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j E82 Traffic Worksheet.pdfAPPENDIX A Page I of 2 Transportation Impact Analysis Worksheet Name of Proposed Project: 120b &A Owner/Applicant Name I Street/Mailing Address Am-K2��� 0� o3 City State Zip Telephone:42-5 -2 2 Applicant Contact Person: W!E�� Name Street/Mailing Address s2t.- O� City State 1 zip Telephone: Traffic Engineer who prepared the Traffic Impact Analysis (if applicable): Firm Name Telephone: a. Location - Street address: b. Specify existing land use: c. Specify proposed type and size of development: Contact Name =11108 (Attach a vicinity map and site plan.) I of'residential units and/or square footage of building-) d. Date construction will begin and be completed: e. Define proposed access locations: aX)!�-2aW-277 HY)-1 CIQ 2 110 APPENDIX A Page 2 of 2 f. Define proposed sight distance at site egress locations: 2. MITIGATION RECOMMENDATIONS State recommended measures and fees required to mitigate project specific traffic impacts. Traffic impact fee shall be calculated from the attached Impact Fee Rate Tables and as identified in ECDC 18.82.120, except as otherwise provided for independent fee calculations in ECDC 18.82.130. CHANGE IN USE Fee for prior use shall be based on fee established at the time the prior use was permitted. If the previous use was permitted prior to the adoption of Ordinance 3516 (effective date: 09/12/04). the 2004 ECDC 18.82.120 impact fee shall be used. Units in ITE Land Use Category Per Unit square feet, Fee Fee Rate 4 of dwelling, vfb. etc. New Use X Prior Use X New Use Fee: S Prior Use Fee: S NEW DEVELOPMENT oe\ ITE Land Use Category Z-- New Use N(B)AJ ,- A --7 Per Unit Fee Rate $s -' X gromARO'l Units in square feet. 9 of dwelling, vfp. etc. Fee MITIGATION FEE RECOMMENDATION: S INDEPENDENT FEE CALCULATION: $240.00 (+ consultant fee) S FTOTAL TRANSPORTATION IMPACT FEE S City of Edmonds, Engineering Division Approval Date No impact fees will be due, nor will a credit be given, for an impact fee calculation resulting in a net negative.