21-101955-SE Land Use Permit Application-V140kCITY 10"::tSp
OF
Federal Way
APPLICATION NO(s)
Project fame Cemetery Road for Puyallup Tribe of Indians
Property Address/Location
Parcel Number(s)
MASTER LAND USE APPLICATION
400 S 376th St, Federal Way, WA 98003
322104-9134; 322104-9025
DEPARTMENT OF COMMUNITY DEVELOPMENT
33325 8"' Avenue South
Federal Way, WA 98003-6325
253-835-2607;Fax 253-835-2609
www.cityoffedera1N at.con1
Date 5/14/2021
Project Description Construction of a paved access road (approximately 1,250 LF for the tribal cemetery
situated on parcel 322104-9134. Roadway section will consist of 24' wide way of travel
with wedge curb
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)
X Process III (Project Approval)
Process IV (Hearing Examiner's Decision)
Process V (Quasi -Judicial Rezone)
Process VI
x SEPA w/Projcct
SEPA Only
Shoreline: Variance/Conditional Use
Short Subdivision
Subdivision
Variance: Commercial/Residential
Required Information
SE Zoning Designation
SFR Comprehensive Plan Designation
Value of Existing Improvements
Value of Proposed Improvements
International Building Code (IBC):
Occupancy Type
NIA Construction Type
Applicant
Name:Andrew Strobel
Address: 3009 E Portland Ave
City/State: Tacoma, WA
Zip: 98404
Phone: (253) 573-7879
Fax:
Email: Andreyv.Strobel@puyalluptribe.com
Signature;e .
Agent (if different than Applicant)
Name. Andrew Harris, P.E.
Address:1145 Broadway, Suite 115
City/State: Tacoma, WA
Zip: 98402
Phone:(253) 319-1506
Fax:
Email: Drewld(a)MomentumCivil.com
Signature: e�AN
Owner l
Name: Andrew Strobel
Address: 3009 E Portland Ave
City/State: Tacoma, WA
Zip: 98404
Phone: (253) 573-7879
Fax:
Email: Andrew.S#ropuyalluptribe.com
Signature:
Bulletin #003 — January 1, 2011 Page 1 of I k:\HandoutslMaster Land Use Application