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Home My WebLink AboutPermit L07-020 - JACOBSEN GAYLE - LOT CONSOLIDATIONJACOBSEN, GAYLE Lot Cons olidation 12245 - 44 AVE S L07 -020 City of Tukwila Memorandum TO: Development Review Staff FROM: Brandon J. Miles, Assistant Planner RE: Lot Consolidation (L07 -020) DATE: March 23, 2007 Attached is a lot consolidation on 44 Ave South. The document is ready for recording. Please sign will indicated below: a MLw, PW Director Chief Olivas, Fire Chief Brandon Miles Page 1 Q: \1 Temp File \FORMs \MEMO TEMPLATE.doc 03/23/2007 Return Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard Tukwila, WA 98188 LOT CONSOLIDATION NUMBER I--- -° � ^ CITY OF TUKWILA, WASHINGTON Grantor(s): �. A CO i3:364 G?4 9 L Last Name First Name Last Name First Name Additional grantors on page _ of document. If needed Grantee(s): The Public Assessor's Property Tax Parcel or Account Number(s): 90003 S' O ,5 Legal Descriptions: Before the Lot Consolidation: lock 0 .-c- A LLEAI TOLOA IC} b LoT 3 D cc•� � a a' /AT 31 0 6iocK A ■'• /11.4-6AITVWN ADD L 6 7' 3 a 64 3 l o ck c2 O'F ALL (N TO WAI ADD After the Lot Consolidation: Lot so — 3 j -3,2 Lock 6 c !� A-° Attachment A: Lc — 3cJ 0 ( E--- 3 0 ` —� -�— 3 0 3 1 -1 4/ qI s� DECLARATION: • • AFFIDAVIT OF OWNERSHIP FOR LOT CONSOLIDATION Know all men by these presents that we, the undersigned, owner(s) in fee simple of the land herein described do hereby make a lot consolidation. The undersigned further declare this lot consolidation to be the graphic representation of said lot consolidation and the same is made with the free consent and in accordance with the desire of the owner(s). In witness whereof we have set our hands and seals. Name: Gip .161e J A co OSZV Name: Name: Name: Name: Name: Name: Name: STATE OF WASHINGTON County of King On this day personally appeared before me Ry� � ACoFSe,}•-1 to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledge that S Re signed the same as ha- free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this (1 day of , 0; OTAAY •:�� Title: /l %'74 YJb'3L..zc • �` • �G or My appointment expires: /1/02 / 0°02 �S ; tip UB1. ,�o�p , 20 0 7 Signature: � � Name as commissioned: 5co r r A-- : l.aa.� r�r✓C.,f-1 l •. WA Reviewgd and j ,,.o e'by the Short Subdivision Committee and hereby certified for filing this I I'm day of Apr. , 20 01 . Chair, Short Subdivision Committee Page 1 of April 11, 2007 Ms. Gayle Jacobsen 12245 44 Ave S Tukwila, WA 98178 RE: Lot Consolidation Application L07 -020 Dear Ms. Jacobsen: Enclosed please find the final lot consolidation form. The form is ready for recording with the King County Recorder's Office. I have included extra copies and the County may need additional copies. Once recorded, please return a copy with the recorder's number listed on the form. The Lot Consolidation process will be complete, once the City receives a copy of the recorded document. If you have any questions, please call (206) 431 -3684 or send an email to bmiles • ci.tu, ..wa us. erely, Brandon J. Miles Assistant Planner cc. File (L07 -020) City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director 6300 Southcenter Boulevard. Suite #100 • Tukwila. Washington 98188 • Phone: 206 - 431 - 3670 • Fax: 206 - 431 - 3665 March 23, 2007 Ms. Gayle Jacobsen 12245 44 Ave S Tukwila, WA 98178 • City of Tukwila NOTICE OF COMPLETE APPLICATION • Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director Re: Notice of complete application; L07 -020 Dear Ms. Jacobsen: The Department of Community Development received your Lot Consolidation application on March 19, 2007 and it was deemed to be complete on March 23, 2007. The application has been routed to other City departments for review and comments. I will be in contact with you shortly if any modifications need to be made. This determination of complete application does not preclude the ability of the City to require that you submit additional plans or information, if such information is necessary to ensure the project meets the substantive requirements of the City or to complete the review process. If you have any questions, you can contact me at (206) 431 -3670 or by email at bmiles@ci.tukwila.wa.us. ely, lr� Lr don J. Mi es Assistant Planner cc. File (L07 -020) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206- 431 -3665 • P:1Planning FormsVlpplirations\BLA- LCD- 06 .doc CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplan@ci.tukwila.wa.us AFFIDAVIT OF OWNERSHIP AND HOLD HARMLESS PERMISSION TO ENTER PROPERTY STATE OF WASHINGTON 55 COUNTY OF KING The undersigned being duly sworn and upon oath states as follows: 1. I am the current owner of the property which is the subject of this application. 2. All statements contained in the applications have been prepared by me or my agents and are true and correct to the best of my knowledge. 3. The application is being submitted with my knowledge and consent. 4. Owner grants the City, its employees, agents engineers, contractors or other representatives the right to enter upon Owner's real property, located at t -2 ot'`P 5 4 V" Grp) for the purpose of application review, for the limited time necessary to complete that purpose. 5. Owner agrees to hold the City harmless for any loss or damage to persons or property occurring on the private property during the City's entry upon the property, unless the loss or damage is the result of the sole negligence of the City. 6. The City shall, at its discretion , cancel the application without refund of fees, if the applicant does" not respond to specific requests for items on the "Complete Application Checklist" within ninety (90) days. EXECUTED at 11u4Ls li Aa_O-1 z(.� (city), W 1 ► (state), on 1 of • 200 7 Gatt9 GOeSt5 (Print Name) 10,2 (45 y { c (Address) Can .2 6 62 740 - 426(0 330 MOs 7 (Phone Number) en 1 /� � 1 (Signature) /� /gy On this day personally appeared before me l`�P"T L€ Jt�� 11,, ss to me known to be the individual who executed the foregoing instrument and acknowledged that he/she signed the same as his/her voluntary act and deed for the uses and purposes mentioned therein. SUBSCRIBED AND SWORN TO BEFORE ME ON THIS DAY OF e ' , 20 � %u111104 I C UN/ 41r r, NOTARY PUBLIC in and for the St a of W 4' • - ••• . f Np residing at Y'UKwy (4. . &4o•. / y : � pT A /� �, ....s My Commission expires on l / /i0 2 � : 4�•0 i * 0 A.° UBLAG oo i i ••• Z ti n, E' er• VYP►5�',• December 4, 2006 • • CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E - mail: tukplan@ci.tukwila.wa.us BOUNDARY LINE ADJUSTMENT/LOT • CONSOLIDATION APPLICATION NAME OF PROJECT/DEVELOPMENT: Ow Air.fte L Alf. CO n s n r t A - r l DA I LOCATION OF PROJECT/DEVELOPMENT: Give street address or, if vacant, indicate lot(s), block and subdivision, access street, and nearest intersection. 1 e2 5 - 0 (41 SO LIST ALL TAX LOT NUMBERS (this information may be found on your tax statement). . )'7900 - 03 go - aS • DEVELOPMENT COORDINATOR : The individual who: • has decision making authority on behalf of the owner /applicant in meetings with City staff, • has full responsibility for identifying and satisfying all relevant and sometimes overlapping development standards, and • is the primary contact with the City, to whom all notices and reports will be sent. Name: G Qty 1 'C- - SA C o 3 5 r n1 Address: ) a a 1 5': yir aa SO Phone: 70(o - 7(0 -1 89 3 E-mail: ,2O(Q` 3 30 - 1(o57 Signature: P:1Planning FormsWpplicationslBlA -L .- 06.doc FAX: Date: 3 - 19 - 67 December 4, 2006 •