HomeMy WebLinkAboutHollybrook Subdivision FP
File No:
.
8
February 7, 2006
FP-05-082
Project Name: Hollybrook Subdivision
Request:
Location:
Final Plat approval of 53 single~family residential building lots and 9 common
lots on 15.32 acres in an R-8 zone by Hollybrook, LLC.
3265 N. Curt Drive & 540 E. Ustick Road in the SW Y4 ofT. 4N., R IE., Section
31.
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clferìdl~~ -~ TRANSMITTALS TO AGENCIES FOR COMM ENTS ON
'Ì, lDAHU )J DEVELOPMENT PROJECTS WITH THE CITY OF MERIDIAN
"r' ð;/
-"^,lio""/"'THC,\SUR[CV.'L1J'--I .F To insure that your comments and recommendations will be considered by
SI'"
1903 the Meridian City Council please submit your
comments and recommendations to Meridian City Hall
AUn: Planning Department, by: January 31, 2006
Transmittal Date: January 13, 2006 File No.: FP 05-082
Hearing Date: February 7, 2006
Request: Final Plat approval of 53 single-family residential building
lots and 9 common lots on 15.32 acres in a R-8 zone for Hollybrook
Subdivision
MAYOR
Tammy de WeeI'd
CITY COUNCIL MEMBERS
Keith Bird
Joseph W" Borton
Charles M. Rountree
Shaun Wardle
CITY DEPARTMENTS
City Altorney/HR
703 Main Street
898-5506 (City Attorney)
898-5503 (HR)
Fax 884-8723
By: Hollybrook, LLC
Location of Property or Project:
Ustick Drive
3265 North Curt Drive and 540 East
Fire
540 E. Franklin Road
888-1234/ fax 895-0390
Parks & Recreation
11 W. Bower Street
888-3579 / fax 898-5501
- David Zaremba (no FP)
- David Moe (no FP)
- Wendy Newton-Huckabay (No FP)
Michael Rohm (No FP)
= Keith Borup (No FP)
- Tammy de Ween1, Mayor
- Char1ie Rountree, C/C
Christine Donnell, CIC
=Keith Bird, CIC
Shaun Wardle, C/C
- Water Department
Sewer Department
= Sanitary ServiceS(No VAA. VAG, FP)
Building Department
= Fire Department
- Police Department
- City Attorney
- City Engineer
- City Planner
- Parks Department
Planning
660 E" Watertower Lane
Suite 202
884-5533 / fax 888-6844
Police
1401 E. Watertower Lane
888-6678 / fax 846-7366
Public Works
660 E. Watertower Lane
Suite 200
898-5500/ fax 895-9551
- Building
660 E. Watertower Lane
Suite 150
887-2211 / fax 887-1297
Wastewater
3401 N. Ten Mile l\oad
888-2Í91 / fax 884-0744
Your Concise Remarks:
- Water
2235 N.W. 8th Street
888-5242/ fax 884-] 159
- Meridian School District (No FP)
- Meridian Post OffiCe(FPIPP only)
_Ada County Highway District
- Ada County Development Services
Central District Health
- Nampa Meridian Img. District
Settlers Img. District
-Idaho Power CO. (FP,PP,CUP)
- Qwest (FP/PP only)
-Intermountain Gas (FPIPP only)
- Bureau of Reclamation (FPIPP only)
== Idaho Transportation Dept. (No FP)
- Ada County Ass. Land Records
- Meridian Development Corp.
Historical Preservation Comm.
CITY HALL 33 EAST IDAHO AVENUE MERIDIAN, IDAHO 83642 (208) 888-4433
Cln' CLERK - FAX 888-4218 FINANCE & UTTLIn' BILLING - FAX 887-4813 MAYOR'S OFFICE ~ FAX 884-8'119
Printed on recycled paper
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8
8
Planning Department
COMMISSION & COUNCIL REVIEW APPLICATION
Type of Review Requested (cheek all that apply)
0 Annexation and Zoning
0 Comprehensive Plan Map Amendment
0 Comprehensive Plan Text Amendment
0 Conditional Use Pennit
~inal Plat
0 Final Plat Modification
0 Planned Unit Development
0 PreHminary Plat
0 Rezone
0 Time Extension (Commission or Council)
0 UDC Text Amendment
0 Vacation (Council)
0 Variance
0 Other
STAFF USE ONLY:
File Number(s): FP-o;- - Os;>';(
Project name: "
Dat~ filed~ Date complete¡;2:.d1-ð;;
Assigned P~ ~ d>1 ~ IUtlffr /Ø
Concurrent files:
Previous files:l1lt. -O~-óZlt CMP-()Ç"~'
Hearing date:J- 7- th 0 Commission øcCouncil
-os.~ tJZó-
Applicant Information
Applicant name: ~I "( br:r.d"-, (...I,....é':...
