BLD2023-0824+Transportion Impact Form+6.30.2023_2.05.08_PM+3643385APPENDIX A
Page 1 of 2
Transportation Impact Analysis
Worksheet
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ENGINEERING
V I S I D N
Name of Proposed Project:
Owner/Applicant
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Name
l2 ( 577-1
Street/Mailing Address
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City State Zip
Telephone:
Applicant Contact Person:
Name
-�L/lB .2-:o7L-T 577-
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City
Telephone:
State Zip
at5 Z -75 S
Traffic Engineer who prepared the Traffic Impact Analysis (if applicable):
Firm Name
Telephone:
1. PROJECT DESCRIPTION
Contact Name
E-mail:
a. Location- Street address:
c�
wTr L CP _ (Attach a vicinity map and site plan.)
b. Specify existing land use: -"►
c. Specify proposed type and size of development: -, ?, 4—r,
, r C (# of residential -"ltc andlor square footage of building)
d. Date construction will begin and be completed: fif j�Z� Z j
e. Define proposed access locations:
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HANDOUT UPDATED 09.02 2021
APPENDIX A
Page 2 of 2
f. Define proposed sight distance at site chess 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 3.36.125, except as otherwise provided for independent fee calculations in ECDC
3.36.130.
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 impact fee rate shall be used.
Units in
ITE Land Use Category Per Unit square feet, Fee
Fee Rate # of dwelling,
v , etc.
New Use $ X = $
Prior Use f $ X — $
New Use Fee: $ Prior Use Fee: $ = $
NEW DEVELOPMENT
New Use
Units in
ITE Land Use Category Per Unit square feet, Fee
Fee Rate # of dwelling,
vfp, etc.
$ IX
ti
f
INDEPENDENT FEE CALCULATION
MITIGATION FEE RECOMMENDATION:
$
INDEPENDENT FEE CALCULATION: $240.00 (+ consultant fee)
$
TOTAL 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.
HANDOUT UPDATED 09.02.2021