Fillable APPLICATION FOR TRAFFIC IMPACT ANALYSIS (TIA) (City of Lakeway)

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APPLICATION FOR TRAFFIC IMPACT ANALYSIS (TIA) (City of Lakeway)

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File type: PDF

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BROWSE CITY OF LAKEWAY (TX) FORMS

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Building & Development Services
1102 Lohmans Crossing, Lakeway, TX 78734
Phone: (512) 314-7540 Fax: (512) 314-7541
www.lakeway-tx.gov
APPLICATION FOR TRAFFIC IMPACT ANALYSIS (TIA)
A
DDRESS OF
P
ROPERTY
:
A
CREAGE OF
S
ITE
:
L
EGAL
D
ESCRIPTION
(S
UBDIVISION
,
S
ECTION
,
L
OT
N
UMBER
):
A
PPLICANT
F
IRM
:
C
ONTACT
N
AME
:
T
ELEPHONE
:
E-M
AIL
M
AILING
A
DDRESS
:
ITY
S
TATE
Z
IP
C
ODE
P
ROJECT FOR WHICH
D
EVELOPMENT
P
ERMIT IS
S
OUGHT
:
EXISTING LAND USE
Tract Acres
Building ft
2
Zoning Land Use ITE Code Trip Rate Trips per Day
PROPOSED LAND USE
Tract Acres
Building ft
2
Zoning
Land Use
ITE Code
Trip Rate
Trips per Day
T
OTAL
T
RIPS
:
(FOR CITY USE ONLY)
S
UBMITTAL
V
ERIFICATION
/I
NSPECTION
A
UTHORIZATION
:
That I, as owner or duly authorized officer of the property hereinafter
referenced, do hereby execute this document, acknowledge the above
statements to be true and accurate to the best of knowledge, and
understand that knowing and willful falsification of information will
result in rejection of my application and may be subject to criminal
prosecution. I have received, read and understand the terms and
conditions of this request, and agree to compliance with all applicable
codes and ordinances of the City.
I authorize the City or their
representatives to visit and inspect the property
for which this
application is being submitted.
P
ERMIT
N
UMBER
:
A
MOUNT
R
ECEIVED
:
N
OTES
:
A
PPLICANT
S
IGNATURE
P
RINTED
N
AME
D
ATE
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APPLICATION FOR TRAFFIC IMPACT ANALYSIS (TIA) (City of Lakeway)

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Completed 3 August 2020

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