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HomeMy WebLinkAboutBreen, Kelly AUP 07-017/'C .. ~ ~y r+i~F-~,d 1 CITY QF t~'~~ ~~~~rl~lcn v a IDAHO ~. n. ~Mn'R °/ERs TREi\SURE V rv1xY SINCE 1903 MAYOR Tammy de Weerd August 21, 2007 CITY COUNCIL MEMBERS Keith Bird Joseph W. Borton Kelly Breen Charles M. Rountree 1496 W. Gander Drive Shaun Wardle Meridian, Idaho 83642 CITY DEPARTMENTS ~~ Accessory Use Permit application (AUP-07-017). City Attorney/HR Dear Ms. Breen: 703 Main Street 898-5506 (City Attorney) 898-5503 (HR) This letter is to confirm the approval to operate a family day care facility for Fax 884-8723 six or fewer children located at 1496 W. Gander Drive and to include the following. on-going conditions of approval: Fire-.,.. ~., 540 E. Franklin Road' ~-- - +' - 888-1234 /fax 895-0390- 31. The applicant is limited to six children at the facility at one time, excluding the applicant's own children. Parks & Recreation 11 W. Bower Street 888-3579 /fax 898-5501 2. The applicant shall maintain the approved on-site vehicle pickup, parking and turnaround areas. The applicant shall also maintain the Planning approved design of the outdoor play areas. 660 E. Watertower Lane Suite 202 884-5533 /fax 888-6854 3. Hours of operation shall be between 6:00 a.m. to 11:00 p.m. Outdoor Police play areas shall not be used after dusk. 1401 E. Watertower Lane 888-6678 /fax 846-7366 4. In no way shall the family day care cause the premises to differ from its Public Works residential character in appearance, lighting, signs, or in the emission of 660 E. Watertower Lane noise, fumes, odor, vibrations, or electrical interference. Suite 200 898-5500 /fax 898-9551 Failure to meet the above stated conditions shall be deemed a violation of the - Building Unified Development Code. 660 E. Watertower Lane Suite 150 The applicant, Director, or a party of record may appeal this decision or a condition 887-2211/fax 887-1297 of approval by requesting City Council review of this decision. All requests shall be - Wastewater filed in writing with the Planning Department within fifteen (15) days of the date of 3401 N. Ten Mile Road this letter and comply with the provisions of UDC 11-SA-6B. 888-2191/fax 884-0744 - Water Sincerely, 2235 N.W. 8th Street 888-5242 /fax 884-1159 ~`~~~ ~~! /f ~~ Kristy Vigil for (~ Anna Borchers Canning - CITY FALL 33 EAST IDAHO AVENUE MERIDIAN, IDAHO 83642 (208) 888-4433 CITY CLERK -FAX 888-4218 FINANCE & UTILITY BILL[NG - EAX 587-4813 MAYOR'S OFFICE -FAX 884-8119 Printed on recycled paper CITY OF MEr.~DIAN PLANNING DEPARTMENT ACCESSORY USE STAFF REPORT DATE: August 21, 2007 TO: Anna Canning, Planning Director FROM: Kristy Vigil, Assistant City Planner SUBJECT: Application for a family day care facility by Kelly Breen. Request to Operate a Family Day Care Facility for Six or Fewer Children out of her home located at 1496 W. Gander Drive. We have reviewed this submittal and offer the following comments: APPLICATION SUMMARY The applicant, Kelly Breen, has requested approval to operate a family day care facility for six or fewer children out of her home located at 1496 W. Gander Drive, Meridian, Idaho. The property is zoned R-4, which allows for a family day care facility with written approval from the Planning Director. LOCATION The property is located at 1496 W. Gander Drive in the NW '/4 of T. 3N., R. 1 W., Section 13. APPLICABLE CODE Section 11-4-3.9 of the Unified Development Code (UDC) for the City of Meridian lists specific criteria for day care facilities that serve children: 1. In determining the type of day care facility, the total number of clients cared for during the day and not the number of clients at the facility at one time, is the determining factor. In the case of a child day care, the operator's children are excluded from the number. 