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DEPARTMENT OF COM M UNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 | 425-430-7200
www.rentonwa.gov
PROPERTY OWNER(S)
NAME: MAR Cascade Plaza LLC and MBA Cascade Holding LLC
ADDRESS:7420 SW 24th St. Suite 4
clil'Mercer lsland STATE:
WA
ZIP:
98040
PHoNE NUMBER: (206) 397_3579
E MAI L ADDRESS.'an na @ wash i ngto ncharte r.o rgf'l I orefer to rec¡ive all corresoondenc-e via uS Mail
APPLICANT 1ir other than owner)
NAME WCSD 16950 116th Ave SE, LLC
CoMPANY (if applicable):WA Charter School Dvlp
ADDRESS:107 Spring Street, Suite 4025
CITY:Seattle STATE:
WA
ZIP:
98104
PHoNE NUMBER: þog) gro-T4gl
EMAIL ADDRESS-:
E I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME:Anna Johnson
CoMPANY (if applicable)\¡lA Charter School Dvlp
ADDRESS:107 Spring Street, Suite 4025
clw'seattle SÏATE:
WA
ztP.
981 04
PH.NE NUMBER þog) g7o-T4BT
EMAIL ADDRESS.'an na @ washingtoncharte r.orgE I orefer to receive all corresoondenc-e via US Mail.
LAND USE PERMIT MASTER APPLICATION
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Excel Public Charter School
PROJECT/ADDRESS(SyLOCAT|ON AND ZtP CODE:
16950 116th Ave, SE, Renton, WA 98058
KrNG COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
282305-9009
EXISTING LAND USE(S):
Former grocery store
PROPOSED LAND USE(S):
Public Middle/Hiq h School
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION
Commercial Mixed Use
PROPOSED COMPREHENSIVE PLAN MAP
DESI GNATION (if applicablè)
EXISTING ZONING:
CA
PROPOSED ZONING (if applicable)
SITE AREA (in square feet):
24O.740 ICUP area). 593.090 loarcel areal
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
N/A
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:J\/fi
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (if applicable)
NUMBER OF NEW DWELLING UNIJ-S (if applicable):
NUMBER OF EXISTING DWEI-tlNG UNITS (if applicable):
PROJECT VALUE:$7.5M :
*By completing the email address field the owner/applicant/contact person is opting to receive all formal notifications
and project documents in digital format via email unless otherwise requested,
RECEIVED
03/06/2019
amorganroth
PLANNING DIVISION
PROJ ECT r NFORMATTON (CONTT N UED)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDI NGS (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDI NGS (if applicable):
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): gg,61g
NET FLOOR AREA ON NON-REStDENT|AL BUtLDtNGS (if
applicable): gg,61g
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable):gg
IS THE SITE LOCATED IN ANY ryPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
E RoutreR PRorEcloN AREA oNE
n Rourren PRorEcloN AREA TWo
E TIoooHAZARDAREA
¡ GEoLoGIc HAZARD
! HABITAT CoNSERVATIoN
E sxoneu¡IE STREAMS & LAKES
N WETLANDS
sq.ft.
sq.fr.
sq.ft.
sq.ft.
sq.ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach leqal description on separate sheet with the followinq information includedl
SITUATE IN THE SW QUARTER oF SEcTloN 28 , ToWNSHtp 23 N, RANcE 5 East ,w.M. tN THE ctw
OF RENTON, KING COUNTY, WASHINGTON
l, (Print Name/s)underpenaltyof perjuryunderthe lawsof the Stateof Washingtonthat I
am (please
corporation
Dated
o current of the proper$ involved in this application or I the authorized representative to act for a
of authorization) and that the foregoing statements and answers herein contained and the information
respects and to the best of my knowledge and belief
Date Signature of Owner/Representiative Date
STATE OF NGTON ))sscouNw oF K|NG )
I certiff that I know or have satisfactory evidence that fY1 bv*+'- -4^U"t ùì/v signed this instrument and
acknowledge it to be his/her¡their free and voluntary act for the uses and purpose mentioned in the instrument.
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ruotad euOti{iñ and forthe State of Washington
Á-lrull¿ 3 Ow"ør-
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Op
AFFIDAVIT OF OWNERSHIP
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It WA
My appointment expires:?,
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S'IATES OF''on OAre
Wusbingfon
S ecretary o { Strt"
I, SAM REED, Secretary of State of the State of Washington and custodiah of its seal,
hereby issue this
CERTTFICATE OF FORMATION
to
MBA CASCADE PLAZA LLC
a/an WA Limitecl Liability Company. Charter documents are effective on the date
indicated below.
Date:8/2/2007
UBI Number 602-749-563
APPID: 920525
Given under my hand and the Seal of the State
of Washington at Olympia, the Statc Capiral
S¿rn Reecl, Secretary of State
I889
STA
tl
$SfrsP
STÀTES OF
Wltåtntoof Wusllington
S ecretary o { Strt"
I, SAM REED, Secretary of State of the State of Washington and custodian of its sea[,
hereby issue this
CERTIFICATE OF FORMATION
to
MBA CASCADE HOLDING LI,C
a/an WA Limited Liability Company. Charter documents are effective on the date
indicatcd bclow.
Date:812/2007
UBI Numb er 602-7 49 -5 62
APPID:920516
Given under my hand and the Seal of the Statc
of Washington at Olympia, the State Capitat
r889
STA
Sam Reed. .Secrelary of State