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20260324_PJ26-0017_Application
Authentisign ID:6E956E2D-E1CA-F011-8195-OOOD3A1E5303 LAND USE APPLICATION ZONING PERMIT COMMUNITY & ECONOMIC DEVELOPMENT 18204 59 Avenue NE . Arlington, WA 98223 . Main Line 360.403.3551 FOR AGENCY USE Date: I File: Fee: $ PERMIT TYPE Type of Zoning Permit ❑Cottage(:519 Units) Required Submittals Zoning Permit Submittal ❑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. PROJECT: TACO BELL -ARLINGTON []Design Review—Board SITE INFORMATION Site Address 7755 204th Street NE Tax Parcel ID Number(s) 00847300000200 (Use block#if no bldg.#) Arlington,WA 99223 Acreage&Square 27,645 sf=0.63 ac Zoning Classification GC+ Mixed Use Overlay Footage Of Property Use Classification No. fast food restaurant, drive-thru Water Supply Current Proposed Sewer Supply Current Proposed none 1.5"dom/ 1"irri none 6" Existing Use of Property vacant On-Site Critical Areas? ❑Yes []No Critical Area Type not applicable e. .wetland,steep slope,etc. Has Site Been Logged in ❑Yes No Will Site Be Logged as Yes No Past 6 years? [�] Part of This Project? ❑ [�] OWNER APPLICANT CONTACT Name Dean A.Jensen&Apple Rentals, LLC Northwest Restaurants, Inc. same as Applicant 804 Hazel Street 18815 139th Ave NE, Ste. C Full Address Arlington,WA 98223 Woodinville,WA 98072 Phone Number (206)819-8868 (206)741-2000 E-mail paulmlee1@gmail.com fboll@nri-inc.com Relationship of Applicant ❑Owner WIContract Purchaser ❑Lessee ❑Other: to Property check one PROJECT . •JECT ENGINEER PROJECT SURVEYOR Partners Architectural Design Group Terraforma Design Group Northwest Surveying &GPS Name attn: Eric Koch attn: Pedro DeGuzman, PE attn:Jeromy Demeyer, LS 8383 158th Ave NE, Ste.250 5027 51st Ave SW 407 5th St Full Address Redmond,WA 98052 Seattle,WA 98136 Lynden,WA 98264 Phone Number (206)910-3847 (206)795-9023 (360)354-1950 E-mail eric@padgi.com pedro@terraformadesigngroup.com jeromy@nwsurvey.com Zoning Permit Application City of Arlington Page 1 of 3 Rev 11/2021 Authentisign ID:6E956E2D-EICA-F011-8195-OOOD3A1E5303 Project Details Project Name TACO BELL-ARLINGTON Total Number of Existing Lots 1 Total Number of Proposed Units Single Family Duplex By Dwelling Townhouse Use Type Multi-Family Other Commercial Fast Food Restaurant By Non-Residential Industrial Use Type Other LHas this property been subdivided? Yes [:]No Yes, Provide Applicant Name&Plat Name Parcel A of Baldridge BLA per City BLA 2-04-050-BLA SHORELINE DEVELOPMENT (RequiredDevelopment Will this Proposal be a Substantial Development as Defined in AMC§20.93? ❑ Yes ❑ No If Yes, Shoreline Environmental Designation Are you requesting a Shoreline Variance as allowed under AMC§20.92.130? ❑ Yes ❑ No All projects subject to a Shoreline Substantial Development Permit are required to be processed concurrently; FOREST PRACTICE(For Clearing>10,000sq AND MITIGATION FOR SIGNIFICANT TREE REMOVAL •• • Number of Significant Trees to be Harvested Total Acreage to be Harvested 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) I OR Date Completed (For Agency Use Only) I B) Number of Trees to be Replanted Off-Site(3:1 Ratio) Location: OR Date Completed (For Agency Use Only) IC)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 1112021 Authentisign ID:6E956E2D-EICA-F011-8195-000D3A1E5303 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 Ridgefield Washington on this date: 12/1/25 Applicant's Signature: — 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 10:02 AM Washington on this date: 11/26/25 Authentis N Owner's Signature: Pau/M be All other property owners of the subject property must also sign below(attach additional sheets if necessary): AuthentiswN 1) Name: Dean Jensen Signature: ✓eah Alehfeh 11/26/25 J� Address: 13015 E Cibola Rd Scottsdale AZ 85259 Phone: 425-356-7082 2) Name: Signature: Address: Phone: 3) Name: Signature: Address: Phone: Zoning Permit Application City of Arlington Page 3 of 3 Rev 11/2021 D c m City of Arlington Received v 18104 59th Avenue NE m Arlington,Washington 98113 Stamp (360)403-3551 0 m D Zoning Permit-Submittal Requirements Community Development Director Decision ➢ The number indicates the item is required for submittal and the number of copies required General Information Meeting Date: g 0 ➢ • Indicates the item shall,upon request,be required for submittal Submittal Date: D m Complete Submittal o Submittal Requirements Item' Cottage Housing Forest Practice Multi-Family Development Site Plan Review Yes No N/A General Application: Land Use Application Form&Submittal Checklists © 0 0 1 1 1 1 Water/Sewer Availability Application' EZI 0 0 1 1 1 Public Notice Materials' ❑✓ ❑ ❑ 1 set 1 set 1 set 1 set Project Narrative 0 ❑ ❑ 1 1 1 1 Legal Description 0 0 ❑ 1 1 1 1 Vicinity Map 0 ❑ ❑ 1 1 1 1 Review Fee3 © ❑ ❑ 1 1 1 1 USB Flash Drive with PDF's of Submitted Documents ❑ ❑ ❑ 1 1 1 1 Site Plans: Site Plano ❑ ❑ ❑ 1 1 1 1 Landscape Plano ❑✓ ❑ ❑ 1 1 1 1 Tree Survey Plan' © ❑ ❑ 1 1 1 1 Reduced Plan Sets(11x17)-All Above Site Plans or Maps ✓I 0 ❑ 1 1 1 1 Engineering Reports/Information: Drainage Report 21 El El 1 • 1 1 Geotechnical Report ❑ ❑ ❑ 1 • 1 1 Complete Streets Checklist ✓❑ ❑ ❑ 1 1 1 Traffic Impact Analysis © ❑ ❑ 1 1 1 Transportation Demand Management Plan ❑ ❑ ❑ • • • Parking Demand Management Plan ❑ ❑ ❑ • • • Snohomish County Traffic Impact Fee Offer Worksheets ❑ ❑ ❑ 1 1 1 WSDOT Traffic Impact Fee Offer Worksheet6 ❑ ❑ ❑✓ • • • Page 1 of 2 11/2021 D c m J N J M m Zoning Permit-Submittal Requirements m N Community Development Director Decision o Complete Submittal n Submittal Requirements Item? Cottage Housing Forest Practice Multi-Family Development Site Plan Review Yes No N/A do Environmental Information: T 0 0 SEPA Checklist' F • • • • D Cascade Industrial Center Modified SEPA Checklists El El F71 • • • • o W Critical Area/Wetland Report or Critical Area Evaluation ❑ ❑ ✓❑ 1 1 1 1 Archaeology/Cultural Reportlo ❑✓ ❑ ❑ • • • • Unanticipated Discovery Plan �✓ ❑ ❑ 1 1 1 1 NOTES: FOR CITY USE ONLY 1. Water/Sewer Availability shall be submitted with or prior to application submittal. This application is complete. 2. See Public Notice requirements. ❑ 3. See the City of Arlington Adopted Fee Schedule. This application is incomplete.See items noted above. 4. See Site Plan Requirements. The City of Arlington may require additional information.The applicant will be 5. See Snohomish County Traffic Impact Fee Offer Worksheet and required if the project is subject to SEPA. • notified in writing if additional information is necessary. 6. See WSDOT Traffic Impact Fee Offer Worksheet and required if the project subject to SEPA or requested. 7. See the SEPA Checklist Requirements for Categorical Exemption Thresholds.If not exempt,then required. These submittal requirements are for the City of Arlington permits only.Additional 8. All projects within the Cascade Industrial Center shall submit the CIC Modified SEPA Checklist.Public Notice permits may be required by federal,state,regional or local agencies.It is the Material is not required,as no Public Noticing is required with this checklist. responsibility of the applicant to ascertain whether other permits are required. 9. See Critical Areas Evaluation to determine the type of report required. 10. An Archaeological or Cultural Report may be requested by a reviewing agency or if known area of interest. All supplemental forms,checklists or requirements can be found at http://www.arlingtonwa.gov/169/ Applications-Forms Community Development Representative Date Page 2 of 2 11/2021 Authentisign ID:6E956E2D-E1CA-F011-8195-OOOD3A1E5303 LAND USE APPLICATION . SITE PLAN CHECKLIST COMMUNITY & ECONOMIC DEVELOPMENT 18204 59t"Avenue NE . Arlington, WA 98223 • Main Line 360.403.3551 COVERSHEET 41 Title Block(centered at top of drawing)that includes the following: fJ City of Arlington Name of Proposed Development File No. (call for correct number) Section,Township,&Range �] Sit r Information: lyJ Site Address (use block# if no bldg. #) Zoning Classification 11 Airport Protection District Subdistrict 11 Use Classification (from AMC 20.40) 11 Legal Description Tax Parcel ID Number Density&Dimensional Calculations ❑ Lot(s) Size (both in acreage and square feet) ❑ Lot Dimensions (length,width) ❑ Lot Number Labels (if applicable) ❑ Number of Lots (if applicable) ❑ Proposed Residential Density(if applicable) ❑ Building Setback(for existing, proposed,&relocated bldgs. on site) ❑ Building Height(for existing,proposed,&relocated bldgs. on site) ❑ Total Lot Coverage (impervious surface) N/A ❑ Recreational&Open Space Calculations (if applicable) 0 Adjacent Street Names &Classifications EJ Required Parking Space Calculations (required&proposed) EJ Required Bicycle Rack Spaces EJ Screening Types Provided (indicate for each lot line) Ed Utility Provider (sewer&water) N/A ❑ Critical Area Types Located On-Site and Associated Buffers (if applicable) ❑ Shoreline Classification (if applicable) ❑ FEMA Flood Zone Designation (if applicable) �] Sheet Index EJ Date Plans Were Prepared EJ Vicinity Map (Include North Arrow,Scale,and pinpoint site location) Name,Address, Phone Number,&Email Address of the Applicant, Owner,Engineer, Surveyor,& Landscape Architect Site Plan Checklist Page 1 of 2 Rev11/2021 Authentisign ID:6E956E2D-EICA-F011-8195-000D3A1E5303 SITE PLAN SHEET �] Title Bar (locate along right edge of sheet) that includes the following: �J Date Drawing was Prepared or Revised Project Name&Location Name,Address,&Phone Number of Applicant, Owner, Engineer,&Surveyor 41 North Arrow, Graphic Scale (1" = 50'or larger) and Legend 11 Existing Lot Lines Within or Adjacent to the Project Site 11 Existing and Proposed Rights-of-Way(include dimensions&street name) 11 Existing and Proposed Easements (include dimensions) 11 Existing Critical Area Boundaries and Associated Buffers On-Site and Within 150ft.of Site per AMC 20.93 11 Existing and Proposed Native Growth Protection Areas 11 Building (whether proposed, expanded,retained, or relocated) Setbacks From All Lot Lines 11 Building (whether proposed, expanded,retained, or relocated) Dimensions and Square Footage 11 Building Elevations (all sides for proposed or expanded buildings only- color renderings preferred) 11 Parking Stall, Loading Stall,Driveway,&Isle Locations&Dimensions 11 Electric Vehicle Parking Space Locations&Dimensions 11 Refuse Bin Location (including screening details) 11 Lighting Details (building exterior,site, &parking area) 11 Site Ingress/Egress (existing and/or proposed) 11 Frontage Improvements with Dimensions (if required) Proposed Right-of-Way Dedication (include dimensions&square footage) Adjacent Parcels with Parcel Numbers LANDSCAPE PLAN SHEET Title Bar (locate along right edge of sheet) that includes the following: Date Drawing was Prepared or Revised 11 Project Name&Location 11 North Arrow and Graphic Scale 11 Name,Address,&Phone Number of Applicant, Owner,&Landscape Architect Plant Schedule and Legend Showing Scientific and Common Names for Each Type of Tree,Shrub,and Ground Cover and their Quantity, Planting Size Mature Size,and Symbol. �] Tree, Shrub,and Lawn Planting Details Location and Spacing of all Trees,Shrubs,and Plants (including existing trees to be preserved) El Irrigation Details (if required) EJ Parking Area Shading Calculation (see AMC 20.76.130) Dimensions and Square Footage for Each Landscape Area, Including Frontage, Lot Boundary,and Vehicle Accommodation Area Landscaping fiJ Percentage of Total Lot Landscaping Location of Existing Significant Trees (signify which significant trees will be removed) Location of Where Replacement Trees are to be Planted (if applicable) Table including the Number of Trees and Species to be Removed Site Plan Checklist Page 2 of 2 Rev11/2021