DOC_002_Affidavit and LOA docs V1cVIE IDIAN--
APPROVED
ze plans M1ave Men—d ro
omplknu with
aeilEing cotlae. Cotle
tlaec encl es lountl et lnepeNane
Il neetl loMwrteclatl
regartlof tMIntormatlon on
M1e approratl Dlana. Tlie
aDProvetl Dona, IncIW In9 any
w apom,are
requlrM b Ee an 1M1a conetrucllon
at Me gme of inapactlona.
Date: mnwa
Permit Number zmsaoa+
(1) Disk with electronic version of the conceptual engineering plans in the format specified
above.
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
COUNTY OF ADA )
I, Bruce Wong, Director ACHD,
(name)
3775 N Adams St
(address)
Garden City Idaho
(city) (state)
being first duly sworn upon, oath, depose and say:
That I am the record owner of the property described on the attached, and I grant my
permission to:
Verizon Wireless, 12877 W McMillan Rd Boise ID 83713
(name) (address)
to submit the accompanying application(s) pertaining to that property.
2. r agree to indemnify, defend and hold the City ,1 f Meridian t employees 1 1
ess
ftem any elaim or- liability Fesulting from any dispute as to the statemepAs eentained
her-ein or -as to the owner -ship f the pr-epe. t l,' 1, is the bj t f the app1' t'
3. I hereby grant permission to City of Meridian staff to enter the subject property for the
purpose of site inspections related to processing said application(s).
Dated this I (01�
day of lan gq , 20 6
SUBSCRIBED AND SWORN to before me the day and ear first abov wri n.
BREANN SHEARER (Notary Public for Idaho)
NOTARY PUBLIC
STATE OF IDAHO Residing at:�
My Commission Expires:
Community Development ■ Planning Division ■ 33 E. Broadway Avenue, Ste. 102 Meridian, Idaho 83642
Phone: 208-884-5533 Fax: 208-888-6854 www.meridiancity.org/planning
�fE IDEZ IAN—
APPROVED
oat<nm i�<oi :o«uo�:.
Permit Numb<r. a
verizon'
12877 McMillan Road
Boise, Idaho
Office: 208.938.7003
Mobile: 208.451.6930
LETTER OF AUTHORIZATION
I, Yvonne Autry (Verizon Wireless Network Real Estate), do hereby authorize Powder River Development
Services to act as my non-exclusive agent for the sole purpose of filing and consummating any current
land -use or construction permit application(s) as may be required by the applicable permitting
authorities.
Signature:
Printed Name: Yvonne Autry