Koz on N. Broadway LLC 10/31/2019

EXHIBIT A TO CONDITIONAL CERTIFICATE OF PROPERTY TAX EXEMPTION Koz on N. Broadway, LLC TAX EXEMPTION APPLICATION FORM CITY of EVERETT PLANNING aitd COMMUNITY DEVELOPMENT Tax Exemption Application Form JJ/fPursuant to�Chhapter 84.14 RCW and Chapter 3.78 EMC Name of Applicant/ic {1 /V i r 7r Address /& J✓/,�Zi1vd !�! e 1k2 ( FOR OFFICIAL USE ONLY �/� Zip Code ferZ9 ) TYPE: `1!- E' 'l'r.ft () Cil �7 ,state : Phone 42 .5� /42)Alt ph ME aM Email 13" 01/2. - ,, ')1 FEE$ 736 Z-- RECE,PTM Primary Contact(If other than applicant) (.24: , Pe)46ASSIGNED TO: Address ��ne u h/V.� / City State Zip Code RECEIVED Phone Alt ph OCT 2 9 2019 Email 6/ CITY OF EVERETf �� A/ 1 PLANNING DEPT Property Owner(s) kC 1)2 Pt"1 /V• Address City State Zip Code Property Address or Location./D2 I v• /W. dJ o s 2 '14 r �Fto ert (acres/sqit)�,5.�Tax Parcel N ()��',.�/�f?1�Dl.'l».3..�b� � p Y Zoning Bing" Comprehensive Plan Designation Brief Description of Project r7.&'i - 16/75 f,.s;, )a ki New Construction YES pi NO❑ Rehabilitation of Existing Units YES ❑ NO❑ t� "is Prof New Units IV) Existing Empty Existing Occupied 0 of Units applying for this exemption/27) if existing units are vacant,date last occupied Affidavit of Vacancy Attached? YES ❑ NO Cl (For Official Use) Budding is in compliance with the City's Minimum Housing Code? YES'NO 0 Describe building use and square feet Intended for each use // l5!/7 ,a/+� 'iTI J WPC. l� 1111 D&WLI cat 7 ZY)S)41,79 � �J Projected Cost of New Construction/Rehabilitation$A6 2, '4-source of Cost Estimate rec., Expected Date to Start Project 1 I///.7.0/q Expected Date to Complete Project l//b/2-4 19 a The project must meet the following criteria for special valuation on multi-family property: 1. Be located within the"Property Tax Exempt Zone"designated for the tax incentive by the City.See area map. Updated Z012 1 OF 2