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06-102457FILE CITY HALL 33325 8th Avenue South Mailing Address: PO Box 9718 Way Federal Way, WA 98063-9718 (253) 835-7000 www.cityoffederalway.com URITMQM11 Mr. Mike Bally LDG Architects 1319 Dexter Avenue West, Suite 245 Seattle, WA 98109 Ila.- File #06-102457-00-PC, PREAPPLICATION CONFERENCE SUMMARY Hong Retail Center, 35415 21" Avenue SW, Federal Way, WA Dear 1\4r. Bally: Thank you for participating in the preapplication conference with the City of Federal Way's Development IK.eview Committee (DRC) held June 8, 2006. We hope that the information discussed at that meeting wzw helpful in understanding the general requirements for your project as submitted. The key contact for your project is Janet Shull, 206-244-3749, janetshulldesign@comcast.net. For specific technical questions about your project, please contact the appropriate DRC representative as listei)wl** V&ei-;6se, z-Ay gener2l,•Yestieljms zV+vt tke )rez%iXixg)Fr+cess cax re referred to your key contact. PROJECT DESCRIPTION Proposal to construct a 14,200 square -foot retail building, 1,800 square -foot drive through restaurant, ani 500 square -foot drive through espresso stand including 86 parking stalls and site improvements. MAJOR ISSUES Outlined below is a summary of the major issues of your project based on the plans and inforination submitted for preapplication review. These issues can change due to modifications and revisions in e �21ans. These major issues oQ rwresent comments that the DRC consider most sij;ificant to jour iroject ane ao not incivae Tne maj ori ry 37 me commems proM—de= ne major i-MIRMIT means to highlight critical requirements or issues. Please be sure to read the entire department comments made in the next section of this letter. Mr. Baily June 21, 2006 Page 2 Public Works Traffic Division Traffic Impact Analysis is required as well as frontage improvements with right-of-way dedication. DEPARTMENT COMMENTS Outlined below are the comments made by the representatives of each department present at the p . reapplication conference. Each section should be read thoroughly. If you have questions, please contact the representative listed for that section. i'l!l1• NIPPON NINE: I I I - , I 1. Zoning, Use and Review Process — The zoning of the subject site is Neighborhood Business (BN). The BN zoning district permits retail uses under FWCC Section 22-721 and fast food restaurant uses under FWCC Section 22-722 (enclosed). The required review process for the project is Process III Project Approval, (when SEPA review is also, required). Under Process III, the Director of Community Development makes a written decision on the application based on criteria listed under E3YCC Secioly- 4. 2. State Environmental Policy Act (SEPA). — Construction of new buildings greater than 4,000 square feet, and development of more than 20 parking stalls are subject to SEPA review. An environmental checklist must be submitted and reviewed prior to the City issuing an environmental threshold determination. The notification includes a 14-day comment period and a 14-day appeal period. SEPA review must be concluded before the site plan approval and any other applicable land use review may be granted. 3. Fees — The proposal to develop the project requires the following fees: Process III review $2,129.00 and SEPA environmental determination review as part of the project $843.50. If a Boun dary Line Adjustment is required, the associated fee is $1,249.50. 4. Land Use Review Time Frames; Limitations — Time Frames — Under FWCC procedural guidelines, every effort �,is made to process land use applications within 120 days from the date of a complete application; and to approve, disapprove, return the application within this timeline. The review time frame is suspended at any time that thel City requests additional information from the applicant. Throughout project review, the applicant will be notified in writing of the status of the 120-day time clock. The applicant may also request and pay for supplemental review.' Limitations — In accordance with code requirements, the applicant must begin •construction or submit a complete building permit application within one year of the Process III decision, or the decision is void. In addition, the applicant must substantially complete construction for the actions approved under the Process III decision within five years after the final decision on the matter. Provisions for 2 certain extensions of these tinieframes are set forth in code. 1 See the information bulletin, Supplemental Review Process. 