HomeMy WebLinkAboutKhristyuk, Irina AUP 07-003/'~ l"~
CITY OF Mi ~DIAN PLANNING DEPARTMENT AL r'.SSORY USE STAFF REPORT
DATE: February 9, 2007
TO: Anna Canning, Planning Director
FROM: Kristy Vigil, Assistant City Planner
SUBJECT: Application for a family day care facility by Irina
Khristyuk.
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Request to Operate a Family Day Care Facility for Six or Fewer Children out of her home
located at 3477 N. Weston Way.
We have reviewed this submittal and offer the following comments:
APPLICATION SUMMARY
The applicant, Irina Khristyuk, has requested approval to operate a family day care facility for six or
fewer children out of her home located at 3477 N. Weston Way, Meridian, Idaho.
The property is zoned R-8, which allows for a family day care facility with written approval from the
Planning Director. "
LOCATION
The property is located at 3477 N. Weston Way in the SW'/4 of T. 4N., R. lE., Section 31.
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. The applicant or owner shall secure and maintain a Basic Day Care License from the State of
Idaho Department of Health and Welfare-Family and Children's Services Division.
5. 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.
6. 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. The
AUP-07-003 Irma Khristyuk PAGE 1
CITY OF M~ __IDIAN PLANNING DEPARTMENT A~,:ESSORY USE STAFF REPORT
fencing material shall meet the swimming pool fence requirements of the Building Code in
accord with Title 10 of the Meridian City Municipal Code.
7. ,Outdoor play equipment over six feet (6') high shall not be located in a front yard or within any
required yard.
8. Outdoor play areas in residential districts adjacent to an existing residence shall not be used
after dusk.
9. 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.
10. 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 RECOMIVI(ENDATION
Staff recommends approval of the accessory use for Irina Khristyuk 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. The applicant shall provide a copy of the approved Basic Day Care License issued by the
State of Idaho Department of Health &Welfare-Family and Children's Services
Division to the Planning Department. If the applicant fails to maintain such license, this
approval shall be null and void.
4. Hours of operation shall be between 6:00 a.m. to 11:00 p.m. Outdoor play areas shall not
be used after dusk.
5. 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-07-003 Irina Khristyuk PAGE 2
1'"~
CITY OF -_
~Y1~1G~"12 = 1
MAYOR I
Tammy de Weerd
CITY COUNCIL MEMBERS
Keith Bird
Joseph W. Borton
Charles M. Rountree
David Zaremba
CITY DEPARTMENTS
City Attorney/HR
Mailtng 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
IDAHO
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190
February 9, 2007
Irina Khristyuk
3477 N. Weston Way
Meridian, Idaho 83646
~.
RE: Accessory Use Permit application (AUP-07-003).
Dear Ms. Khristyuk:
This letter is to confirm the approval to operate a family day care facility
for six or fewer children located at 3477 N. Weston Way and to include the
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. The applicant shall provide a copy of the approved Basic Day Care
License issued by the State of Idaho Department of Health &
Welfare-Family and Children's Services Division to the Planning
Department. If the applicant fails to maintain such license, this
approval shall be null and void.
4. Hours of operation shall be between 6:00 a.m. to 11:00 p.m. Outdoor
play areas shall not be used after dusk.
5. 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.
CITY HALL 33 EAST IDAHO AVENUE MERIDIAN, IDAHO 83642 (208) 888-4433
CrfY CLERK -FAX 588- 4218 FINANCE & LTTII,TTY BILLING -FAX 887- 4813 MAYOR'S OFFICE -- FAX -884-8119
n
Failure to meet the above stated conditions shall be deemed a violation of the
Unified Development Code.
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 within fifteen
(15) days of the date of this letter and comply with the provisions of UDC 11-
SA-6B.
