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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT kl"MR
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1 425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME. Highland Shopping Center LLC c/o Frank
ADDRESS: PO Box 40252
CITY: Bellevue STATE: W015
P:
WA
PHONE NUMBER:
EMAIL ADDRESS*:realtorsong@yahoo.com
❑ I prefer to receive all correspondence via US Mail
APPLICANT (if other than owner)
NAME: Clover Schuler
COMPANY (if applicable): Magellan Architects
ADDRESS:8383 158th Ave NE, Ste 280
CITY: Redmond STATE: ZIP:
WA 198052
PHONE NUMBER: (425) 941-9494
EMAIL ADDRESS*:clover@magellanarchitects.com
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Clover Schuler
COMPANY (if applicable): Magellan Architects
ADDRESS: 8383 158th Ave NE, Ste 280
{
CITY: Redmond STATE: ZIP:
WA 98052
PHONE NUMBER (425) 941-9494
EMAIL ADDRESS*:clover@maaellanarchitects.com
❑ I prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Goddard School
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
4110 NE 4th Street, Renton, WA 98059
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
1023059128
EXISTING LAND USE(S):
Fitness Center (Old 24 Hour Location)
PROPOSED LAND USE(S):
"E" Davcare
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable) N/A
EXISTING ZONING:
CA
PROPOSED ZONING (if applicable):
N/A
SITE AREA (in square feet):
154,958
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
N/A existina
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: N/A -existing
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) N/A
NUMBER OF PROPOSED LOTS (if applicable)
N/A
NUMBER OF NEW DWELLING UNITS (if applicable):
N/A
NUMBER OF EXISTING DWELLING UNITS (if applicable):
N/A
PROJECT VALUE:
350,000
*By completing the email address field the owner/applicant/contact person is opting to receive all formal notifications
and project documents in digital format via email unless otherwise requested.
PROJECT INFORMATION (CONTINUED)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): N/A
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):N/A
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 42,403
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): approx 11,000
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable): 24
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
❑ FLOOD HAZARD AREA sq. ft.
❑ GEOLOGIC HAZARD sq. ft.
❑ HABITAT CONSERVATION sq. ft.
❑ SHORELINE STREAMS & LAKES sq. ft.
❑ WETLANDS sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following information included)
SITUATE IN THE SW QUARTER OF SECTION 10 _, TOWNSHIP 23 N, RANGE 5 _,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) Clover Schuler , declare under penalty of perjury under the laws of the State of Washington that I
am (please check one) ❑ the current owner of the property involved in this application or 0 the authorized representative to act for a
corporation (plea attach proof of authorization) and that the foregoing statements and answers herein contained and the information
herewith are in I respects true and correct to the best of my knowledge and belief.
]o1zJZZ
Signatur of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that✓ J C-tAA_A Lt->— signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the use4and rpose mentioned in the instrument.
0Dated Notaryin and for
State of Washington
April Jones
NotanPublic
fwasliington Notary (Print).
Lglatc o
Commission plumber 131672
my commission 1 xpims I
❑ctrkt_ t5.2 My appointment expires: