Correspondence (28) I ObP 7-''7 60 '-7
he COUNTYWIDE : ,I I 4.
,L -
TRAFFIC IMPACT FEE CITY OF TIGARD
PAYMENT OPTION FORM OREGON
Of- a/- 97 /5 54). 79 t . L » •
P�-
Date Site Address '
Project Name Plan Check #
I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore, I request
the following (choose whichever option or options are applicable):
❑ Cash or Check
❑ Credit Voucher
❑ Bancroft or Installment Payments
or
The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit if the TIF
is greater than $5,000. If the TIF meets this requirement, I also request this option. I understand the TIF
must be paid prior to issuance of an occupancy permit. i aiso understand that the TIF wiii be recalculated
based on the prevailing rates at the time of payment. Please be advised that TIF rates may increase up
to six percent each July 1st. This rate increase is not subject to appeal.
• .0.-ere-e..° e:in
Q iER/APPLICANT OWNER/APPLICANT
c: Building Permit File
Payment Option Notebook
is \dsts \tifsub 9/96
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
DATE: G J / ": I PLANS CHECK NO.
5c /C--
PROJECT TITLE:
rfr-
COUNTYWIDE 7'Y / & 5 r" PAO/rC
TRAFFIC IMPACT FEE •
WORKSHEET APPLICANT: ��II
(FOR NON - SINGLE FAMILY USES) MAILING ADDRESS:
0 6/60 5 !✓ .2H /7 /079 D
CITY/ZIP /PHONE: _,eD (9 1,z_ ( 7. 7e. //6 . 39.
TAX MAP NO.:
SITES NO.ADDRESS: v7t
LAND USE CATEGORY RATE PER TRIP / S7I Svc Fe-/ 9i) , ge-ce- 49
RESIDENTIAL $ 179.00
BUSINESS AND COMMERCIAL $ 45.00
OFFICE $ 164.00
INDUSTRIAL $ 172.00
INSTITUTIONAL $ 74.00
PAYMENT METHOD:
CASH /CHECK
CREDIT
BANCROFT (PROMISSORY NOTE)
INSTITUTIONAL ONLY:
DEFER TO OCCUPANCY LAND USE CATEGORY DESCRIPTION OF USE WEEKDAY AVG. WEEKEND AVG. TRIP RATE
/56 ` =' TRIP RATE G/, ? G'
BASIS: G "r IL =dC l I ��T ,
CALCULATIONS: / / F [L _ . ! „ *. ' ” � ..., • X � , . X
c -c C C- ' 15,_- O
PROJECT TRIP GENERATION:
FOR ACCOUNTING PURPOSES ONLY
ADDITIONAL NOTES:
///r7 55 criet7/0 5/ Y - f O5
ROAD AMT.: en / c/ .-
a
TRANSIT AMT.: = 47/0 �-
PREPARED BY:/�".
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