Applicantaddress:_\\SD [5. U<;.Tï~ è:'b t1~f!-tC>IW, II>
Contact name: ~)"'!Þ- t" AV"'~ß6 J f .
Applicant's interest in property: J.own 0 Rent 0 Optioned 0 Other
Ownername:~~
Owner address: ~ «;0 ¡:;. I IJSTlLJr;.-- Z.f.>, ~?H>'~ tþ Zip: g s6VZ-
Agent name (e.g., architect, engineer, developer, representative): -Y: 50S ~ cJ:::sof.,J / E.~ .
Firmname:~.:.H~ LAu\L I IIVt... '
Address: U3~. lAr-4At!-l"- ST 4JJ.fC"f>/.ttJ Zip: Ç3~?'tZ
Contact name: ~ ~~ ~ Phone: _Y167 - ~C¡ S1
Zip: ~ ~ 6 VZ-
Phone: &>, - 7f&£:" .~
Primary contact is: 0 Applicant 0 Owner ~gent 0 Other '
£.mail: t"oC;Ç.@ er--\C-\c..;s.O^CJI Vi \ I (..011'-'1
Fax:
g'-fh -ßcr>b
Subjeet Property Informatioo
~on/'- address: ?v ~ 17!:. -j 'i" ~ ~ ME-.
Assessor'sparcelnumber(s): 5~CÔ f50(n f SO5'3l2..jbb5'o
Township, range, section: ,> . Total acreage: ---'5. -=>7
Current land use: Mr:-t li ¥ A'U ~ Current zoning district: lZ-B
660 E. Watertower Lane, Suite 202 . Meridian, Idaho 83642
Phone: (208) 884-5533 . FacsilIÚle: (208) 888-6678 . Website: www.meridiancitv.org
1
8
8
!!!jeet Deseription
Project/subdivision name: ~~ ~ b.cÌ\ ",S ,oJ
General description of proposed project/request: >S 6uH..bIr-l4-~-rs..; 9 CL:.v-"\P"'lO""'; I.-cfl;
0,4 IS-, s 'Z-- ¡6c:- ,
Proposed zoning district( s):
Acres of each zone proposed:
'~B
\5. ~-z...
Type ofuse proposed (check all that apply):
~ Residential 0 Commercial 0 Office 0 Industrial 0 Other
Amenities provided with this development (ifapplicable): 6; A-~~ßo I ?~'J ç ',-(\IV ~ A1L¡;..4.
Residential Pro~ed Summary (if applicable)
Number of residential units: s:- 3,
Number of common and/or other lots: 4'
Number of building lots:
>3
Proposed number of dwelling units (for multi-family developments only):
1 Bedroom: 2 or more Bedrooms:
Minllnum square footage ofstructure(s) (excl. garage): Proposed building height: fff't:.:=vL
Minimum property size (s.t): ~oo~ SF Average property size (s.f.): _8130 ~ 'I
Gross density (DU/acre-totalland):3. t1 " Net density (DU/acre-excluding roads & alleys): tI. '1z. '
Percentage of open space provided: ,9, £1'1 ~ Acreage of open space: i.. 2'
Percentage of use able open space: 6.../ % (See Chapter 3, Article G, for qualified open space)
Type of open space provided in acres (i.e., landscapmg, public, common. etc): -.{..A.1i)S£.Ai>t""~ ! (p""""""-GAJ
Type of dwelling(s) proposed: tJZ!t.single-family 0 Townhomes 0 Duplexes 0 Multi-family
Non-residential Project Summary (if
\ Numbe lots:
Jieable)
Hours of operation (days and hours):
Percentage of site/project devoted to the followin .
