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OĸceUseOnly TypeofReviewProcess NOTICE: Materials delivered by courier or by mail will not be accepted. Project Site Parcel ADDITIONAL PROJECT INFORMATION Project Description: Type of Proposed Please identify the square footage of each use below: Residential Manufacture__________ # of Existing Dwelling # of Proposed Residential Dwelling Existing Building Sq. Ft. (non-residential):______________ Proposed Building Sq. Ft. # of Existing Number of Proposed Will any buildings be demolished: No Yes. If yes, size in sq. feet or # of dwelling units OWNER INFORMATION Company Mailing Select Billing Contact: APPLICANT OWNER Company Mailing APPLICANT INFORMATION AUTHORIZATION TO FILE SIGNATURE (ALL PERSONS WITH AN OWNERSHIP INTEREST IN PROPERTY) By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge. Property Owner Individual authorized to sign on behalf of property owner Phone: General Application Development Services Center, 15670 NE 85th St, Redmond, WA 98052 I [PHONE REDACTED] %HO5HG )DPLO\ 5HVRXUFH &HQWHU UG $YH :RPHQ V DQG &KLOGUHQ V 6KHOWHU ✔ ✔ 3HWHU6X &KDQJ &KXUFK RI 6HDWWOH 1: VW 6W 6XLWH 6HDWWOH 6HDWWOH ✔ ✔ 3HWHU6X 1: VW 6WUHHW Jointly Applied: John Coster, Board Chair, Creekside Covenant Church 2315 173rd Ave NE, Redmond, WA 98052 (425) 376-1111 Signature Development Serv Applied: John Coster ard Cha : John Coster, Bo Bo Bo Bo Bo Bo Bo Bo Bo Bo Bo Bo Bo Bo Bo Bo Bo Bo Bo Board Ch re Attachment 14 Women and Children's Shelter with a maximum occupancy of forty (40) people. Updated 7-26-2017 2016-01036 CUP