2. On-site vehicle pickup, parking and turnaround areas shall be provided to ensure safe discharge and pickup of clients. 3. The decision-making body shall specify the maximum number of allowable clients and hours of operation as conditions of approval. 4. In residential districts or uses adjoining an adjacent residence, the hours of operation shall be between 6:00 a.m. to 11:00 p.m. This standard may be modified through approval of a Conditional Use Permit. 5. .All outdoor play areas shall be completely enclosed by minimum six-foot (6') non-scalable fence to secure against exitlentry by small children and to screen abutting properties. The fencing material shall meet the swimming pool fence requirements of the Building Code in accord with Title 10 of the Meridian City Municipal Code. AUP-07-017 Kelly Breen PAGE 1 /'\ /`~ CITY OF MEn~DIAN PLANNING DEPARTMENT AC~BSSORY USE STAFF REPORT 6. Outdoor play equipment over six feet (6') high shall not be located in a front yard or within any required yard. 7. Outdoor play areas in residential districts adjacent to an existing residence shall not be used after dusk. 8. In no way shall the family day care cause the premises to differ from its residential character in appearance, lighting, signs, or in the emission of noise, fumes, odor, vibrations, or electrical interference. 9. Off-street parking shall be provided as set forth in Section 11-3C-6 of this Title, in addition to the required off-street parking for the dwelling. STAFF RECOMMENDATION Staff recommends approval of the accessory use for Kelly Breen with the comments noted above and following on-going conditions of approval: 1. The applicant is limited to six children at the facility at one time, excluding the applicant's own children. 2. The applicant shall maintain the approved on-site vehicle pickup, parking and turnaround areas. The applicant shall also maintain the approved design of the outdoor play areas. 3. Hours of operation shall be between 6:00 a.m. to 11:00 p.m. Outdoor play areas shall not be used after dusk. 4. In no way shall the family day care cause. the premises to differ from its residential character in appearance, lighting, signs, or in the emission of noise, fumes, odor, vibrations, or electrical interference. AUP-07-017 Kelly Breen PAGE 2 TN-R ~~ Rl "~ '~'~ pR S ~1D1- ~k' - - J J "._ _~r ~ ~ r N -' ~"-~---,~ ui~. - ~ - ~~ ~. __ _._ r ._.----"--~ ~ ,~ C v ~w :. ~..---~---~~~T __~~,- ~ , ,_ i ~;, ,~ ~_ ~~ - - - ~: ~ ~ k~ ,, ~ ~ ~ ~. n L~ ~. i ~" - ~ W ~- ~ ~ . _ _. ,_ t ~ I '~ w ~ ~~ -~ ~ ~" - I ~' , ~ y. ~. ~ ~ ~ ~, , ~ ~ __ rt ~~ ~, _ 4 _ 4~~ ~ ~ __ 4, ~F ~ C °~ - -~ ~ ` ~~ /yF~ ' ,_ ~ ~ , ~" , ~" - ~ __ - ~ ~ ! W~ i ~~ - ,., ~~~ i_ p,. _ ~ _" ~ -~- ~. <' ~ {_~. ~ ~, ,. _ -; ~ MERGANZ€R_ DR Op ~~ __ ;, -, _ S~ 1. ,_......... _~ I ~ I ~Q° ~" ~ ~ _. ~~ ~' ` .~ _~___t _, Rl- __ 1 ( ~ ~ Yy PINTALL D GRFFN ,. ~ ,.,, _`~- __ .- ~ ~ ~ y ____ ~ ~`~ ~~ __- r -_~~ ., ~ ,~ T Q R-8 ~~ _ ~y R-8 ~ _ ~_- ~V ~0,, ", f -~, - , p~ ~._ ~~ ~ ~t S~ ~~ r '~ ~ ,- RUT ~, W G~ NpER DR~_ ~~ O ~ ~ /'~' 1 - lJ ~-- .. ~ ,q~ '~' _ _ ~Q~ T ,~/ _ , i ~ ~ 1 _ ~T_~.AN SL ~ w ~ ~ '~ ~ 1 ~, a , _ ~~ ~ ~ ~ ~ _.. _ T_ __ . T D R _ ~ _~ _ ~ ,. :a ~ ~ z i ~ > ,. I Y1/ EI~EER . DAR i ~ r _- _ _~ o _~ 1 . _, __ F~ ~J Q I ~ _,, ----" Q ~_ u ~, I ~ ?~ ~ ~~_~ ~ ,~~ ~ ~ r ~ ~... -4 ~,.~ °~ _ `. i ~" ~ - .., F- ~ - - ~ ~ ~. ~ ~~ i ~ - ~.. o ;_ ~ `~' O ,; _ ._ _, _- ~C ~ W ,VERB NA DR -~- ~ ~--~- -,~ _ _; -~_ ~fSjV/p - ~n~. ~~ ~ ~ __ ~ ' ._ ~ F QR ~ ~ - - ~ !, u . __ -~ ~-- ~ ~ _ ~ - 1 i i ~ ~~ V~, i -' - ~S~ YER_SALhtlO ~ ~_;. ~ ' I t i -- ~. ~ JAGk(SNI E~ bR __ ~. , _ - - tN-TERSTATE 84 ~' _ ~ ~ I ~ ~ ....._ ~ ,. /'\ ~~'L P11r,~IC~ 1! f~ Planning Department ADMINISTRATIVE REVIEW APPLICATION Type of Review Requested (check all that apply) Accessory Use ^ Alternative Compliance STAFF USE ONLY: ^ Certificate of Zoning Compliance File. number(s): ~~~'~ 1 " ^ Conditional