20110608082756620.pdfVI VD'tf
City ® Edmonds o
Traffic Impact Analysis Worksheet
Name of Proposed Project: '�, 4e'11
Owner/Applicant
Naive
// 710
Street/Mailing Address
City State Zip
Telephone( /%GGA
Applicant Contact Person:
CMZ
Name
Street/Mailing A dress
City ! State Zip
Traffic Engineer who prepared the Traffic Impact Analysis (if applicable):
Finn Name Contact Name
Telephone: E-mail:
THRESHOLD LEVELS OF ANALYSIS
Project Traffic Levels Sections to Complete
I. Less than 25 peak -hour trips generated I and 7 only (Worksheet/Checklist)
II. More than 25 peak -hour trips generated All sections
1. PROJECT DESCRIPTION
a, Location - Street address:I'�
(Attach a vichtitry map and site plait)
b. Specify existing land use:
c. Specify proposed type and size of development:
1 of residential units and/or square footage of building)
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7, MITIGATION RECOMMENDATIONS
State recommended measures and fees required to mitigate project specific traffic impacts, Traffic
impact fee shall be calculated from the Edmonds Road Impact Fee Rate Study Table d. (attached)
and as identified in ECDC 18.82.120, except as otherwise. provided for independent fee calculations
in ECDC 18.82.130.
11 CHANGE IN USE
Fee for prior use shall be based on fee established at the tirrie the prior use was permitted. If the
previous use was pennitted prior to the adoption of Ordinance 3516 (effective date: 09'/12/04),
the 2004 FC DC 18,82,120 impact fee shall be used.
Units in
square Bee
of dwelling,
Vf 1, etc,
X Rm
X
=New Use 0
Prior 1
Fee. Prior Use F=
U NEW IDEVE LOPMENT
I Units in
ITE Land Use Category it nU
Per sqUarC feet,
Per
Unit
Fee Rate 9 of dwelling,
New Use $ X
kTION: $200.00 (+ consultant feed $
TOTAL TRAFFIC IMPACT FEE $
ng'Diioon Approval
NO-
' No finpact fees will be due, nor will a credit be given, for an impact fee calculation resultbig in a net negative,
Revised on 612,1110 E82 - Traffie Impact Analysis TVor1r,5jjpet Page 5 of 5