Sincerely,
Kristy Vigil for
Anna Borchers Canning
Planning Director
Kristy Vigil
From: Kristy Vigil
Sent: Wednesday, January 31, 2007 1:21 PM
To: Kenny Bowers
Subject: Daycare inspections
Hi Kenny,
Q ~ Can you please contact:.
alena McGalliard at 288-5709 for an in-home daycare for 6 or fewer children located at 1830 N.
6~ ~~ ~u~ Todd Way;
~~ Irina Khristyvk at 884-0407 for an in-home daycare for 6 or fewer children located at 3477 N.
Weston Way.
Thank you,
Kristy
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January 23, 2007
Planning Director
City of Meridian
c% Kristy Vigil
Assistant City Planner
660 E Watertower Ln., Ste. 202
Meridian, ID 83642
Dear Kristy,
My husband and I own a home in Sundance Subdivision, 398 E. Cassidy, in
Meridian. We are writing this letter to in#orm you that we are very much opposed
to having a Family Day Care within our neighborhood. Our home is located right
next to the home applying for the day care at: 3477 N Weston Way, Meridian. We
feel that there would be increased traffic and noise in the neighborhood. Also, we
both know that within our CCR's home based businesses are not allowed. For
questions regarding the Sundance CCR's contact: Association Management Inc.
P. O. Box 5714, Boise, ID 83705, 208-385-9650. Please take all of this into
consideration.
Sincerely,
~-.
James and Elicia Klevenberg
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MAYOR
Tammy de Weerd
CITY COUNCIL MEMBERS
Keith Bird
Joseph W. Borton
Charles M. Rountree
Shaun Wardle
CITY DEPARTMENTS
City Attorney/HR
703 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 898-5501
Planning
660 E. Watertower Lane
Suite 202
884-5533/fax 888-6854
Police
1401 E. Watertower Lane
888=6678/fax 846-7366
Public Works
660 E. Watertower Lane
Suite 200
898-5500/fax 898-9551
- Building
660 E. Watertower Lane
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
January 16, 2007
1"'\
RE: Application for the operation of a Family Day Care for six or fewer
children located at 3477 N. Weston Way.
To Whom It May Concern:
This letter is to inform you that Irina Khristyuk requested approval to
operate a Family Day Care for six or fewer children out of her home at 3477
N. Weston Way, Meridian, Idaho. You are invited to submit comments,
either for or against this request.
All comments must be filed with the Planning Director within 15 days
after the date of this letter and should be addressed to Planning Director, City
of Meridian, c/o Kristy Vigil, Assistant City Planner, 660 E. Watertower Ln.,
Ste. 202, Meridian, Idaho.
Sincerely,
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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 887-4873 MAYOR'S OFFICE -FAX 884-8119
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N:~~~, 29. 2006 1:~M r'~ No, 6301 P. 1
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i71 q?tl'? Y
of Review Requested fchetk all that
- )'lan»in~ Department
°` ADMINISTF;ATIVE REVIEW APPLICATION
Accessory Use
^ Alternative Compliance
A Certificate of zoning Compliance;
^ Conditional Use Permit Minor Modi>'ication
C] Design Review
^ Private Street
^ Property Boundary Adjustment
^ Short Plat
^ Temporary Use Certificate of Zrnting Compliance
^ Time Extension (Director)
p Vacation
^ Other -..