Use Permit Minor Modification ^ Design Review ^ Private Street Project name: ^ Property Boundary Adjustment ^ Short Plat Date filed: U Date comple e: 3 Q ^ Temporary Use Certificate of Zoning Compliance Assigned Planner: ~~Y ~h. ('_ Z.._ ^ Time Extension (Director) ^ Vacation .Related files; ^ Other Information Applicant name: Applicant address: ~ ~~~~- ~( ~(~~ ~' r; l~~ Applicant's interest in property: ,Own ^ Rent ^ Optioned ^ Other Owner name: ,~IC. 41Gt ~(,l ''- ~-F Ll ~~ l~i'~ C_.t~~t Owner address: l t(~l ~ Cc ? . t `JCL t'Yli. P I' ~ ~ Agent name (e.g., architect, engineer, developer, representative): Firm name: Address: Phone: 2 ~ ~ ` ~ ~~~/ S~ Zip: ~G~~ Z~ Phone: ~ k.~ °Z~`j~ Zip: ~ ~ C~ c~ ~--- Phone: Primary contact is: ^ Applicant ^ Owner ^ Agent ^ Other Contact name: K-[ l~ i ~w~ [' ir1 E-mail: (~'~ h i'`t' d. Z~ (~f ~~ ~' i~,l~-~1 ~ i t ~( p t' Phone: '~~'~'" ~~`~l Fax: Subject Property Information Location/street address: ~~ ~" t~ C~ lt1 ~ tr ~ ~ Assessor's parcel number(s) Township, range, sec 'on: ,,%QQI" 1 ~ Current land use: ~ ~ ~CLG'l~ Total acreage: Current zoning district: ' ~ _~ G ~ ~~~~ ~ 660 E_ Watertower Lane; Suite 202 Meridian, Idaho 83642 Phone: (208) 884 533 Facsimile: (208) 888-684 • Website: www:meridiancity.org I _ (Rev.9./21106) Zip: Project Description Projecdsubdivision name: I General description of proposed projecdrequest: 1~~~`C nlGt~(`i.14~ Proposed zoning district(s): Acres of each zone proposed: Type of use proposed (check all that apply): ^ Residential ^ Commercial ^ Office ^ Industrial ^ Other Amenities provided with this development (if applicable Who will own & maintain the pressurized irrigation system in this development? Which irrigation district does this property lie within? Primary irrigation source: Secondary: /'~ Square footage of landscaped areas to be irrigated (if primary or secondary point of connection is City water): Residential Number of residential units: Number of common and/or other lots: Proposed number of dwelling units (for multi-family 1 Bedroom: Minimum square footage of structure(s) (excl. garage): Minimum property size (s.f): Gross density (DU/acre-total land): Percentage of open space provided: Percentage of useable open space: Type of open space provided ' cre Type of dwelling(s) pro sed: ^ Number of buxldine lots: 2 orrfiore Bedrooms: Proposed building height: _ Average property size (s.f.): Net density (DU/acre-excluding roads & alleys): Acreage of open space: .;(See Chapter 3, Article G, for qualified open space) (i.e., landscaping, public, common, etc): ngle-family ^ Townhomes ^ Duplexes ^Multi-family Non-residential Project Summary (if applicable) Number of building lots: Other lots: Gross floor area proposed: ~ie~' Existing (if applicable): Hours of operation (days and hours): ~ ~ ~ ~ ') (' Building height: Percentage of site/project devoted to the following: Landscaping: Building: Paving: Total number of employees: ~~ 1 Maximum number of employees at any one time: Number and ages of students/children (if applicable): EG w~S ~' ~ Seating capacity: Total number of parking spaces provided: ~ Number of compact spaces provided: Authorization Print applicant name: ~~,(l~ ~'~t^e~~ Applicant signature: ~+f ,(~~-''4^-- Date: 7I~~~~ i 660 E. Watertower Lane, Suite 202 Meridian, Idaho. 83642 Phone: (208) 884-5533 Facsimile: (208) 888-6854 Website: www.meridiancity.org 2 i ~ ~ µ.. IH ~ _ .