2 FWCC Section 22-408, -409, "Time Extension" 06-102457 Doc. 1,D. 36612 Mr. Baily June 21, 2006 Page 3 5. Submittal Requirements — Land Use and Environmental Review — Refer to the enclosed Development Requirements checklist. The submitted site plan must depict all proposed structures and physical improvements, including trash and recycling facilities, loading and storage areas, storm drainage facilities, parking lot light fixtures, sidewalks, crosswalks, retaining walls, rockeries or fences, and ground -mounted mechanical equipment; with accompanying elevations as noted. You will note from the Process III checklist that the applicant is responsible for providing mailing envelopes for code -required public notice. Public notice will be issued for the notice of complete application and the environmental threshold determination. Notice of application is required to be i"fffi?l]yz,,WiJ r #Aaf 1 IN atei 0 16 et of owners of property located within 300 feet of all site boundaries. Accordingly, the applicant must include two sets of stamped mailing envelopes, prepared in accordance with the City's written procedures? 6. Setbacks and Lot Coverage — Minimum front yard setback requirements for a retail or fast food restaurant development in the BN zone is 0 feet. The minimum side and rear yard requirements are 10 feet for the proposed project. Refer to FWCC Section 22-721 and Section 22-722. However, for the proposed development, the minimum front yard setback (along the 2 l't Avenue SW ROW) is five feet as dictated by minimum perimeter landscape requirements. The minimum setback on the western and northern property lines is 20 feet as dictated by the setback requirement from residentially zoned areas. There is no maximum lot coverage established. Instead, the buildable area will be dtterinined by other site development requirements, i.e., required buffers, parking lot landscApm& �surf4c:e water facilities, 7. Building Height — The height of the building allowed by the FWCC is 3 5 feet above average building elevation. However, note 3 of FWCC Sections 22-721 and 22-722 states that building height is limited to 30 feet for any portion of a structure within 100 feet of a residential zone. Elevations submitted with this pmapplication indicate a maximum building height of 30 feet. Parking Requirements — Pursuant to FWCC Section 22-72 1, the parking requirement for a retail development is one stall for every 300 square feet of gross floor area. Pursuant to FWCC Section 22- 722, the parking requirement for a fast food restaurant is one stall for every 80 square feet of gross floor area. The proposed 14,200 square -foot retail building, 1,800 square -foot fast food restaurant, and 500 square -foot drive through espresso stand would thus be required to provide a total of 76 Narking stalls. The rlans submitted with this i pplication indicate that 86 stalls are to be grovided. ;e .ftowever, it snouici De RPM MY 1! any oi TITC Lt;nanL SpilUUN Ill •roposeu retail 0 Lllltlll�; 'IT Cl C UP F* occupied by a restaurant tenant, there may not be adequate parking available on site. It is recommended that the applicant consider a parking scenario where one or more tenants of the retail building are restaurant use and provide additional parking, if possible, to allow for increased flexibility in leasing tenant spaces. Up to 25 percent of parking stalls may be compact. A parking stall/drive aisle chart is enclosed. If parking is located on a lot other than the lot containing the use which generates the parking space requirements, the owner of the lot containing the parking must 3 See the City handout titled Obtaining Mailing Labels. Note that a separate paper list of addresses is required to accompany each set of envelopes. 4 FWCC 22-721, note 7 and FWCC 22-722, note 7. 06-102457 Doc, IR. 36612 I or-Ro RLIM Kill a I I I Ri UtRIJ a I IN ONO I UIRBUIV 14; like a em oil I Ig* to) a I$ to-IlI OWN 0,'. Landscaping — A preliminary landscape plan prepared by a licensed landscape architect in accordance with FWCC Chapter 22, Article XVII, "Landscapin& " is required as part of the Process HI submittal. The landscape plan must depict the following landscape infonnation: a. Perimeter Landscaping — A five -foot -wide strip of Type 111 landscaping must be provided along the east and • perimeter lot lines • to FWCC Section 22-1566(e)(I)and 15-foot-wide strip of Type I landscaping must be provided along the west and • • lot lines pursuant to FWCC Section 22-1566(e)(2). b. Interior Parking Lot Landscaping — Pursuant to FWCC Section 22-15 67(b)(1)(a), commercial developments with 50 • • parking stalls shall provide 22 square feet of landscaping per parking stall. Please be aware that pursuant to FWCC Section 22-1567(c), landscape islands shall be a minimum size of 64 square feet and a maximum of 305 