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r -- <br />County of Hawaii <br />201H Application Package <br />County of Hawaii <br />Office of Housing and Community Deweloment <br />201H Application Form <br />Summary Sheet <br />I. INFORMATION: <br />APPLICANT NAME: KUAKINI IilGHWAY 75-6099 CORP. <br />PROJECT NAME: KUAKINI SENIOR LIVING <br />H. Income and Rent Restrictions <br />Applicant commits to set-aside units based on the following income and rent restrictions. <br />Complete the chart below. <br />SEE A TTA CHMENT "SUMAL4R Y SHEET SECTION H" <br />Affordable Units <br />Restricted at % of AMG] * <br />Number of units <br />Percent of total units <br />% of AMGI <br />units <br />% <br />% of AMGI <br />units <br />% <br />% of AMGI <br />units <br />% <br />Total Affordable Units <br />units <br />Market Rate Units <br />units <br />% <br />Total Number of Units units <br />% <br />*AMGI = Average Median Gross Income <br />III. Length of Affordability Commitment <br />How long will your project commit to affordability restrictions and program compliance? <br />20 Years <br />IV. Occupancy Type <br />Indicate the number of units allotted for each of the following: <br />Family 0 Elderly* 101 + 155 = 256' Homeless 0 <br />1 The Project consists of: (i) Phase I: an Assisted Living/Memory Care Facility ("AL/MCF") with accommodations for approximately <br />101 residents (+/-201/o); (ii) Phase If: a Skilled Nursing Facility ("SNF"') with accommodations for approximately 155 residents (+I - <br />Form 201H-001 Page] <br />