Landscaping: Building: ving:
Total number of em Maximum number of employees at any one t~---
----
Seating capacity: ~..-.,,-~---
Number of compact spaces provided:
Other lots:
Existing (if applicable): _.--,--"-,..",,.--._m_'-""'" '
--
Buil<ling height:
T
es of students/children (if applicable):
number of parking spaces provided:
Autboriøtion
_t.~Plic~~¿~
Apphcant s~: ,/ ~
,,'
f5o 1"\ 'b c A./'\ f'ߣU-
...-/
Date: II-If( ~oS
660 E. Watertower Lane, Suite 202 . Meridian, Idaho 83642
Phone: (208) 884-5533 . Facsimile: (208) 888-6678 . Website: www.meridiancity.org
2
8
8
November 8, 2005
Joe Guenther
City of Meridian Planning & Zoning
660 E. Watertower Suite 200
Meridian, Idaho 83642
RE:
Hollybrook Subdivision Final Plat (AZ...05-O26, CUP-OS-O33, and PP-O5-O25)
Dear Joe,
Please find the attached final plat submittal for Hollybrook Subdivision located on the north side
of Ustick Road, between North Meridian Road and Locust Grove Road. The above referenced
case numbers were approved for the project by City Council on October 4, 2005. The final plat
is consistent with the approved preliminary plat with 53 building lots and 9 common lots on
15.32 acres.
The development will conform to the approved preliminary plat, the requirements and provisions
of the UDC, and with acceptable engineering, architectural and surveying practices, and local
standards.
The following is a summary of compliance with the Conditions of Approval as set forth in the
Decision and Order of October 4, 2005 for the Hollybrook Subdivision. The attached final plat
application is being submitted for processing. In summary, we agree with the stated conditions
of approval as stated in the Findings of Fact, Conclusions of Law, and Decision & Order. The
following summary outlines comments related to the conditions of approval.
PRELIMINARY PLAT - SITE SPECIFIC REQUIREMENTS
1.1.1 The development will comply with this requirement.
1.1.2 The requested note is on the final plat.
1.1.3 All structures will be removed with the exception of the existing house that will be on a
designated platted Lot 3, Block 2. .
1.1.4 A revised Landscape Plan has been submitted with this application.
1.1.5 The shoulder along Ustick Road is designed to be 6' wide (as approved by ACHD), not
10' wide. The area from the edge of shoulder to the right-of-way boundary will be
seeded in accordance with the Landscape Plan.
1.1.6 Micro-path landscaping and fencing will be provided as requested. See Landscape
Plan.
1.1.7 All common lots used for traffic calming will be landscaped in accordance with MCC 12-
13.
1.1.8 An amended landscape plan is provided with this submittal.
1 .1.9 The development will comply.
1.1.10 The development will comply.
8
8
1. 1 .11 The development will comply.
1.1.12 The development will comply. See Gravity Irrigation Plans.
1.1.13 A detailed Fencing Plan is included on the project Landscape Plan submitted with this
application.
1.1.14 The development will comply.
1.1.15 The development will comply. The requested note is shoWn on the final plat.
1.1.16 Street names have been coordinated with Ada County and are shown on the Final Plat.
See attached final street name evaluation.
1.1.17 The Final Plat has been revised to show 12 building lots along Block 4.
PRELIMINARY PLAT - GENERAL REQUIREMENTS
We agree to, and will comply with the stated general conditions.
CONDITIONAL USE PERMIT - SITE SPECIFIC CONDITIONS
1.3..1 The development will comply.
1.3.2 The development will comply.
1.3.3 The development will comply.
1.3.4 The development will comply with a minimum lot size of 4,428 sqft.
(Actual min. lot size = 5,004 sqft.)
1.3.5 The development will comply. Noted setbacks are shown on the Final Plat.
1.3.6 The development will comply.
1.3.7 The development will comply.
1.3.8 The development will comply. The development includes construction of a gazebo on
Lot 1, Block. 1; a pathway connection from Sundance Subdivision to Hollybrook
Subdivision on Lot 17, Block 8; and a sitting area located on Lot 1, Block 4.
Individual lot owners along locations with detached sidewalks will be required to provide
one 2" caliper tree, turf, and pressure irrigation within the 5--foot strip between the back
of curb and the detached sideWalk per the CC&R's for the development.
1.3.9 Traffic control devices within the roadway will be landscaped, and maintained by the
Hollybrook Homeowners' Association. The chicane on N. Arrowwood Ave. is signed
"no-parking" as requested.