Information
Applicant.n~ame• ,iQ~/~~ /t l~
Applicant address: ,3/77 ~ ~~
STAFF US'E ONLY:
lil(e/nu~be~r{s): u/~ 4'1 'G~3
Project itan[iC. T
Date itled:~'/0 D ~7 Date comp e, I~P"67
Assigned P canner:
Related files'
'~-- _ _ _ Phone: zGZ;Y Swtl -D~~
~I ~ /~C~/^/E?~iQ/7~ Zip: 836~f'6
Applicant's interest in property: u Own ^ Rent ^ Optioned ^ Other
Owner name: 1 UQ/1 ~ l~P//Ilf /{/~/'.(~/S~U,~ ~ Phoane:l a' D U~
Owner address: 3/77 /~ /~~SfD/7 G ~L%'l ~ ~ /7 Zip• 3'-36%6
Agent name (e.g., architect, enginca:, developer, representative). ~,~V .~/r}-
Firmname; Phone:
Address:
Primary contact is: Applicant CI Owner ^ Agent ^ Other _
Coattactname: ~,~~1.,.~- ~ Yt t~~~ S-~T ~ _
E-mail: V
Information
Locatian/street address:
Assessor's parcel number(s):
Township, range, section: _
Current (and use: ~~' S1c
~s~i--._
Zip:
Phone- ~~ ~ -0 ~(G~
Fax: ~_ - --
Total acreage: ~ / ~-3
Current zemin,; district: ~ - ~''
b60 E.'Natertower Lane, Suite 202 • Meridian, IdaUo 83642
Phone: (208) 88~-3533 Facsimile: (208) 888.6854 Welasite: wwwaneridiancity.org
1 lRev. 98,1/06)
N~~~, 29. 20(16 1: ^~ ~ No, 6301 P, 2
Projcetlsubdivision name: ~JUjzCY~,!/l LE' JLlD. ~~ Gt.
General description ofproposed project/requcst: ~ C.~- ~P~_
Proposed zoning district(s): I~-
Acres of each zone proposed: .~~
Type of use proposed (check all tha!: apply):
~ Residential ^ Commercial ^ OfFce ^ Industrial ^ Other _
Amenities provided with this development (if applicable): ~~
Who will own & maintain the pressurized irrbation System itt this devaloF~ment?,! /~~~
Which irrigation district does this property lie within?
Primary irrigation source:
Secondary
Square footage of landscaped areas :o be irrigated (if prtmaty or secondary point orconnection is city water}:
lZesidentlal Project Summary (if applicable)
Number of residential units:
Number of building lots:
Number of common and/or other lots:
Proposed number of dwelling units I for multi-family developments only);
1 Bedroom: 2 or m edr
Minimum square footage of structure(s) (excl. garage):
1Vliairnum property size {s.fl:.__ _._ __
Gross density (bp/acre-total land}: _
Percentage of open space pro~it~
Proposed building height: _
Average property sip (s.f.):
Net density ([~U~ecrc-excl>r~ing roads ~ s4lcya?;
Acreage of o~~en space:
Pereentagc of useab 'space: _ {See Chapter 3, Article t3, for qualrfiied open space)
Type of ap a provided in. acres (i.e., landscaping, public, common, e:tc):
dwelling{s) proposed: ^ tingle-family l7 Townhomes [J Duplexes UMulti-family
Nan-residential Project Summary (if applicable)
~.~_ -
Nun:tber of building lots: ~ Other lou:
Gross floor area proposed: Eacisting {if applicable): _
Hours of operation (days aid hours): tt~6fc~i ~- F Building height:
Percentage of site/projeet devoted to the following:
Landscaping: _ Building: Paving:
Total number of empioyees: __'___~~ Maximum number of errtpl~ayees at any onetime: -~'~
Number and ages of students/childre:n (if applicablo): ~,.,(~c~'~ D ~ Seating capacity: ----r~-'T
Total ntunber of parking spaces provided: ~ _„ Number of com~~act spaces provided: _~+--`
Anthorization
Print applicantname: ~~~Y _ _ ~i`,~,Q/S f(/U•~`
Applicant signature:
Date: ~~'~,~'" d6
6601x. to wet Lent, Suite 202 Meridian, Idaho 83642
Phone: (208} 884-55:3 Facsimile: {208) $$$•6$54. Website: www.,neridianciry.arg
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ACC~S;~QRY U'SE >. Application Checklist
Pro Warne: CGZ,./ ~• ~'„sx:'~:;*''~'~"
APPlicant/agent: ~Q/~J~ /~iP~S
All appticatiozts are required to con,~.in gee copy of the following:
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Com ]tted ~ si exl Admutistrattve Review Application ~:.~~.