~.'t. CITY OF ~~~~~~{~~ R - ~r1G~1G~"yI ~~ ~~ IDAHO ~' Y~. c e~R ~ Tr~,tisuRe V nu~~ s~se~ 1903 MAYOR Tammy de Weerd CITY COUNCIL MEMBERS Keith Bird Joseph W. Borton Charles M. Rountree David Zaremba CITY DEPARTMENTS City Attorney/HR Mailing Address: 33 E. Idaho Avenue Street Address: 703 N.Main Street 898-5506 (City Attorney) 898-5503 (HR) Fax 884-8723 Fire 540 E. Franklin Road 888-1234 /fax 895-0390 Parks & Recreation 11 W. Bower Street 888-3579 /fax 888-6854 Planning 660 E. Watertower Street Suite 202 884-5533 /fax 888-6854 Police 1401 E. Watertower Street 888-6678 /fax 846-7366 Public Works 660 E. Watertower Street Suite 200 898-5500 /fax 895-9551 - Building 660 E. Watertower Street Suite 150 887-2211 /fax 887-1297 - Wastewater 3401 N. Ten Mile Road 888-2191 /fax 884-0744 - Water 2235 N. W. 8th Street 888-5242 /fax 884-1159 July 20, 2007 /'\ RE: Notice of pending approval for the operation of a Family Day Care for six or fewer children located at 1496 W. Gander Drive. The Meridian Planning Department is reviewing an application to operate a family day care for six or fewer children located at 1496 W. Gander Drive. If the application is found to comply with Unified Development Code (UDC) Titlel 1, Chapter 4, Section 3-9, it will be approved on August 6, 2007. UDC 11- 4-3-9 is available for review at: http://www.meridiancit ~~org/planning zoning/index:as~. Following approval, the applicant, Director, or a party of record may appeal this decision or a condition of approval by requesting City Council review of this decision. All requests shall be filed in writing with the Planning Department no later than August 21, 2007 and shall comply with the provisions of UDC 11-SA- 6B. The application for City Council Review is available on our website at www.merdiancity.org, or upon request from this office. For additional information about this decision or about your right to appeal, please contact this office at 884-5533. Sincerely, ~_ Kris Vi it for Y g Anna Borchers Canning, AICP Planning Director CITY HALL 33 EAST IDAHO AVENUE MERIDIAN, IDAHO 83642 (208) 888-4433 CITY CLERK -FAX 888- 4218 FINANCE & UTILITY BILLING -FAX 887- 4813 MAYOR'S OFFICE -- FAX 884-8119 ADA CQUNTY RECORDEfl J. DAVID NAVAl1fl0 ' BOISE IDAHO 07f28l03 04:38 PM DEPUTr KtloVaaOhn 8111111111tIiIIIII111111N11i1111111 flECORDEO-REQUEST OF AlOence TIOe 103125177 AMOUNT 3.00 WARRANTY DEED Order No.:5000316243JG FOR VALUE RECEIVED Steven D. Dees and Michele D. Dees, hasband and wifg the grantor(s), do(es) hereby grant, bargain, sell and convey unto J, A. Richard/Breen and Keily/Breen, Hnsbandand Wife ~~ '~ whose current address is 1496 W. Gander Drive, Meridian, ID, 83642, the grantee(s), the following described premises, in Ada County, Idaho, TO WIT: Lot 6 in Block 11 of Landing Subdivision No. 7, according to the official plat thereof, filed in Book 69 of Plats at Page(s) 7085 and 7086, Official Records of Ada County, Idaho. TO RAVE AND TO HOLD the said premises, with their appurtenances unto the said Gratnee, heirs and assigns forever. And the said Grantor does hereby covenant to and with the said Grantee(s), that (s)he islare the owner(s) in fee simple of said premises; that they are free fiom all encumbrances Except: Current Year Taxes, conditions, covenants, restrictions, reservations, easements, rights and rights ofway, apparent or ofrecord. And that (s)he will warrant and defend the same from all lawful claims whatsoever. Dated: nJuly 28, 2003 Steven D. Dees c le .Dees State ofldaho } } ss County of Ada } On this 28th day of July 2003, before me, a Notary Public in aad for said state, personally appeared Steven D. Dees and Michele D. Dees known or idea ed to me to be the person(s) se name(s) are scn ed to the Instntment and acknowledged to me that they executed same! IN WITNESS WHE F, I have b eanto set mylt~d' and aftnted my official seal the day and year in this cerlifi~.ate first above written. f PrMJL.A TFIOMA$ WCTCARY P1181.IC ~~~~ Residing at: Boise, ID Commission Expires: 11-10.04 ~ /'1 STANDARDS FOR DAY CARE FACILITIES STATEMENT OF COMPLIANCE UDC 11-4-3.9: Day Care Facility A. General standards for all child day caze and adult care uses, including the classifications of day care center; day care, family; and day care, group: I. In determining the type of day care facility, the total number of children cared for during the day and not the number of children at the facility at one time, is the determining factor. The operator's children aze excluded from the number. 