21-101964-Master Land Use Application-05-17-2021-V1Bulletin #003 – January 1, 2011 Page 1 of 1 k:\Handouts\Master Land Use Application
APPLICATION NO(S) Date _
Project Name _________
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 8th Avenue South
Federal Way, WA 98003-6325
253-835-2607; Fax 253-835-2609
www.cityoffederalway.com
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:
Address:
City/State:
Zip:
Phone:
Fax:
Email:
Signature:
Agent (if different than Applicant)
Name:
Address:
City/State:
Zip:
Phone:
Fax:
Email:
Signature:
Owner
Name:
Address:
City/State:
Zip:
Phone:
Fax:
Email:
Signature:
1414 S 376TH ST
322104-9063 (City of Federal Way), -9162 (FW/King County) and -9163 (King County).
Adjust boundary lines for 3 consecutive parcels under the same ownership;
Critical area determination for King County Health Department approval.
X
RS 7.2 (Federal Way); R-1 (King County)
Single Family Residential
147,000
N/A
vonDoenhoff Boundary Line Adjustment
Roger and Jayne vonDoenhoff
1414 S 376TH ST
Federal Way, WA
98003
rvond@comcast.net
savanna.nagorski@esmcivil.com
ESM Consulting Engineers c/o Savanna Nagorski
88400 8th Ave S, Ste 205
Federal Way, WA
98003
253-838-6113
(253) 838-7104
Same as Applicant