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Project Name
i224"d5 CGr d C.u✓c Le"L
Project Address 18U 1 L e✓�c{ ✓e $1(%
Contact Person Pc Lv Re of H e v
Address -
Phone Number t}7— -?_O�i- g®Z%
Permit Number L
Project Description
C:I�IIG� C czv Geittce,CtfOifs
-7q 7© T l'Grrwe 2 — l0
Land Use Type: Method of Calculation:
❑ Residential ❑ ITE Trip Generation Manual
❑Traffic Study
etail �c/r
Other �xv�r. Cl�t%s %
VNan-retail
Calculation: G17eckifsf vouwc( 1(i1
a.tJ .2q daft y .l vv fo� Pc e 2
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Transportation Mitigation Fee: T4,fq
i hotk.nh� ' �3�5L%
J Date:
Calculated by: --I-- ��a
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Date of Payment _