square feet. The minimum width of a landscape island at the end of a 90-degree parking row is six feet. The submitted landscape plan must show the square footage and dimensions of each landscape island and mu depict required trees, shrubs, and groundcover. c, Parking Area Screening — Parking areas adjacent to public right-of-way must be screened fron the right-of-way with either: a tbree-foot-tall benri installed within the perimeter landscapffig; architectural features; or substantial plantings added to the perimeter landscaping in accordanc with FWCC Section 1567(e)(1). The parking stalls along the east property line must be screened from 2 1 " Avenue SW. d. Plant Species — Pursuant to FWCC Section 22-1564(f), at least 25 percent of new landscaping materials (i.e., plants, trees, and groundcover) shall consist of drought -tolerant species. This calculation must be shown on the landscape plan. e. Screening ofBlank Walls & Foundation Landscaping — Building walls that are uninterrupted by windows, doors, •' • architectural features; that are 240 •' feet in area • greater; and are not located on a property line, must be screened by landscaping including trees, shrubs and groundcovers appropriate for the area per FWCC 22-1564(u). Foundation landscaping is also encouraged. f. Trash Enclosures — Pursuant to FWCC Section 22-1564(d), all trash enclosures shall be screened from abutting properties and/or public rights -of -way by a 100 percent sight-obscurin� fence or wall and appropriate landscape screen. g. Modifications — FWCC Section 22-1570 outlines the landscape modification options and criteria. Please refer to this section for specific information. M Community Design /• — The proposed retail building, fast food restaurant, and • through espresso buildings must comply with applicable portions • FWCC Chapter 22, Article XIX, "Community Design Guidelines". In addition, the proposal must meet applicable provisions of Crime Prevention through Environmental Design (CPTED) as adopted by the City. A completed CPTED checklist shall be submitted with the Process IH application. For desil r11eAv,,J C=T -t-6111 17 F 1 11 5 Pursuant to FWCC Section 22-1635(b)(2) 06-102457 Doc. I.D. 36612 Mr. Baily June 21, 2006 Page 5 Building elevations shall also depict wall -mounted light fixtures and any wall -mounted • ground - mounted mechanical equipment. Details shall be provided in plan view along with specifications for benches, planters, pedestrian -scale lighting, trash receptacles/ashtrays, and • racks as appropriate. The application shall also include a statement of design intent, including a narrative description •: • the proposal meets the applicable • Additional information may •` requested if necessary to make a design determination. This correspondence highlights the primary applicable design guidelines for the proposed development, but does not necessarily identify all applicable design requirements. 'Me following guidelines must be addressed for each of the proposed new buildings. Fagade Modulation — Under FWCC Section 22-1635(b)(3), those building facades that are both at least two of the following four options for modulation and/or screening the wall: 1) fagade modulation, 2) eight -foot -wide Type H landscape screening, 3) canopy or arcade, or 4) pedestrian •' For the retail building, this requirement is applied to all facades. The submitted site plan and elevations show modulation breaks for all facades and canopy treatment for the east,fagade, but no other modulation options. From the submitted elevations, it appears, that at least one additional ades. For the fast food restaurant, the modulation requirement is applied to the north and south facades. The submitted site plan does not indicate any fagade modulation treatment for these facades. Additionally, articulation of blank walls over-240 square feet on all sides of each building is required as outlined in FWCC S I ection 22-163 5 (c). The blank portions • all proposed building facades must receive this treatment. Pedestrian Circulation — The district guidelines identified in FWCC Section 22-1634(d) must be addressed in the site plan and architectural elevations. The location and configuration of pedestrian lan- site plan must reflect good pedestrian access to all main parking areas, exterior sidew s, an QG@ and off -site bus stops. Based on the current site plan, an additional pedestrian linkage must be provided through the site to the adjacent commercial site to the south. Please see redlined site plan (enclosed) for suggested location of pedestrian connection. In addition, itappears that vehicular access between the subject site and site to the • feasible. Please explore this •r1r with the applicant for the proposed development to the south. The applicant contact for the adjacent project to the south "Northshore Village" is Mr. David Hoek; da� gpkjg�; 206-679- — 5 66 1. In addition, the City of Federal Way planner reviewing the proposed "Northshore Village" project is Mr. Andy Bergsagel; andy. ty 253-835-2644. 