20-103186-Master Land Use Application-08-20-2020-V14ik
CITY OF
FedeUdlWay
APPLICATION No(s) jtopuj
Project Name �2 f"'a
Property Address/Location�
Parcel Number(s)
Project Description
PLEASE PRINT
Type of Permit Required
Annexation
Binding Site Plan
Boundary Line Adjustment
Comp Plan/Rezone
Land Surface Modification
Lot Line Elimination
Preapplication Conference
Process I (Director's Approval)
Process II (Site Plan Review)
Process III (Project Approval)
Process IV (Hearing Examiner's Decision)
Process V (Quasi -Judicial Rezone)
Process VI
SEPA w/Project
SEPA Only
Shoreline: Variance/Conditional Use
Short Subdivision
Subdivision
Variance: Commercial/Residential
MASTER LAND USE APPLICATION
DEPARTMENT OF COMMUNITY DEVELOPMENT
33325 8"' Avenue South
Federal Way, WA 98003-6325
253-835-2607;Fax 253-835-2609
www.ciiyoffederalway.com
1L `�
Date
EAT-
9 7'dl.3 Lp S a) r_c_ de a A U)A 1 1,
Required Information
Zoning Designation
Comprehensive Plan Designation
Value of Existing Improvements
Value of Proposed Improvements
International Building Code (IBC):
Occupancy Type
Construction Type
Applicant Name: c%!% tv! /�/idyl 4,qvelz,.
Address:, f>�� i� S 4e)
City/State:r't.>de,4,4/_ alAil. L-UA
Phone: a" J y
Fax: 619 M
Email: C�!}'J
Signature: r
Agent (if different than Applicant)
Name:
Address:
City/State:
Zip:
Phone:
Fax:
Email:
Signature:
Owner
Name: tTelvA) I 1+1)gIvelz
Address:
City/State:/ ,-,4,41- 16, /
Zip:
Phone:
Fax:
Email: f1 cm �dm
Signature:
r--
Bulletin #003 — January 1, 2011 Page 1 of 1 k:\Handouts\Master Land Use Application