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HomeMy WebLinkAbout20251124_PJA25-0082_App LAND USE APPLICATION I CST Y �,�' ZONING PERMIT COMMUNITY & ECONOMIC DEVELOPMENT ��lING O 18204 59 Avenue NE *Arlington, WA 98223 • Main Line 360.403.3551 FOR AGENCY USE Date: File: PIERMIT Type of Zoning Permit < • Y 9 Cottage(-19 Units) ! Required Submittals ❑Zoning Permit Submittal q ❑Forest Practice (Check All That Apply) Requirements Checklist []Multi-Family(519 Units) []Required Submittal Items ❑Site Plan Review(<4 ac.) ; ❑Shoreline Substantial []Design Review—Admin. j ❑Design Review—Board I SITE INFORMATION Site Address 19624 KNOLL DR.ARLINGTON.V. 98223-4011 ; Tax Parcel ID Number(s) 00898100005900 (Use block#if no bldg.#) Acreage&Square 17 acres i Zoning Classification RLC Footage Of Property ; 7,200 SF ' Use Classification No. `Hater Supply Current I Proposed i Sewer Supply Current i Proposed __ PUDIic PUDIIC Existing Use of Property sFR i On-Site Critical Areas? I ❑Yes ❑✓ No Critical Area Type (e.g.wePand steep,sI^oe etc Has Site Been Logged in ? ❑Yes 0 No Will Site Be Logged as ❑Yes ❑✓ No Past 6ears? Part of This Proiect? OWNER APPLICANT CONTACT Name MUHINJA ANTHONY/NDUNGU ESTHER j Omega Builders, LLC Applicant 1 19624 KNOLL DR,ARLINGTON,WA 98223.4011 i 1934 Florence St.Enumclaw,'Na 98022 t Full Address Phone Number (206) 753-9501 (253) 625-860A _ E-mail esiton@outlook.com darren@omega-builders.com Relationship of Applicant 1 ❑Owner []Contract Purchaser ❑Lessee ❑✓Other: Agent to Propertycheck one PROJECT ••JECT ENGINEER PROJECT SURVEYOR Name Designer-Omega Builders, LLC j None None 1934 Florence St. Enumclaw,Wa 98022 Full Address Phone Number (253) 625-8604 -- E-mail darren@omega-builders.c,om Zoning Permit Application City of Arlington Page 1 of 3 Re 1_ 2 __ Project Details Project Name Muhinja-Arlington AFH Total Number of Existing Lots 1 Total Number of Proposed Units Existing Single Family Existing Duplex i By Dwelling Townhouse Use Type Multi-Family Other Commercial By Non-Residential Use Type Industrial Other Has this property been subdivided? ❑ Yes ❑✓ No If Yes, Provide Applicant Name&Plat Name SHORELINE •P (Required for all Development . . Will this Proposal be a Substantial Development as Defined in AMC§20.937 ❑ Yes ❑✓ No If Yes, Shoreline Environmental Designation Are you requesting a Shoreline Variance as allowed under AMC§20.92.130? ❑ Yes 0 No All projects subject to a Shoreline Substantial Development Permit are required to be processed concurrently; FOREST >10,000so MITIGATIONAND • - SIGNIFICANT TREE REMOVAL Number of Significant Trees to be Harvested None Total Acreage to be Harvested None Is there a Current Development Moratorium on the Site? []Yes ❑✓ No Type of Forest Land Conversion ❑Class IV—General❑Class IV—Special Significant Tree Mitigation Options(A, B, or C) Will Significant Trees be Removed During any Phase of this ❑Yes ❑✓ No Proposed Project? A)Number of Trees to be Replanted On-Site(3:1 Ratio) OR Data Completed (For Agency Use Only) dB)Number of Trees to be Replanted Off-Site(3:1 Ratio) Location: OR Date Completed ! (For Agency Use Only) C)Tree Mitigation In-Lieu Fee (#of Harvested Trees) X(3) X(Tree Cost) _ Date Paid Receipt Ns Zoning Permit Application City of Arlington Page 2 of 3 Rev 11/2021 APPLICANT CERTIFICATION I certify that I am the Owner or Owner's authorized agent. If acting as an authorized agent, I further certify that I am authorized to act as the Owners agent regarding the property at the above referenced address for the purpose of filing applications for permits or review under the Arlington Municipal Code and I have full power and authority to perform on behalf of the Owner all acts required to enable the City to process and review such applications. I do hereby declare under penalty of perjury under the laws of the state of Washington that I have familiarized myself with the rules and regulations with respect to preparing and filing this application and that the statements and information submitted herewith are in all respects true and correct to the best of my knowledge and belief. DATED AT Enumclaw, Wa Washington on this date: 11/20/25 Digitally signed by Darren Darren Anderson Ante 0" Applicant's Signature: -01w�2511.20'° REAL PROPERTY OWNER CERTIFICATION i do hereby declare under penalty of perjury under the laws of the state of Washington that I am the owner of the subject property or an officer/member of the entity owning the subject property,that it is my desire to seek the subject land use permit, and that I will abide by any requirements and conditions that may be part of the approval of this request. I also hereby grant permission for City employees, agents of the City and/or other agency officials to enter the subject property, if necessary,for the purpose of site inspections. DATED AT &A yveyk Washington on this date: I;�DIZdes- Owner's Signature: A � U(� All other property ow f�th subject property must also sign below(attach a ditional sheets if necessary): 1) Name: Signature: Address: Phone: 2) Name: Signature: Address: Phone: 3) Name: Signature: Address: Phone: Zoning Permit Application City of Arlington Page 3 of 3 Rev 11/2021