1 have (trovided Mr. Bergsagel with a copy of your preliminary site plan. texture, and contrasting color. Paint striping as a method of delineation is not approved. 06-102457 Doe, I.D. 36612 Mr. Baily June 21, 2006 Page 6 intent of this requirement. However, the proposed fast food restaurant entrance does not meet this re _'?Y_irement_Vkl;1 • facing 2 1 " Avenue SW. Drive through facilities shall be visually screened and separated from streets, parking lots, and pedestrian circulation areas by Type Ell landscaping and/or architectural elements, or some combination rt1P.-d-eW �FJ'X%_UY fUiliiZb-Z'lf ?Prlf)V49--a7FT41�&k screening. The proposed screening of the drive aisles meets the intent of this requirement. A bypass/escape lane for Building C is recommended. 11. Garbage and Recycling — FWCC 22-949 (enclosed) requires solid waste and recycling storage areas to be included in all new commercial development. FWCC Sections 22-949 and 22-1564(d) provide standards for design, placement, sizing, and screening of garbage receptacles, dumpsters, and storage areas. The receptacles may not be located in required yards and must be screened with landscaping per FWCC Sections 22-1561. 12. Rooftop.4ppurtenances — FWCC Section 22-960 and 22-1407 (enclosed) provide standards for screening of rooftop appurtenances. The site plan submittal should contain a statement of proposed rooftop elements, and they should be depicted on the elevation drawings. 13. Light Standards — A lighting plan depicting the location of fixtures must be submitted. Lightin;§ fixtures may not take the place of required landscaping. 14. Signs — FWCC Chapter 22, Article XVIII regulates signage on the site. In general, one monument or pedestal free-standingsign is permitted in addition to wall -mounted signs. A sign permit is required before any signage is installed. Sign permit information is enclosed. TJ=51 rt ann.dower@cityoffederalway.com) Land Use Issues — Stormwater 1 Surface water runoff control and water quality treatment will be required per the 1998 King County Surface Water Design Manual (KCSWI)M) and the City of Federal Way Addendum to the 1998 KCSWDM. This project meets the requirements for a Full Drainage Review. At the time of land use site plan submittal, a preliminary Technical Information Report (TIR), addressing the relevance of the project to the eight core and five special requirements of the KCSWDM will be required. A Level I downstream analysis shall also be provided in the preliminary TIR. The City has I 100', five-foot contour planimetric maps that may be used for basin analysis. 2. The project lies within a Level 1 flow control area, thus the applicant must design the flow control facility to meet this performance criteria. The project also lies within a Resource Stream Protection Water Quality Area. Water Quality Treatment shall be designed to meet the treatment criteria of thi� Resource Stream Protection Menu. 3. In lieu of providing onsite detention, the applicant may elect to convey stormwater to Panther Lake Regional Detention Facility. The pro-rata share contribution amount is $1728 per acre, which is 06-102457 Doc, 11). 36672 Mr. Baily June 21, 2006 Page 7 - 1 0) 01Qb1ifflM 61-7) KIA 1411 NIVY fill sm, Mi - Y conveyance system will be the responsibility of the applicant. Water quality treatment must be [•rovided onsite prior to discharge. 4. If infiltration is proposed, soil logs prepared by a licensed geotechnical engineer or septic designer must be provided to verify infiltration suitability. 5. Detention and water quality facilities for commercial developments outside the City Center Core must be above ground (i.e. open pond). Underground facilities are allowed only with approval from the City of Federal Way Stormwater Management Division. 6. Show the proposed location and dimensions of the detention and water quality facilities on the preliminary plans. Right -of -Way Improvements I See the Traffic Division comments from Maryanne Zukowski, Senior Traffic Engineer, for traffic related items. 2. If dedication of additional right-of-way is required to install street frontage improvements, . e dedication shall be conveyed to the City through a statutory warranty deed. The dedicated area must have clear title prior to recording. 