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Home My WebLink AboutSNP1-LandUseMasterApp-NotarizedDEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPrintForm][ResetFormSaveForm—Renton0PlanningDivisionLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:CityofRentonADDRESS:1055SGradyWayCITY:RentonZIP:98057TELEPHONENUMBER:(425)430-6571APPLICANT(ifotherthanowner)NAME:S/ACOMPANY(itapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:ToddBlackCOMPANY(ifapplicable):S/AADDRESS:CITY:ZIP:TELEPHONENUMBERANDEMAILADDRESS:(425)430-65711PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:SunsetNeighborhoodParkPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:2805NE10thStreet;98056KINGCOUNTYASSESSORSACCOUNTNUMBER(S):7227800000EXISTINGLANDUSE(S):VacantPROPOSEDLANDUSE(S):PublicParkEXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:CommercialMixedUsePROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)N/AEXISTINGZONING:CenterVillagePROPOSEDZONING(ifapplicable):N/ASITEAREA(insquarefeet):139,392SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:N/ASQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:N/A.PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)N/ANUMBEROFPROPOSEDLOTS(ifapplicable)N/ANUMBEROFNEWDWELLINGUNITS(ifapplicable):N/AH:\CED\Data\Forms-Templates\SeIf-HelpHandouts\Planning\MasterApplication.docRev:08/2015 PROJECTINFORMATiON(continued)I,(PrintName/s)ToddBlackdeclareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)Jthecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandbelief.‘/_____________________SigntureofO/RfeseativeDateSTATEOFWASHINGTONCOUNTYOFKINGNUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):N/ASQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ASQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):N/ASQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):N/ANETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):N/ANUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):N/APROJECTVALUE:ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):UAQUIFIERPROTECTIONAREAONEUAQUIFIERPROTECTIONAREATWOUFLOODHAZARDAREA______sq.ft.UGEOLOGICHAZARD_____sq.ft.UHABITATCONSERVATION______sq.ft.USHORELINESTREAMS&LAKES______sq.ft.UWETLANDS______sq.ft.LEGALDESCRIPTIONOFPROPERTY(AftachiegaldescriJtiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENWQUARTEROFSECTION09,TOWNSHIP23N_,RANGE05E_,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONLAFFIDA\flTOFOWNERSFPSignatureofOwner/RepresentativeSSIcertifythatIknoworhavesatisfactoryevidencethat)cksignedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntççtfortheusesandpurposementionedintheinstrument.DateDatedPublicinandforThJStateofWashingtonLJ&rry(Print):ntexpires:tZ,2)2H:\CED\Data\Forms-Templates\SeIf-HeIpHandouts\Planning\MasterApplication.docRev:08/2015