Permit (:93 .O2_k3
DATE PLANS CHECK NO.:
- 9 3 .26e
PROJECT TITLE:
/NGIM044- EkPANSM)
COUNTYWIDE 13up93 -1 ;2 4. 3 sd493 -oo/3
TRAFFIC IMPACT FEE APPU :
WORKSHEET F /NGANZvA
(FOR NON - SINGLE FAMILY USES) /'10 /D M /.0 .S14) ADDRESS: .S14) '7 Ad
c Z /9'LFiu�1�
CITY/ZIP /PHONE:
RATE PER 7764 -2b ' 7ZZ 3 8Y-1
LAND USE CATEGORY - TRIP TAX MAP NO.:
RESIDENTIAL $152.00 01 / / 2 2.) 9290
BUSINESS AND COMMERCIAL $38.00 SITUS NO. ADDRESS:
OFFICE $140.00 , /t/D /D SW AIL Al A'Uti+VC/C
X INDUSTRIAL - $147.00 ti fr'PP � ive - i a auz ✓ / //93 Ie./t7E
INSTITUTIONAL $63.00 t 4i/woo.
PAYMENT METHOD:
CASH /CHECK
CREDIT INSTITUTIONAL ONLY:
BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY DESCRIPTION OF USE Y AVG. TRIP RATE WEEKEND AVE TRIP RATE
DEFER TO OCCUPANCY /X/7G1 S7ie/n i - obbv Ir 1 - 3. b'S - /U �4
BASIS:
A -Pa a/v> -PA/c, $ / A) AA> Fx/ s 72A Ge SE .may
S Q t41 , /7ie0/90.56 u /S , 7A/v/-6 ra1e//t4
/Tf/ .7A /0 /bE/urgL ST044 (E A-Nb orr /c S> ?4 E
CALCULATIONS:
G. .s-.r X - 7 - "/ PS/my X - - r e /P i t (4= 77'
. Z'-f T 6 -S F X 3. "S x , / 00 =
PROJECT TRIP GENERATION:
32-
7a7AL Amdt/i7T LSE FEE: * 1 6 z/
ADORIONAL NOTES: ,/ FOR ACCOUNTING PURPOSES ONLY:
r3a/u/) //ut- 1 �PS /t: /oN WAS SzI .B/r1s'7r ,b p&o2 ROADAMT s/ ff4L_
Tv TS1 . sift y / , /91.3. R4 re /4466I15F. TsiE 0 00
771/5 f6e4LLu - A7' /viti /5 7O CO,€ €ECT 71AE F oe /'IAAF_
TRANSIT AMT.: I') ASS 'TRANS
/N SE EC TjAyG iV i 4P/WaeR /A r re /n! »lb /7 /DAJ,
7 ■0W- /e4.vr rMS S ,i ,n /Y /El. 8.4i/i30,,,,4_ tt/7 /ON/}L. /,'4 € 1AT /D/i 3572. 00
/ / 1/U /CAT /NG 7A E USE 7; '/iz SE PREPARE
FALTue// ?. flh't/ T,¢AiV /vAIPE/�oas /�vt
CC: WASHINGTON COUNTY
TIF NOTEBOOK
form tif10