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REVIEWED Park Impact Fee Worksheet - Anthologyof EL) IV City of Edmonds Park Impact Fee Worksheet - Name of Proposed Project: ANTHOLOGY SENIOR LIVING Current Site Address: 21200 72ND AVE w Building Permit #: BLD 2021-0088 Previous Site Address (if different): nWner/Applicant: ANTHOLOGY SENIOR LIVING Applicant Mailing Address: Phone: 312 994-1880 2401 E 2ND AVE SUITE 500 BOULDER CO 80206 E-mail address: ANTHOLOGYSENIORLIVING.COM ❑ New Commercial: Square footage of all floor area: Description of use: ❑ Commercial Addition: C Square footage of all floor area: Description of use: New Single Family: Does this new residence replace an existing residence demolished with previous 12 months? ❑ Yes ❑ No Demo Building Permit No.: Date issued: SFR building permit must be issued within 12 months of issue of demo permit. ❑■ New Multi -Family: Number of dwelling units proposed: 127 ❑ Multi -Family Addition: Number of existing dwelling units: Number of dwelling units proposed: ❑ Exempt from PI fee (Low-income or other per ECC 3.36.040. Provide additional documentation.) ❑ Credit (For off -site improvement, etc. per ECC 3.36.050.) $ TYPE OF DEVELOPMENT: RATE: Single Family $2,734.05 per dwelling unit Multi -Family $2,340.16 per dwelling unit Non -Residential $ 1.34 per square foot of new or additional floor area For City Use Only Calculate Fee Here: Total Fee L:\Building New Folder 2010\Forms\Park Impact Fee Worksheet JMS 2.docx