Traffic Impact Worksheet.pdfCity of Edmonds
Traffic Impact Analysis Worksheet
Name of Proposed Project:
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Owner/Applicant 'S22142' & plicant Contact Person:
Name
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StAddress A _ (�DStreet/�a����a�� �/U
City State Zip
Telephone:
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Name
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St:rectlMailirig Address
City State Zip
Telephone:/ 4a
Traffic Engineer who prepared the Traffic Impact Analysis (i applicable):
Firm Name Contact Name
Telephone: 7�� ` E-mail: Gl G 6D d1 ( CCr�'�►
THRESHOLD LEVELS OF ANALYSIS
Project Traffic Levels Sections to Complete
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I. Less than 25 peak -hour trips generated 1 and 7 only (Worksheet/Checklist)
....... ...................... _ ......................
IL More than 25 peak -hour trips generated All sections
PROJECT DESCRIPTION
a. Location - Street address: AP el
b. Specify existing land use
(Attach a vicinity map and site plan.)
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c. Specify proposed type and size of development: _ �`,(/ij&gnwij
(# of residential units and/or square footage of building)
Revised on 6124110 E82 - Traffic Impact Analysis Worksheet Page I 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 Cats rom
Per Unit square feet,
Fee Rate # of dwelling,
vfp, etc.
h
X —
New Use � � rN��a��� ..���n» $ - l �j 7 v � —
...... I II C
Prior Used ° ��m�; Ix 3,q I
y
New Use Fee: $ - Prior Use Fee: $
❑ NEW DE EI,OPMF.NT
ITE Land Use Category
New Use
1..1 OTHER
INDEPENDENT FEE
Units in
Per Unit square feet,
Fee Rate # of dwelling,
vfp, etc.
$ X''
kTION: $200.00 (+ consultant fee) $
TOTAL TRAFFIC IMPACT FEE $
..............
City of Ed ffi-ondi, 9ngineering 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 6/24/10 E82 - Traffic Impact Analysis Worksheet Page 5 of 5