1.3.10 A gazebo is proposed on Lot 1, Bk>ck 1. (See LandSCape Plan)
The development will comply with the Public Works Department, Meridian Fire Department, the
Parks Department, and Ada County Highway District stated Conditions of Approval.
Please contact me at 208.867.3954 if you should have any questions regarding the application.
Sincerely,
EMff&
Ross Erickson, P.E.
Project Manager
project No. 105001
Cc:
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Hollybrook SubdiVISion
VICInity Map
FROJE'CT NUM¡JER.
105003
9/20/05
SHwnTl.E
nts
v- I
MERIDIAN, IDAHO
SCHEMATIC.dwg
PRELIMINARY PLAT OF HOLL YBROOK SUBDIVISION
SITUATED IN A PORTION OF THE SW 1/4 OF THE SW 1/4 OF SECTION 31, TOWNSHIP 4 NORTH, RANGE 1 EAST,
BOISE MERIDIAN, ADA COUNTY, IDAHO
2005
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HOLLYBROOK SUBDIVISION NO.1
A PARCEL OF VlND lYING IN THE SW 1[4 OF SECTION 31,
TOWNSHIP 4 NORTH, RANGE I EAST, BOISE MERIDIAN,
CITY OF MERIDIAN, ADA COUNTY, IDAHO.
2006
BOOK -' PAGE -
""""""'"
S\JØDMSION NO, 2
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IDSOS Document
8
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Page 1 of 1
251
FILED EFFECTIVE
.
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ARTICLES OF ORGANIZATION
LIMITED LIABILITY COMPANY
, - ¡ ¡",¡ L: on
(Instructions on backofapplieation)
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1" The name of the limited liability company is:
HOLL YBROOK LLC
2" The street address of the initial registered office is:,
702 W. Idaho, Boise. 10 83702
and the name of the initial registered agent at the above address is:
Bart W. Harwood
3. The mailing address for future correspondence is:
P,O. Box 1271. Boise. 1083701
4" Management ofthe limited liability company will be vested in:
Manager(s) D or Member(s) [{] (please cheokthe IilpprCpñBtebcx)
5. f management is to be vested in one or more manager(s), list the name(s) and
address(es) of at least one initial manager. If management is to be vested in the
member(s), listthe name(s) and addressees) of at least one initial member.
NsmB
Addre&S
Justin Zimmerman
Bond G" Campbell
1775 Columbia Park Trail. #103, Richland. WAg
(, 4 .3 -:;' .l--
1150 E" Ustick Road, Meridian. 10 63642
for forming the limited liability company:
Signature
Typed Name:
Capacity:
...... ---""""-sëëre I!I'Y--~1 Sial" U5e-¡;n~
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1Il'»1O SECRETARY IF STATE
83/81/2885 8511S.
DC: 3U66 CTJ 22597 BHI 795922
J lIIM.M" JII.I, ORM LLC , 2
v¿) 37dÒ /
http://www.accessidaho.org/public/sos/ corp/search.html ?ScriptF ann. startstep=docview&...
12/20/2005
U_4/.l.u.;:~UO .!D;U~ tI,,~.!.!_, --
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ADA COUtn'y RECORDEfIA~VID NAVARRO AMOUNT 6.00 2 z.-..
BOISE IDAHO 03103105 O~.\\ ,
~~~~~E~~~:~Ù~ST OF' '11111I1I"111I11~I\llllllllllllll\l
F. 'I A t' n 105a~6...30
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8
WARRANTY DEED ß-
~. þ,
FOR VALUE RECEIVED, Dwayne Skogsbcrg and Laurene Skogsberg, husband and
, \~rife, husband and wife, the Grantors, do hereby grant, bargain, sell and convey unto TIollybrook
LLC, an Idaho limited Hability company, the Grantee, whose address is 1150 E. Ustick Rd,
Meridian, ID 83642, the roHewing described property, to-wit:
ir ~ LV
rA~
t ~\f
The real property located in Ada County, State ofIdaho, described on Exhibit A
attached her~o and made a pW1 hereof by this reference,
to have and to hold the said property, with all appw1:enances, Ullto the Grantee} its successors
and assigns forever. The Grantors do hereby covenant tl'l and with the Grantee that \hey are
the owners in fee simple of the property; the property is free ßI1d clear from all liens and
encumbrances, except easements and restrictions of record or visible on the pToperLy~ and
Grantors will warrant and defend the same from allla\o\'ful c1ahns whatsoever
bATED this 2nd day of March, 2005.
