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A_Master_Application_170414_v1
UiAF-00U2WCityofRentonPPJ1VO0ItfaLANDUSEPERMITMASTERAPPLICATIONPROPERTYOWNER(S)PROJECTINFORMATIONNAME:PROJECTORDEVELOPMENTNAME:Pre-zoningoftheTimD.AnnexationAreaADDRESS:PROJECT/ADDRESS(S)/LOCATIONANDZIPCODE:9640122AveSE,98056CITY:ZIP:TELEPHONENUMBER:KINGCOUNTYASSESSOR’SACCOUNTNUMBER(S):________________________________________________0423059006APPLICANT(ifotherthanowner)____________________________________________EXISTINGLANDUSE(S):1detachedsingle-familydwellingNAME:ChipVincent___________________________________________________PROPOSEDLANDUSE(S):Singlefamilydetachedhousingatdensitiesofuptofourunitspernetacre.COMPANY(ifapplicable):CEDDepartment____________________________________________EXISTINGCOMPREHENSIVEPLANMAPDESIGNATION:ADDRESS:1055S.GradyWayResidentialLowDensity(RLD)PROPOSEDCOMPREHENSIVEPLANMAPDESIGNATIONCITY:RentonZIP:98057(ifapplicable):n/aTELEPHONENUMBER425.430.6588EXISTINGZONING:KingCountyR-1;7unitspergrossacreCONTACTPERSONPROPOSEDZONING(ifapplicable):RentonR-4;4unitsperNAME:ChipVincentnetacreCOMPANY(ifapplicable):CityofRentonSITEAREA(insquarefeet):approximately2.7acres____________________________________________SQUAREFOOTAGEOFROADWAYSTOBEDEDICATEDFORSUBDIVISIONSORPRIVATESTREETSSERVINGADDRESS:10555.GradyWayTHREELOTSORMOREfitapplicable):n/aPROPOSEDRESIDENTIALDENSITYINUNITSPERNETCITY:RentonZIP:98057ACRE(ifapplicable):FourunitspernetacreNUMBEROFPROPOSEDLOTS(ifapplicable):n/aTELEPHONENUMBERANDE-MAILADDRESS:NUMBEROFNEWDWELLINGUNITS(ifapplicable):n/a425.430.6588(cvincent@ci.renton.wa.us)______________________________________________ PROJECTINFORMATION(continued)NUMBEROFEXISTINGDWELLINGUNITS(ifapplicable):n/aISTHESITELOCATEDINANYTYPEOFSQUAREFOOTAGEOFPROPOSEDRESIDENTIALENVIRONMENTALLYCRITICALAREA,PLEASEINCLUDEBUILDINGS(ifapplicable):n/aSQUAREFOOTAGE(ifapplicable):SQUAREFOOTAGEOFEXISTINGRESIDENTIALuAQUIFERPROTECTIONAREAONEBUILDINGSTOREMAIN(ifapplicable):n/aXAQUIFERPROTECTIONAREATWOSQUAREFOOTAGEOFPROPOSEDNON-RESIDENTIALGEOLOGICHAZARD_______sq.ft.BUILDINGS(ifapplicable):n/aLiFLOODHAZARDAREA________sq.ftSQUAREFOOTAGEOFEXISTINGNON-RESIDENTIALHABITATCONSERVATION_______sq.ftBUILDINGSTOREMAIN(ifapplicable):n/aLiSHORELINESTREAMSANDLAKES_______ft.NETFLOORAREAOFNON-RESIDENTIALBUILDINGS(ifapplicable):n/aLiWETLANDS________sq.ft.NUMBEROFEMPLOYEESTOBEEMPLOYEDBYTHENEWPROJECT(ifapplicable):n/aPROJECTVALUE:n/aLEGALDESCRIPTIONOFPROPERTY(Attachlegaldescriptiononseparatesheetwiththefollowinginformationincluded)SITUATEINTHENWQUARTEROFSECTION4,TOWNSHIP23,RANGE5,INKINGCOUNTY,WASHINGTON.TYPEOFAPPLICATION&FEESListalllanduseapplicationsbeingappliedfor:1.Zoning3._____________2.EnvironmentalChecklist4._______________Staffwillcalculateapplicableteesandpostage:$AFFIDAVITOFOWNERSHIPI,(PrintName/s)C.E.“Chip”Vincent,declarethatIam(pleasecheckone)thecurrentownerofthepropertyinvolvedinthisapplicationor.....theauthorizedrepresentativetoactforacorporation(pleaseattachproofofauthorization)andthattheforegoingstatementsandanswershereincontainedandtheinformationherewithareinallrespectstrueandcorrecttothebestofmyknowledgeandelief.UIcertifythatIknoworhavesatisfactoevidencethat__________________________________________________________________signedthisinstrumentandacknowledgedittobehis/her/theirfreeandvoluntaryactfortheusesandpurposesmentionedintheinstrument.(SignatureofOwner/Representative)______________________________________________Myappointmentexpires:(SignatureofOwner/Representative)