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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1425-430-7200
www.rentonwa.eov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: MBA Cascade Plaza LLC and MBA Cascade Holding LLC
ADDRESS: 7420 SW 24th St. Suite 4
CITY: Mercer Island �WA
STATE:
ZIP:
98040
PHONE NUMBER: (206) 397_3.579
EMAIL ADDRESS`:anna@washingtoncharter.org
❑ I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME. WCSD 16950 116th Ave SE, LLC
COMPANY (if applicable)WA Charter School DVIp.
ADDRESS: 107 Spring Street, Suite 5030
CITY. Seattle
STATE:
WA
ZIP:
98104
PHONE NUMBER: (503) 970-7487
EMAIL ADDRESS':
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Anna Johnson
COMPANY (if applicable):WA Charter School DVIp.
ADDRESS: 107 Spring Street, Suite 5030
CITY: Seattle
STATE:
�WA
ZIP:
98104
PHONE NUMBER (503) 970_7487
EMAIL ADDRESS•:anna@washingtoncharter.org
❑ I prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
K-12 Public Charter School
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
16950 116th Ave, SE, Renton, WA 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
282305-9009
EXISTING LAND USE(S):
Former grocery store
PROPOSED LAND USE(S):
Public K-12 School
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Commercial Mixed Use
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable)
EXISTING ZONING:
CA
PROPOSED ZONING (if applicable):
SITE AREA (in square feet):
240.740 (CUP area). 593.090 (parcel areal
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
N/A
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: N/A
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (if applicable)
NUMBER OF NEW DWELLING UNITS (if applicable):
NUMBER OF EXISTING DWELLING 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.
PROJECT INFORMATION (CONTINUED)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 38,618
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 38,618
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable): 30
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE
INCLUDE
SQUARE FOOTAGE (if applicable):
❑ AQUIFER PROTECTION AREA ONE
❑ AQUIFER PROTECTION AREA TWO
❑ FLOOD HAZARD AREA
sq. ft.
❑ GEOLOGIC HAZARD
sq. ft.
❑ HABITAT CONSERVATION
sq. ft.
❑ SHORELINE STREAMS & LAKES
sq. ft.
❑ WETLANDS
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE SW QUARTER OF SECTION 28 , TOWNSHIP 23 N, RANGE 5 East_N.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
r-
1,
I, (Print Name/s) r(..�-tCr I I���C%7 , declare under penalty of perjury under a laws of the State of Washington that I
am (please check one) ❑ the current owner of the property involved in this application or LJthe authorized representative to act for a
corporation (please attach proof of authorization) and that the foregoing statements and answers herein contained and the information
herewith are in all respects true and correct to the be f my knowledge and belief.
72
Signature of Owne'r75epresentative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that T n � � l'f Y ` �� D '(� signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
12119
Dated
Notary Public Yn and for the State of Washington
A- I I �E o w+�
Notary (Print):
My appointment expires: I Z01