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TIA - 20736 76th Ave W.pdfCity of Edmonds Traffic Impact Analysis Worksheet /n1 tt Name of Proposed Project: W I i. 1� ? �e l r Owner/Applicant Applicant Contact Person: Name Name Street/Mailing Address Street/Mailing Address City State Zip City State Zip Telephone: Telephone: Traffic Engineer who prepared the Traffic Impact Analysis (if applicable): Firm Name Contact Name Telephone: __________ E-mail: THRESHOLD LEVELS OF ANALYSIS Project Traffic Levels Sections to Complete I. Less than 25 peak -hour trips generated 1 and 7 only (Worksheet/Checklist) ..................................................._....... ....................................................... ... II. More than 25 peak -hour trips generated All sections 1. PROJECT DESCRIPTION a. Location - Street address: b. Specify existing land use: Attach a vicinity map and site plan.) e. ecll c. Specify proposed type and size of development:"_ -Tem ----------------------------------------- (# of residential units and/or square footage of building) Revised on 6/24/10 E82 - Traffic Impact Analysis Worksheet Page 1 of 5 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 4 (attached) 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 Rate # of dwelling, vfp, etc. `blew Use 7.% ®!.©.........q ilii X 5 Prior Use $ X New Use Fee: $ Prior Use Fee: $ $ 1 NEW DEVELOPMENT New Use L) OTHER Units in Land Use Category Per Unit square feet, Fee Rate # of dwelling, vfp, etc. $ �X Fee 1$ 314od LS" Cityt► dmo' nils, 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. Revised on 6124110 E82 - Traffic Impact Analysis Worksheel Page 5 of 5