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20130125083913317.pdfName of Proposed Pi-oject: �j . . ........ ......... . .. . . .......... Owner/Applicant Name StrectiNfailing.Address 'S city State Zip 'relephonic: 17 . . . ... . .. ... . .. . ... . ........ Applicant C"onkad, Pei'son,. Name Street/Mailing Address City State Telephone: Traffic Engineer- who prepared the Traffic Innpact Analysis (if applicable): Firm Name Contact Name Telephone: E. -mail: THRESHOLD LIEVELS OF ANALYSIS . . ... ....... Pro est Ji n n� c Levels7TS7e(�-iions to Complete 1, Less than 25 peak -hour trips generated I and 7 only (Worksheet/Checklist) 11. More than 25 peak -h ur (ripsgenerated �mmAll sections tt; 0( �- a. Location .-Street address: --"/o / 11, o — 0 ind S eO 20 Attach a vicinity map an d site plan) b, Specify existing land use: 3r,�,,)be- J,,0 o I k cSpecify proposed �ype and size of development; 6ev,)rv-o,1 04-f e —Ah). 116, . ........ .......... (4 qf jvsiflardial units antfloy, squareftolagge qfbuildinbi) Re vised on 0124,110 L,23.2 -'rof ic An P I fart Avial Isis Worksheet 1 ctt.,c I ref5 j City of Edrrmnds "'I"'t-"affic I rii,"'i pact Ar"Ialysis Wo�rksheet 11 Name of Proposed Pi-oject: �j . . ........ ......... . .. . . .......... Owner/Applicant Name StrectiNfailing.Address 'S city State Zip 'relephonic: 17 . . . ... . .. ... . .. . ... . ........ Applicant C"onkad, Pei'son,. Name Street/Mailing Address City State Telephone: Traffic Engineer- who prepared the Traffic Innpact Analysis (if applicable): Firm Name Contact Name Telephone: E. -mail: THRESHOLD LIEVELS OF ANALYSIS . . ... ....... Pro est Ji n n� c Levels7TS7e(�-iions to Complete 1, Less than 25 peak -hour trips generated I and 7 only (Worksheet/Checklist) 11. More than 25 peak -h ur (ripsgenerated �mmAll sections tt; 0( �- a. Location .-Street address: --"/o / 11, o — 0 ind S eO 20 Attach a vicinity map an d site plan) b, Specify existing land use: 3r,�,,)be- J,,0 o I k cSpecify proposed �ype and size of development; 6ev,)rv-o,1 04-f e —Ah). 116, . ........ .......... (4 qf jvsiflardial units antfloy, squareftolagge qfbuildinbi) Re vised on 0124,110 L,23.2 -'rof ic An P I fart Avial Isis Worksheet 1 ctt.,c I ref5 a 7, MITIGATION Rdist OMMENDN'rIONS State iecormucrided measi,rres atid fees require, -xi (,o mitigate prqjed: specit'ic, traffi(; rrj.tpacj," 1'rafli("' impact lc, au, shall be: calculated fi,om the Edmoticls, Road hnixact Fee, [Z.atc Saidy Table 4 and as' identified in E( --',]-)C 18.81120, except as othemise provided fi�)r indepeadcot fee calcul"atiarae; ilii i F"CDC' 18.82,130, N CHANGE IN USE Fee for prior use be based ori fee esta.btislied at the firrie the prior use was permitted. If the previous me was permitted prior to the adoptiori of Ordinarice 3516 (effectiv(., date09/12/04), the 2004- EC DC 18.82.120 Impact b cc shall be used. Units in Land Use Cateory gPer Unit square feet, Fee Fee Rate W of dwelling, vii, ete. ...... ..... . Nem lyse x (0 -71 YO Irtri-mr Use x qO -U 0� New Use Fee: �Ir Z/10 Pri: Use Ice: S// El NEW DEVELOPMENT Units in 111" Land Use Catecory Per Unit square, feet, Fee Rate of dwell rag, --ifpl -etc New Use El OTHER City of Edmonds, Engineering Division Appr-oval 11[11'1r1"'1/`�/11 [1112'�" Date No impact lees will be (ILse, rior will a credit bc invert, fiat an impact fee calculafloia resulting in a rIet fle"gative, Re visce"I on 0/248 0 E"82 finpact Ana lVsis Worksheel