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A_Application_180411_v1
JEPARTMENTOFCOMMUNITYANDECONOMICDEVELOPMENTPROPERTYOWNER(S)NAME:KnywkfwjADDRESS:3aSCITY:ZIP:TELEPHONENUMBER:tic—Zs—3zIAPPLICANT(ifotherthanowner)NAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBER:CONTACTPERSONNAME:COMPANY(ifapplicable):ADDRESS:CITY:ZIP:TELEPHONENUMBERANDEMAILADDRESS:b,rnsLcrcoLLacVzr.cWv-PROJECTINFORMATIONPROJEQTORDEVELOPMENTNAME:AniIt,jstriQUn_dPROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:3cMe-4\f?e-ika,\iP9csKINGCOUNTYASSESSORSACCOUNTNUMBER(S):Rz3S-9Iii-EXISTINGLANDUSE(S):CzI,nn.PROPOSEDLANDUSE(S):EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATION(ifapplicable)EXISTINGZONINGPROPOSEDZONING(ifapplicable):SITEAREA(insquarefeet)PlanningDivisionLANDUSEPERMITMASTERAPPLICATIONSQUAREFOOTAGEOFPUBLICROADWAYSTOBEDEDICATED:SQUAREFOOTAGEOFPRIVATEACCESSEASEMENTS:PROPOSEDRESIDENTIALDENSITYINUNITSPERNETACRE(ifapplicable)NUMBEROFPROPOSEDLOTS(ifapplicable)NUMBEROFNEWDWELLINGUNITS(ifapplicable):H:\CED\Data\Fcrms-Templates\SeIf-HelpHandouts\Planning\MasterApplicationdocRev:02/2015RECEIVED04/11/2018amorganrothPLANNING DIVISION PROJECTINFORMATION(continued)NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):PROJECTVALUE:SQUAREFOOTAGEOFPROPOSEDRESIDENTIALISTHESITELOCATEDINANYTYPEOFBUILDINGS(ifapplicable):ENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDE___________________________________________________SQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALBUILDINGSTOREMAIN(ifapplicable):UAQUIFIERPROTECTIONAREAONESQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALUAQUIFIERPROTECTIONAREATWOBUILDINGS(ifapplicable):__________________________________________UFLOODHAZARDAREA______sq.ft.SQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALBUILDINGSTOREMAIN(ifapplicable):.UGEOLOGICHAZARD______sq.ft.NETFLOORAREAONNON-RESIDENTIALBUILDINGS(ifUHABITATCONSERVATION______sq.ft.applicable):_______________________________-_____USHORELINESTREAMS&LAKES______sq.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable);UWETLANDSsq.ft.LEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHE________QUARTEROFSECTION___,TOWNSHIP___,RANGE___,INTHECITYOFRENTON,KINGCOUNTY,WASHINGTONAFFIDAVITOFOWNERSHIPI,(PrintName(s)//nAef)AL/J,declareunderpenallyofpenuryunderthelawsoftheSlateofWashingtonthatIam(pleasecheckone)—thecurrentownerofthepropertyinvolvedinthisapplicationortheauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinaltrespectstwaandcorrecttothebestofmyknowledgeandbelief.gnatureofOwner/RepresentativeDateSignatureofOwner/RepresentativeDateSTATEOFWASHINGTONSBCOUNTYOFKINGIcertifythatIknoworhavesatisfactoryevidencethat__________________________________________signedthisinstrumentandacknowledgeittobehis/her/theirfreeandvoluntaryactfortheusesandpurposementionedintheinstrument.DatedNotaryPublicinandfortheStateofWashingtonNotary(Print):Myappointmentexpires:_____________________________________________________2H:\CED\Data\Forms-Templates\Self-HelpHandouts’\Planning\MasterApplication.docRev:02/2015