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Master Application
PROJECTINFORMATIONPROJECTORDEVELOPMENTNAME:R_ __PROJECT/ADDRESS(S)/LOCATIONANDZPCODE:f\JITC(c)YZ,Qj-j-jJ,4q8o__KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):777c-OEXISTINGLANDUSE(S):PROPOSEDLANDUSE(S):EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:LPROPOSEDCOMPREHENSIVEPLANMAPDESIGNTION(ifapplicable),.,jEXISTINGZONING:(L/PROPOSEDZONING(ifapplicable):,,,jSITEAREA(insquarefeet):-1SQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)i’NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELtfNGUNITS(ifapplicable):‘CL.’t,‘.‘-.%DEPARTMENTOFCOMMUNITY‘CITYOFANDECONOMICDEVELOPMENT—-—‘1entoriPlanningDivisionLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)NAME:—cl\yNADDRESS::tCOuVCRY:ZIP:gTELEPHONENUMBER:Qic2’o3APPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBERANDEMAILADDRESS:1,H:\CED\Data\Forms-Templates\SeIf-HeIpHandouts\Planning\MasterApplication.docRev:08/2015 SQUAREFOOTAGEOFPROPOSEDRESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):SQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALBUILDINGS(ifapplicable):SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifapplicable):NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):PROJECTVALUE:ISTHESITELOCATEDINANYTYPEOFENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDESQUAREFOOTAGE(ifapplicable):ElAQUIFIERPROTECTIONAREAONEElAQUIFIERPROTECTIONAREATWOElFLOODHAZARDAREA_._sq.ft.“ElGEOLOGICHAZARDsq.ft.ElHABITATCONSERVATIONsq.ft.ElSHORELINESTREAMS&LAKES____sq.ft.ElWETLANDSsq.ft.-ce-’VI,(PrintName/s)_____,declareunderpenaltyofperjuryunderthelawsoftheStateofWashingtonthatIam(pleasecheckone)ElthecurrentownerofthepropertyinvolvedinthisapplicationorEltheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcrrecttothebestofmyknowledgeandbelief.I&/joIDateIcertifythatIknoworhavesatisfactoryevidencethat-7—i-&’signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.NotaryPubhcidJortheStateofWashiuigtonNotary(Print):TThZY_OiidkMyappointmentexpires:2NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):PROJECTINFORMATION(continued)LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE____QUARTEROFSECTION____,TOWNSHIP____,RANGE____,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPSignatureofOwner/RepresentativeSTATEOFWASHINGTONSSCOUNTYOFKINGSignatureofOwner/RepresentativeDateH:\CED\Data\Forms-Templates\Self-HelpHandouts\Planning\MasterApplication.docRev:08/2015