3. All stormwater treatment and detention requirements outlined above will be applied to new impervious area within the public right-of-way. 4. FWCC Section 16-47 requires that overhead utility lines be relocated underground if over 500 feet, or three spans are affected by a project. This condition will be applied to 2 l't Avenue SW. Building (or EN) Permit Issues Engineered plans are required for clearing, grading, road construction, and utility work. Plans must be reviewed and approved by the City. Engineering review fees are $730.00 for the first 12 hours of review, and $61 per hour for additional review time. A final TIR shall be prepared for the project erio &W11111 rejuire the sienature/seal and the ilans al M . i ilans. Both the TIR 104 Wililii - i U-14 yJ I L" 1147-0 8 118 11 ti-MQ ra I OR 53 WMV NJ 0 110 1 1 The Federal Way Development Standards Manual (including standard detail drawings, standard notes, and engineering checklists) is available on the City's website atj����� to assist the applicant's engineer in preparing the plans and TIR. roadi�ays. 4. Bonding is required for all improvements associated with the project. The bond amount shall be 120 percent of the estimated costs of the improvements. An administrative fee deposit will need to accompany the bond to cover any possible legal fees in the event the bond must be called. Upon 06-102457 Doc. ID, 36612 MT. Baily June 21, 2006 Page 8 completion of the installation of the improvements, and final approval of the Public Works f.ector. the b IT-WIV •-z-4 maintenance periort. detention and water quality facilities) and street systems during the two-year maintenance period. During that time, the Public Works Inspector will make periodic visits to the site to ensure the developer's compliance with the maintenance requirements. Upon satisfactory completion of the two-year maintenance period, the remainder of the bond will be released. Maintenance for pub•lic roads and subdivision drainaie facilities then become the resionsibilitv of the Ci6. Mainimice fjo I FUL6 U1111- ILI d6c IdURMOS, InIOUIUMg bROIL PlilLS, ICHIU111 LIM I-OSpunsiouiLy oi ine inuiviuuai property owners. 6. When topographic survey information is shown on the plans, the vertical datum block shall include the phrase "DATUM: N.G.V.D.-29" or "DATUM: K.C.A.S.," on all sheets where vertical elevations are called out. 7. Drawings submitted for plan review shall be printed on 24 x 36 or 22 x 34" paper. All final approved drawings shall be drafted/plotted on 24" x 36" or 22" x 34" mylar sheet with permanent black ink. Site plans shall be drawn at a scale of 1 20', or larger. Architectural scales are not permitted on engineering plans. 8. Provide cut and fill quantities on the clearing and grading plan. Erosion control measures, per Appendix D, 1998 KCSVVTM, must be shown on the.engineering plans. The site plan shall show the location of any existing and proposed utilities in the areas affected by construction. I I I I � I I rt O 1AT,1 011 EWAI I �'11[11113M WMY 111I I . Based on the Institute of Transportation Engineers Trip Generation e Edition Code 82 the Project is expected to generate more than 10 PM peak hour trips and 100 daily trips: A traffic impact analysis (TIA) prepared by a traffic engineer is required to assess project impacts and determine mitigation measures. The TIA study shall also include the following analysis: El Sight Distance per AASHTO for all accesses El Queuing El Sight circulation El Neighborhood Impacts F-1 Safety 2. Per FWCC Section 22-1474, the applicant/owner would be expected to construct half -street improvements consistent with the planned roadway cross -sections as shown in Map 111-6 of the FWCP and Capital Improvement Program (CIP) shown as TableIII-19. Based on the materials submitted, staff conducted a limited analysis to determine the required frontage improvements in meeting Federal Way City Code (FWCC). Based on the analysis and FWCC, the applicant would be expected to construct half -street improvements on the following streets: 06-102457 Doe, LD_ 36612 Mr. Baily June 21, 2006 Page 9 i7) 21" Avenue SW is a Type I street, consisting of a 58-foot street with curb, gutter, six-foot planter strip with trees, eight -foot sidewalk, and street lights in a 92-foot right-of-way. The improvements shall be from street centerline. Assuming a symmetrical cross section, an additional 16 feet of right-of-way (ROW) will bereqyircd to be deeded. Please note that additional right-of-way may be required as determined fbr the current cross sections on 2l't Avenue SW to match other improvements. Tapers and transitions beyond the project frontage may be required as deemed necessary for safety purposes, taper rate shall be based on WSDOT Design Manual; WS/12/60 or AASHTO as directed by the Public Works Director. 