21-104309-Master Land Use Application-10-20-2020-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:
Matthew Taumua, Midway Samoan Assembly of God
29276 Military Road South
Federal Way, WA
98003
(253) 213-0034
mtaumua@midwaysamoanaog.com