20-102955-Master Land Use Application-07-23-2020-V14k
CITY 10i::tt=P
OF
Federal Way
APPLICATION No(S)
MASTER LAND USE APPLICATION
DEPARTMENT OF COMMUNRrY I)EL'Ft.OP.ME\T
33325 R"' Avenue South
Federal Way. WA 98003-6325
253-935-2607. Fax 25 3-$ 35_2609
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Date 7 " Z2_" 202 0
Project Name e)I G E LO W S HC4ZT RL-AT
Property Address/Location (10 ✓ ke S r eaeyG 1 W a�
Parcel Nu mber(s) Lo l t tiPO nn L475 T
Project Description 3^ L o T —,shl-m T PL- HT
PLFASE PRINT
Type of Permit Required
Annexation
Binding Site flan
Boundary Line Adjustment
Comp Plan/Rezone
Land Surface. Modification
Lot Line Elimination
Preapplication Conference
Process 1 (Director's Approval)
Process II (Site Plan Review)
Process III (Proiect Approval)
Process IV (Hearing Examiner's Recision)
Process V IQuasi-Judicial Rezone)
Process VI
SEPA w Project
SEPA Only
Shoreline. Variance/Conditional Use
Short Subdivision
X Subdivision
Variance: Commercial/Residential
Required [reformation
S 9. (D Zoning Designation
%V /A Comprehensive Plan Designation
ZgLf I QQQValue of Existing Improvements
A// A Value of Proposed Improvements
International Building Code (IBC):
S 10 G Le FAP 41 LY Occupancy Type
/A ,Construction Type
Applicant
Namc.CRPA13-REF_ SutZQEY1?4[1 LLC.
Address:-732-6 104" St
City/State: PVYAL.lrUP 1 �
Zip: a $ FYI
Phone; 2 5 3' b 4- - W L[ b
Fax: Z5- 3- 25I - 2-$3''
Email: DFFlGE @C AFaT{ZSVfZV.irl+tt�{�.CDt`'i
Signature:
Agent (indifferent than Applicant)
Name:
Address:
Citv!State:
Zip:
Phone:
Fax:
Email:
Signature:
Owner
Name: 43APIRNI f SANDRA 191(AELOW
Address: S540 6' 36""t A4e-/ S
City/State: 7rDCRp,L. �J� /VIA
zip: a 0 00 ►
Phone: (154
Fax:
Email: SCU Y2.@A-r-T • Or T
Si 44.,4
BUIletin 4001 -January I. 2011 Page 1 or I V; HandOUN' MaSwr Land Use .Application