2. On-site vehicle pickup, parking and turnazound areas shall be provided to ensure safe discharge and pickup of clients.. 3. The decision-making body shall .specify the maximum number of allowable clients and hours of _.. operation as conditions of approval. ' " '' 4. In-residential districts or uses adjoining an adjacent residence, the hours of operation shall be between - - - 6:00 a.m. to 11:00 p.m. This standard may be modified through approval of a Conditional Use Permit. B. Additional standards for day caze facilities that serve children: ;;„ . 1. All`outdoor play areas shall be completely enclosed by minimum six-foot.(6') non-scalable ..fence to secure against exit/entry by small children and to screen abutting properties. T'he fencing material shall meet the swimming pool fence requirements of the Building Code in accord with Title 10 of the Meridian City Municipal Code. 2. Outdoor play equipment over six feet (6') high shall not be located in a front yazd or within any required yard. 3. Outdoor play areas in residential districts adjacent to an existing residence shall not be used after dusk. Certification: I have read and understand the above standards for operation of a day care facility and certify that I will conduct my business in accordance with these standards. If I cannot meet these standards, I am not allowed this accessory use. i Applicant's Signatur • ~ ~~'`-- Dater ~ ~` ~ /'1 Y STANDARDS FOR HOME OCCUPATIONS STATEMENT OF COMPLIANCE UDC 11-4-3.21: Home Occupation: The following standards apply to all home occupation uses with the exception that strict adherence to the standards contained in sections 11-4-3.21B, 11-4-3.21 C, 11-4-3.21E, and 11-4-3.21F in the TN-C and TN-R Districts is not required: A. In no way shall the home occupation cause the premises to differ from its residential character in the appearance, lighting, signs, or in the emission of noise, fumes, odors, vibrations, or electrical interference. B. The home occupation shall be conducted entirely in the dwelling, and not more than twenty-five percent (25%) of the gross floor azea of said dwelling shall be used for a home occupation or for storing goods associated with the home occupation. Materials may be stored in an attached gazage or storage area, provided it shall not reduce the required off-street parking below the standard established for that district. C. No activity connected to the home occupation or any storage of goods, materials, or products connected with a home occupation shall be allowed in any detached accessory structure. D. The home occupation shall not involve the use of more than one (1) commercial vehicle. E. The home occupation shall not have more than two (2) out-going pickups per day from a common carrier. F. The home occupation shall be conducted by the inhabitants of the dwelling, and no more than one (1) nonresident employee shall be permitted. , G. The home occupation shall not serve as a headquarters or main office where employees come to the site and are dispatched to other locations. H. No retail sales shall be permitted from the dwelling except the sale of: a) services or items produced or fabricated on the premises as a result of the home occupation; or b) products related to the home occupation. I. Off-street parking shall be provided as Section 11-3C-6 of this Title, in addition to the required off-street parking for the dwelling. J. All visits by clients, customers, and/or employees shall occur between the hours of 8:00 a.m. and 8:00 p.m. Certification: I have read and understand the above standards for the operation of a home occupation and cert~ that I will conduct my business in accordance with these standards. If I cannot meet these standards, 1 am not allowed this accessory use. Applicant's Signature; ~ ~-e-~'--~~ Date: ~ ~ ~` _ s ,~ ~~ AFFIDAVIT OF LEGAL INTEREST STATE OF IDAHO ) COUNTY OF ADA ) (name) ~ ~ (address) ~~~ 1;'1 ~'t /t ~~ (city) (state) being first duly sworn upon, oath, depose and say: 1. That I am the record owner of the property described on the attached, and I grant my permission to: (name} (address), to submit the accompanying application(s) pertaining to that property. 