23-103808-MasterlandUse9252341k
CITY OF 40';:tS:P
Federal Way
MASTER LAND USE APPLICATION
DEPARTMENT OF COMMUNITY DEVELOPMEN"r
33325 81h Avenue South
Federal Way. WA 98003-6325
253-835-2607, Fax 253-835-2609
t\ ofll •dcral \a\.Cum
APPLICATION NO(S) l� b Date 9 �X I ��
Project 1N
Property
Parcel Numbers) Ul?b_�— 1 Q 4k-3 0)
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 Il (Site Plan Review)
Process III (Project Approval)
Process IV (Hearing Examiner's Decision)
Process V (Quasi -Judicial Rezone)
Process VI
Development Agreement
SEPA w/Project
SEPA Only
Shoreline: Variance/Conditional Use
Short Subdivision
Subdivision
Variance: Commercial/Residential
Required Information
Zoning Designation
Comprehensive Plan Designation
lc"�)��'R/alue of Existing Improvements
asJ Value of Proposed Improvements
Internquonal Building Code (IBC):
Occupancy Type
UConstruction Type
Applicant
NameT�St1l�. 'F�pvJ�l'LS
Address: -�jaq) �c\
City/State:= t V0
Zip:
Phone: g�v In - (.oSC)— l9)
Fax:
Signature: U
Agent (if different than Applicant)
Name:
Address:
City/State:
Zip:
Phone:
Fax:
Email:
Signature:
Owner
Name:,L,Sv, op, �VO
Address: 308 Lo� V, AA\^ �4kYrf_ S
City/State:
Zip: r-,, 0 d)
Phone: to,,o t5'0
Fax: t
Emai1:�k/\, FA - C-9 VN -\
Signature:
Bulletin ##003 - February 14. 2019 Page 1 of 1 k:\Handouts\Master Land Use Application