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APPROVED RESUB 2-TIA Form
APPENDIX A Page 1 of 2 Transportation Impact Analysis Worksheet PERMITTING & DFI/E[_C.PMENT ENGINEERING DIVISI©N 121 Sth Avenue N P:425,771.0 20 Name of Proposed Project: VP f `' V1 (,P — /\/C W 5 Fk Owner/Applicant R 16C A k bps U4 l <v12"o Name Strect(Mailingnn''Address Eb MV lib S City 2q �SJt�ayte Zip } Telephone: �(��' w, 7 3 ` Applicant Contact Person: Name Street/Mailing Address City State Zip Telephone: Traffic Engineer who prepared the Traffic Impact Analysis (if applicable): Firm Name Telephone: 1. PROJECT DESCRIPTION Contact Name E-mail: a. Location - Street address: 1 q 12 5- b ! T 11 _ PZ _1766 ____ _ `&""__ (Attach a vicinity map and site plan.) Specify existing land use: 30/1 Q Ad �V, HGU 5 6 c. Specify proposed type and size of development: N0 Cio4ly Cr S FROM A P P90 V U S0 6 0 / 0 S1641 (# of residential units andlor square footage of building) d. Date construction will begin and be completed: :5 om m ck so 12, 2 e. Define proposed access locations: HANDOUT UPDATED 09.02.2021 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; 3.36.125, except as otherwise provided for independent fee calculations in ECDC 3.31a.130. C] 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. ITE; Land Use Category New Use Prior Use Units in Per Unit square feet, Fee Fee Rate # of dwelling, vfD. etc. X $ Ix INew Use Fee: $ - Prior Use Fee: $ Cd NEW DEVE1,OPME.NT ITE Land Use Category Per Unit Fee Rate I New Use I 1 fC $,621iG�141 X E NO CHANGE El INDEPENDENT FEE CALCULATION Units in square feet, # of dwelling, vfp, etc. Fee MITIGATION FEE RECOMMENDATION: $ INDEPENDENT FEE CALCULATION: $240.00 (+ consultant fee) $ TOTAL TRANSPORTATION IMPACT FEE $ 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. HANDOUr UPDATED 09.02.2021