2. I agree to indemnify, defend and hold the City of Meridian and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. 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 ~_day of ~ ~ i,~ ~-g/" 2p ~'~'t--~ -~--.-~------' (Signature) SUBSCRIBED AND SWORN to before me the day and year first above written. (Notary Public for Idaho) Residing My Commission Expires: '~ 'i '° ~. ~~rr~-~r ~, , ~s~ri ~, ~, r" ~ Planning Department ACCESSORY USE ~ Application Checklist Project name: File #: Applicant/agent: All applications are required to contain one copy of the following: Applicant Description Staff Com leted & si ned Administrative Review A lication Narrative full describin the ro osed re uest Recorded watran deed for the subject ro e Affidavit of Legal Interest signed & notarized by the property owner (If owner is a corporation, submit a co y of the Articles of Inco ration or other evidence to show that the rson si in is an authorized a ent. Scaled vicinity map showing the location of the subject property (can be obtained from the Plannin De artment) Scaled or dimensioned site plan showing the boundaries of the property, floor plan of house, area intended for accesso use, and arkin and and areas. Fee Additional Re uiremen~s fQr Da Care A lications Include the following additional information in the narrative: - The total number of children ro osed to be cared for durin the da _~ Include fencin details on the site lan location, a of fence ~" Standards for Da Care Facilities, Statement of Com Hance form si ned b a licant -_ --- Additional Re uirements for Home Occu ation A lications Standards for Home Occu ations, Statement of Com Hance form si ned b a licant APPLICATION WILL NOT BE ACCEPTED UNLESS ALL ITEMS ON THE CHECKLIST ARE SUBMITTED. 660 E. Watertower Lane, Suite 202 Meridian, Idaho 83642 Phone: (208) 884-5533 Facsimile: (208) 888-6854 Website: www.meridiancity.org .-~ ., . ~, ~-, ~'~ ~' ~~ --_ -s !~ e~ _~. 3 ~=~ c~' ~.. r (~.~ ~ o ~ ~ ~' z '1 ~ ~ _ `1-- _ ~r ~- -- .. pt ..~ .~-- _ ._ # I ~' j a ~~ ~` ~~ _ , .__ c -, 2 `~ ~ e ~ i ~p ~ ~\ ~ , it r° ~~ I ----.-~- 1~~_ ~~, Easy Peeyl Labels ~ i ~ ~ See Insy uction~et ; ~ ~gVERY ®' . Use Ave ®TEMPLATE 5160® iFeed Paper ~ for Eas Peel FE ref ®5160 ~ 1 Calhoun C & M Enterprises, LLC Van Moore 10111 W. Seneca Dr. 7967 S. Diego Way ~ '3155 River Street, Suite 100 Boise, Idaho 83709 Boise, Idaho 83709 Salem, Oregon 97302 Plotts 1516 W. Gander Dr. Meridian, Idaho 83642 Obenchain 3104 S. Kingsbury Way Eagle, Idaho 83616 Pate 731 S. Otter Ave. Meridian, Idaho 83642 1=tiquettes faciles ~ peter Utilisez le gabarit AVERY® 5160® K~~' Breen 1508 W. Gander Dr. 1496 W. Gander Drive Meridian, Idaho 83642 Meridian, Idaho 83642 Coats Shumway 354 Bishop Ave. 1522 W. Gander Drive Sunnyvale, CA. 94086 Meridian, Idaho 83642 ~ Consultez la feuille vvww.averycom Sens de chargement d'instruction 1-800-GO-AVERY CITY OF ~YlG~1G~"l7 \\ti 33 E. Idaho Ave. ~ Meridian, ID 83642 Date ~~ Applicant Address p ~~`C ~' Phone ~(~' ~~ CASH CHECK # NAME ON CHECK IF DIFFERENT THAN APPLICANT ~~ ~ ~ ~ ~ i i ! ! PAYMENT DOES NOT INDICATE ACCEPTANCE OF A PLICATION TAX 10 8 6 8 Received TOTAL ~~ ~~ ~1~~~ m ~ ~o mn oK ogg~= Z,7N~a D~v~ vZN ~ m~WW w~cn~~ ,, N.°~ zm t~ z i ~ 0 V m ,~ ; ~ ~ ~ ~ ~ ~ m ~ -~ 0 l j { r 0 ° ~~ ~~ ~ A ~ (~'`~` V N ( Art i~ \ ~ - ' + OW 6 .7~~~~