GRANTOR:
L~~~,.u.}~~.~
Laurene Skogsberg
County of Adn
)
: 55.
)
STATE OF IDAHO
On this 2"d day of March, ~O05, before me. a notary public in add for said county and state,
personally appeared bwaynlSkogsberg and Laurene Skogsberg mo\ovn or identified to me Lo be the
persons whose nam~s are subsqiþed to the foregoing instrument. and acknowledged to me that they
executed the same.
IN WITNESS WHEREOF, I have hcr~w1to set my hand and affixed my official seal the day and
year in this certificate first above 'tten,
WARRAN1.'y DEED - 1
aT . Y PUBLIC 'FOR IDAHO
Residing at: IÞ" "f'... ;~~
My commission expires~ ".. .'
;<, > u- -,' >
8
8
Boundary Description
Hollybrook llC
A parcel located in the SW Y4 of Section 31, Township 4 North, Range 1 East, Boise
Meridian, Ada County, Idaho, more particularly described as follows:
Commencing at a brass cap monument marking the southwest corner of said SW Y4 of
Section 31 (Section Corner), from which 5/8 inch diameter iron pin marking the
southeast corner of said SW Y4 of Section 31 (Y4 Corner) bears N 89°58'55" E a
distance of 2406.48 feet;
Thence N 89°58'55" E along the southerly boundary of said SW Y4 a distance of
1630.09 feet to a 5/8 inch diameter iron pin and the POINT OF BEGINNING;
Thence leaving said southerly boundary N 0°24'59" E along the easterly boundaries of
Sundance Subdivision No.4, as shown in Book 89 of Plats on Pages 10,226 and
10,227, records of Ada County, Idaho, and Sundance Subdivision No.2 as shown in
Book 86 of Plats on Pages 9,772 and 9,773, records of Ada County, Idaho, a distance
of 1919.30 feet to a 5/8 inch diameter iron pin marking the northeast corner of said
Sundance Subdivision No.2;
Thence along the southerly boundary of Sundance Place Subdivision No.3 as shown in
Book 91 of Plats on Pages 10,640 and 10,641, records of Ada County, Idaho, the
following described courses;
Thence N 89°59'47" E a distance of 320.60 feet to a 5/8 inch diameter iron pin;
Thence S 33°47'07" E a distance of 280.75 feet to a 5/8 inch diameter iron pin;
Thence S 80°10'04" E a distance of 298.83 feet to a 5/8 inch diameter iron pin on
the westerly boundary of Quenzer Commons Subdivision No.4 as shown in
Book 88 of Plats on Pages 10,105 thru 10,107, records of Ada County, Idaho;
Thence S 0°16'52" W along said westerly boundary a distance of 307.74 feet to a 5/8
inch diameter iron pin on the northerly boundary of Weaver Acres No.2 as shown in
Book 38 of Plats on Pages 3,203 and 3,204, records of Ada County, Idaho;
Thence S 89°49'28" W along said northerly boundary of Weaver Acres No.2 and the
northerly boundary of Weaver Acres No.1 as shown in Book 28 of Plats on Pages
1,745 and 1,746, records of Ada County, Idaho, a distance of 653.56 feet to a 5/8 inch
diameter iron pin marking the northwest corner of said Weaver Acres No.1;
Thence S 0°19'41" W along the westerly boundary of said Weaver Acres No.1 a
distance of 708.20 feet to a 5/8 inch diameter iron pin;
8
8
Thence leaving said westerly boundary S 0°13'57" W a distance of 144.20 feet to a
point;
Thence N 89°58'43" E a distance of 328.02 feet to a 5/8 inch diameter iron pin on the
westerly right-of-way of Curt Drive;
Thence S 0°18'51" W along said westerly right-ot-way a distance of 432.76 teet to a 5/8
inch diameter iron pin on the northerly right-ot-way ot Ustick Road;
Thence S 89°58'55" W along said northerly right-of-way a distance of 328.04 feet to a
5/8 inch diameter iron pin;
Thence leaving said northerly right-of-way S 0°18'59" W a distance ot 40.00 feet to a
5/8 inch diameter iron pin on the southerly boundary of the SW % of said Section 31 ;
Thence S 89°58'55" W along said southerly boundary a distance of 122.79 feet to the
POINT OF BEGINNING.
