21-102624_ Master Land Use Application_06-29-2021_V141k
CITY Federal o.
Way
APPLICATION NO(S)
Project Name { f; zla/
MASTER LAND USE APPLICATION
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Property Address/Location )G,2-<�
DEPARTMENT OF COMMUNITY DEVELOPMENT
33325 8`h Avenue South
Federal Way, WA 98003-6325
253-835-2607; Fax 253-835-2609
www.cityoffederalway. com
Date
Parcel Number(s)
Project Description �/'�YJCc S c l2�/il lal 6r-J 5 e_o ie %sl� �i� c�u�c1 UPS G
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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 lI (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
Required Information
%(2--/�1VnIMl.inii) & Zoning Designation
41y7Me,ru-v( Comprehensive Plan Designation
�) Value of Existing Improvements
Value of Proposed Improvements
International Building Code (IBC):
Occupancy Type
Constriction Type
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Applicant
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Name: A&VV�> k'4,dr De -
Address: '* 26
City/State: f4LOau-(^ wA 9 oz
Zip: 486oZ.
Phone: L7 3 333 ZZov
Fax:
Email: � v�S c �^ ^ P — � �� ' LA_
Signature:
Agent (if different than Applicant)
Name:
Address:
City/State:
Zip:
Phone:
Fax:
Email:
Signature:
Owner
Name: o; �\orcak---, _-P (lC-
Address: 2, 605 S • �3,y T`'5T
City/State: wc--,
Zip: 8000
Phone:S3
Fax:
Email:
Signature:
CCU
Bulletin 4003 — January 1, 2011
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