactivities.AgreementThepartiesagreetothefollowing:1.TheCityauthorizestheOwnerstodotheworkasdescribedintheTemporaryUsePermitApplicationNo.__ _ _ _ __ __ __ __ _ _ _ __oncebuildingpermitshavebeenobtained.2.Theownersassumetheriskthatthemodelhome(s)mustberemovedorreconfiguredandthereforereleaseanddischargetheCityanditsrepresentativesfromallknownandunknownlosses,claims,damagesorcausesofactionswhichtheownershaveormayhaverelatingtobuildingsorstructuresauthorizedbytheTemporaryUsePermit.3.AsaconditionofgrantingOwnerpermissiontoconstructmodelhomes,Owneragreestoindemnify,defendandholdtheCityofRentonHarmlessfromanyclaimsorliensthatmaybeexertedagainstthepropertyasaresultofconstructionofmodelhomesanduseoftheunrecordedplatof.Vir(/yiR’tit/’4.Ownersunderstandandacknowledgethat,shouldthemodelhomeconstructionnotcomplywiththeproposedlotconfigurationofthefinalplat,novariancestodevelopmentstandardsforeitherthelotsorthehomesmaybegrantedassuchasituationwouldbeconsidereda“self-inducedhardship”.5.OwnersacknowledgethattheyunderstandthatanyconstructionbegunpriortotherecordingofthefinalplatmustbeincompliancewithallCityzoningandsubdivisionrequirements(e.g.setbacks,lotcoverage,etc.)orremovedpriortorecordingofthefinalplat.IfthefinalplatisnotrecordedpriortotheexpirationoftheTemporaryUsePermit,Ownersacknowledgethatthehomesmustberemovedunlesscomplyingwithallapplicablecoderequirements(e.g.onehomeperlot,etc.).6.ApplicantwillalsoprovideanAbatementAgreementandasecuritydeviceacceptabletotheCitytoensureremovalofanystructuresnotincompliancewithCityregulationsatthetimeof1H:\cED\Data\FormsTempIates\SeIf-HeIpHandouts\Planning\TemporaryUseTieridocRev:05/2015 expirationoftheTemporaryUsePermitandunderstandsconstructionofthemodelhomesisatOwners’ownrisk.7.Theprovisionsofthisagreementshallbindtheparties,theirlegalheirs,representatives,successorsandassigr)sandshallexpireupontherecordingofthefinalplatof,‘Vli’ii1Jy4b}t%Z(CI,(PrintName)(J-%y1-ie5&I’’’JC%IdeclarethatIam(pleasecheckone)f1eownerofthepropertyJçvolvedintheapplication,theauthorizedrepresentativetoactforthepropertyowner(ifacorpc-chproofofauthorizationtosign),andthattheforegoingstatementsandanswershereiitheinformationherewithsubmittedareinallrespectstrueandcorrecttothebestofmyelief.COUNTYOFKINGSignatureofOwner/RepresentativeDatehNiIcertifythatIknoworhavesatisfactoryevidencethatItIM,fl/1Z’’7Lf,\J-P-’Eignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactforthusesandpurposementionedintheinstrument.NotaryPublicinandfortheStateofWashington-L)Notary(Print):Myappointmentexpires:2JJ]J/SignatureoiOWner/RepresentativeSTATEOFWASHINGTONSSDatedH:\CED\Data\Forms-Templates\SeIf-HeIpHandouts\Planning\TemporaryUseTier1.docRev:05/2015