This parcel contains 15.32 acres and is subject to any easements existing or in use.
Clinton W. Hansen, PLS
land Solutions, PC
March 22, 2005
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Hall YBRaOK SUBDIVISION
LOCATED IN THE SW 1/4 OF
SECTION 31, T4N, R 1 E, 8M,
MERIDIAN, ADA COUNTY, IDAHO
2005
E. WASHAKIE STREET
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paNT Of
BEGINNING
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UNf: TABLE:
UN£: SCARING OIS7i4.NC£
U S 0'13'57' W 144,,20'
L2 S 0'18'59" W 40.00'
LJ 5 89'58'SS" W 122,,79'
8
LaQoJutlorJs
~Land Surveying and Consulting
231 E. 5TH ST., STE. A
MERIDIAN. 10 83642
1208) 288-2040 fax (208) 288-2557
'www"landsolutions.bi2
8
8
Erickson- C:i,'il. Incorporated
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CONSULTING BNGINBBR.S a LAND PLANNBR.S
November 1, 2005
John Boyd
City of Meridian Public Works
660 E Watertower Lane, Suite 200
Meridian, Idaho 83642
RE:
Hollybrook Subdivision - Street Finished Center Line Elevation Certification
Dear John,
In accordance with the City of Meridian Public Works Subdivision Plan Review Checklist,
Item No. 62, we are hereby certifying that the street finished center line elevations are set a
minimum of three feet above the highest established normal groundwater elevation as
determined in the Seasonal High Ground Water Report dated 11f7/05 that was submitted
to the City. Please contact me at 208.288.1992 if you should have any questions regarding
the street grades or the highest established normal groundwater elevation.
Enclosure(s)
,"/':::"""'_..':~;"""",.,;"""
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Ross K. Eri kson, P,E.
Project Manager
Project No.:15004
cc:
5293 N. Schubert Ave. Meridian. ID 83642 T .208.846.8955. F.208.846.8956
8
8
IRRIGATION PERFORMANCE SPECIFICATIONS
UDC 11~3B~6
Project Name:
'tP\I+~
Ç)~\VI>ICrV
Specifications:
Available Gallons per Minute:
Available Water Pressure:
\ito
-r°ps-l
Point of Connection (describe and/or submit a site plan):
Primary Connection: ~ ~ ~ ~W1
Secondary Connection: 0:::::..-1 n¡
Landscape Area: If the iIrigation system is hooked to City water as a primary or secondary water source, submit the
square footage of landscaped areas to be irrigated: Lf (.) ;1 I oJ square feet
Backflow Prevention:_A backflow prevention device must be installed as required by City Ordinance 9-3.
W 1+-( ~ - p~ "-' "t...Æn£?;fL ('b. Ptw'7 P. S,)Þ1.
Coverage: The irrigation system must be designed to provide 100% coverage with head to head spacing or triangular
spacing as appropriate.
Matched Precipitation Rates: Sprinkler heads must have matched precipitation rates within each control valve
circuit.
Irrigation Zones: Sprinkler heads inigating lawn or other high-water-demand areas must be circuited so that they are
on a separate zone or zones &om those inigating trees, shrubs, or other reduced-water-demand areas.
Overspray: Sprinkler heads must be' adjusted to reduce overspray onto impervious surfaces such as sidewalks,
driveways, and parking areas,
Notes:
lITigation Required: All landscape areas shall be served with an automatic underground iITigation system.
Additional requirements affecting pressurized irrigation systems can be found in City Ordinance 9-1-28,
Inigation Water Source: Use of non-potable irrigation water is required when determined to be available by the City
Public Works Department as regulated by City Ordinance 9-1-28. If city potable water is used, a separate water
meter is recommended so the owner can avoid paying sewer fees for inigation water, Potable water shall not be
used as a primary inigation water source on non-residential lots with more than Yz acre of landscaping, Year round
water availability is also required by connecting to city potable water or an on-site well as a secondary source.
Certification:
I have read and understand the above specifications and notes for i"igation systems and hereby affirm that any
i"igation system installed for the project mentioned above will comply with these specifications and notes,
~
Date: ~
Applicant's Signature:
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