HomeMy WebLinkAbout20130212a MasterAppl
City of Renton
LAND USE PERMIT
MASTER APPLICATION
PROPERTY OWNER(S)
NAME:
City Of Renton
ADDRESS:
1055 South Grady Way
CITY:
Renton, WA
ZIP:City 98057
TELEPHONE NUMBER:
APPLICANT (if other than owner)
NAME:
City of Renton Surface Water Utility
Attn: Daniel Carey
COMPANY (if applicable):
City of Renton
ADDRESS:
1055 South Grady Way
CITY:
Renton, WA
ZIP: 98057
TELEPHONE NUMBER
425-430-7293
dcarey@ci.renton.wa.us
CONTACT PERSON
NAME:
Same as Applicant
COMPANY (if applicable):
ADDRESS:
CITY:
ZIP:
TELEPHONE NUMBER AND E-MAIL ADDRESS:
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
NE 5th Place / Edmonds Ave NE
Storm System Replacement Project
PROJECT ADDRESS(S)/LOCATION AND ZIP CODE:
City ROW in the following streets
NE 7th St (2100, 700 blocks)
NE 6th Place (2100- 2200 blocks)
Camas Ave. NE (600 block
Edmonds Ave. NE (500 block))
NE 5th Place (2500-2700 blocks) 98056
KING COUNTY ASSESSOR’S ACCOUNT NUMBER(S):
City ROW
EXISTING LAND USE(S): SINGLE FAMILY RESIDENCE
PROPOSED LAND USE(S): NO CHANGE
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Residential Single Family
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable): NA
EXISTING ZONING: R-8
PROPOSED ZONING (if applicable): NA
SITE AREA (in square feet): appx. 19,200 sf
( appx. 3200 LF x 6 ft wide trench patch) )
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable): NA
NUMBER OF PROPOSED LOTS (if applicable): None
NUMBER OF NEW DWELLING UNITS (if applicable): None
NUMBER OF EXISTING DWELLING UNITS (if applicable):
NA
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): None
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): NA
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): None
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): NA
NET FLOOR AREA OF NON-RESIDENTIAL BUILDINGS (if applicable): NA
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): NA
PROJECT VALUE: $1,200,000 (approx.)
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 Yes
FLOOD HAZARD AREA sq. ft.
GEOLOGIC HAZARD Reg. Slope appx 1,800 sq. ft.
HABITAT CONSERVATION sq. ft.
SHORELINE STREAMS AND LAKES sq. ft.
WETLANDS sq. ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE _SE__ QUARTER OF SECTION _8_, TOWNSHIP _23N_, RANGE_5E W.M._, IN THE CITY OF RENTON, KING COUNTY, WASHINGTON.
TYPE OF APPLICATION & FEES
List all land use applications being applied for:
___________________________ _
_ _ .
______________
______________
Staff will calculate applicable fees and postage: $_________
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) __Daniel Carey___________________________, declare that I am (please check one) __ the current owner of the property involved in this application or __x____ 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 Owner/Representative)
I certify that I know or have satisfactory evidence that ____________________________ signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses
and purposes mentioned in the instrument.
________________________________________________
Notary Public in and for the State of Washington
_________________________________________
(Signature of Owner/Representative)
Notary (Print)_____________________________________
My appointment expires:____________________________