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Project Name I S E�ECOh1t� 5
Project Address 0�00 &nms E ayu
Contact Person 7_-)i-R Ca20o?_
Address 0i00 LA'4)^ N EIAQ '0 700 ��ATTL6 �81�
Phone Number Z.06- Li\o1_�^n0�_
Permit Number LJIA - CA -
Project Description 152YaOO 5> _ 1�1 r= Ua�T 2CTAtf
Land Use Type: Method of Calculation:
❑ Residential ❑ ITE Trip Generation Manual 99 a,
C Retail ❑ Traffic Study
Box
❑ Non -retail
Other
320.'tb = 3 S.i Eo / kx.`o
Calculation: gss�N� ZS'lo e.� c--I
t �•�u
1g\.2 x 3s.�� = 5aC�-. 'A
SHot�. q x
o.ZS
\35\. -73 k 141.5 =
Transportation Mitigation Fee: ID!y'�� �
Calculated by: k4 Date: L4 ZOany 1
Account Number:
Date of Payment oPy e69, li?""ox-
SI 7041 ?-tro 1 _k3