3. ROW dedication shall be conveyed to the City through a Statutory Warranty Deed and must have clear title prior to recording. C The applicant may make a written request to the Director of Public Works to modify, defer, or waive the requirements improvements. 5. FWCC Section 20-15 1 (d) and FWCP Policy TP2 1, require block perimeters no longer than 1320 feet for non -motorized trips, and 2640 feet for streets. Therefore, an east/west pedestrian path connection along the north side of the property would be required. Please have the engineer investigate this feasibility. I•Iease see enclosed comments. I—AAKe ft TE IT- ITIEL Iff—T-i 79Ti7TUT-(WT= Mease see enclosed comments. TaVU I �111 -1 %L1 F91ease see enclosed comments. CLOSING [!,reparing plans and materials for formal application. We hope you found the comments useful to your project. We have made every effort to identify major issues to eliminate surprises during the City's e content of this letter does not vest any future project application. Comments in this letter are only valid for one year as per FWCC Section 22-1657. As you know, this is a preliminary review only and does not take the place of the full review that will follow submission of a formal application. Comments provided in this letter are based on preapplication fulaterials submitted. please examine the complete FWCC and other relevant codes carefully. Requirements that are found in the codes that are not addressed in this letter are still required for your project. 06-102457 Doc. I.D. 36612 If you have questions about an individual coninient, please contact the appropriate department representative noted above. Anygeneral squestions can be directed v Shull, 206-244-3749. We look forward to working with you. wo=— PA Janet Shull, AICP Contract PlaTrer- enc: Meeting Sign in Sheet Building Division Comments Lakehaven Utility District Comments South King Fire and Rescue Comments Master Land Use Application Process III Development Checklist FWCC Section 22-721 Retail in B]Vzoning district FWCC Section 22-722 Fast Food Restaurant in BNzoning district SEPA checklist Mailing Label Handout Expedited Review Handout Parking stall design chart FWCC Article XVII — Landscaping FWCC Article XIX — Design Guidelines CPTED checklist FWCC Section 22-949, Garbage and Recycling FWCC Section 22-960 and FWCC Section 22-1047 Rooftop appurtenances FWCC Article XVIII - Signs c; Scoff Sproul, Assistant Building Official Ann Dower, Engineering Plans Reviewer Maryanne Zukowski, Senior Traffic Engineer Brian Asbury, Lakehaven Utility District Chris Ingham, South King Fire and Rescue Andy Bergsagel, Associate Planner 06-102457 Doc- 1.1), 36612 t r J' // 1 / iConferenceSign InSheet Name With Telephone Number � o z. 1 G 6. liar 7. v CITY O -4�k Federal Way May 23, 2006 Mike Baily 1319 Dexter Avenue North #245 Seattle, WA 98109 RE: File 06=102457-00- C; NOTICE of PREAPPLTCATION MEETING Hong 'Retail, 35415 21'5t Avenue SW Dear Mr. aily: The above-refereziced proposal has been assigned to e as project planner. At this time, the application has been routed to the members of the Development Review Committee. A meeting with the project applicant and Development Review Committee has been scheduled as follows: 10:00 AM, Thursday,, June 8, 2006 Hylebos Conference Room City Hall, 2na Floor 33325 8th Avenue South Federal Way, WA 98003 e look forward to meeting with you. Let me know if you will have more than five people attending the preapplication meeting so we can make arrangements for a larger room. This is the only notice sent out, so please coordinate directly with anyone else you would like to attend the meeting. Please call me at 206- 244-3749 or email me at janetshulldesign@comcast.het if you have any questions. Sincerely, J net Shull, AICP . -, ontract Planner 06-102457 Doc, I. D. 36499 41k MASTER LAND USE APPLICATION DEPARTMENT OF CommuNiTy DEVELOPMENT SERVICES 33325 8h Avenue South CITY OF RECEIVED PO Box 9718 Federal Way WA 98063-9718 Federal Way mAY, 1 7 2006 253-835-2607; Fax 253-835-2609 wow .ci!yoffederalwgy.coru FEDEPALWAY T. APPLICATION No(s) Date A -A C_ Project Name Property Address/Location Parcel Number(s) 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 Required Information Zoning Designation Value of Existing Improvements ?"it L— Value of Proposed Improvements Occupancy Type Construction Type L -- Applicant - am : Address: ilt>15 City/State: Zip: Phone: Zc;,Z� Fax: Email: CIE C—s— Signature: Agent (if different than Applicant) Aame: Address: City/State: Phone: Fax: Email: Signature: Name: L—L Address: 'Z_e-­( City/State: Zip: Phone: -f--3+( Fax: Email: Signature: Bulletin #003 —August 18, 2004 Page 1 of 1 k:\Handouts\Master Land Use Application