Narrative £ull descr~bina the umposed request ~yw : ~ ~;„
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Recorded wat'ran deed forthe subject property
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Affidavit of Legal Interest signed & ttotarized by the property owner (tf owner is a corpptation, `:~
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submit a o0 ofthe wrbichs ~Inr~rporation or other evidence to show that the persoe sign is as authors ....: r.
Scaled vicinity map s hov~irtg the location of the subject property (eon be obtairxd from the ~~ ~;~~'~°
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Pla,m;r, eat i ~'
Scaled or di:tnensioned site plan showing the boundaries of the property, floor plarx of :M1.~''°`
house area intended •for accesso us and kin ~ and d areas. ,.., , ~ 'r
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Include the following additional infarmatiatt itt the natrativ+:• ;'.~°
- The ~ata,(munber of children osexi to be cared for dtuyn the d ~~'
Include fencin detail s on the sik lstt location offence ~~!F ~'; ...~
A copy cf your application for a Basic Day Care License fn~tn the State of Idaho ,'~1
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RPPl,IGRT,TONWILLN'd7'BE~CC~PTED UNLES'SALLITEMSONThT.r;'CNECI~I:ISTARESUBMI~TED,
660 E. ~t'etertawer Lane, Suite 242 • Meridian, Idaho 8364?
Phone: (248) 884-553? Facsiraik: (208) 888-6854 • Website: wtivW,aleridiancity.org
(Re.. 9/21106)
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N7v, 29. '200b 1:'~vl ~ No, 6301 P. 4
STANDARDS FAR DAY CARS F.ACII.~T~ES
S'rATEME~' OF COMPL~.tiI~CF
UDC 11-4-3.9: I1ay Care Faeilrty
A. Gesxeral standards for all child day care and adult care uses, including the classifications of day cart center;
day care, family; and day cares, group:
1. In determiroing the type of day care facility, tine fatal number caf children cared far during the day and not
the number of children at the facility at one time, is the detesxnining fgc."tor. The operator's ehildien are
excluded from the number.
2. Ou-site vehicle pie~up, parking and turnaround area shall be provided ea ensure safe discftarge and
pickup pf clie~orts. .
3. The decision-making body shrill specify the maximum number of allowable clients and hours of
operation as conditions of approval.
4. Tike appliceat or owner shall secure and maintain a Basic L-ay CErt, License ii~cin the State df Idaho
Department of Health and Welfare-Family and Children's Services Division.
5. Yn reseidezctial districts or uses adjoining an adjacent residence, the haur~ of operation shall be between
6:00 a.nn. to 11:00 p.m. ^ytis standard;.nay be modified throttgla approval of a Conditional Use Permit
B. Additional standards for day care facilities that serve children:
1. All outdoor play areas :chail be completely enclosed by minimum six-fast (6'} nou-scalable fence to
secure against exit/entry by small children and to screen abutEing properties. The fencing material shall
meet the swimming pail fence requirements of the Building Code in accord with Title 10 of the
Meridian City Munii:ipal Code.
2. Outdoor play equipment over six feet (6') high shall not be located in a front yard or within; any required
y~•
3. Outdoor play an,.as in residential districts adjacent to an existixt; residence shall not be used aver dusk.
Certification:
I have read and usaderstas~d the above stmulards for operation of a day care facility oral certify that I will conduct
my busirtess ill accordance with the~s~e standards. If I cannot nest these s~andardc, l am not allowed this accessory
use.
Applicant's Signature: _ ~ Date• ''_Z~- D6
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A Pioneer Company
PIONEER TITLE COMPANY
OF ADA COUNTY
'8151 W. Rifleman Ave. /Boise, Idaho 83704
(208) 377-2700
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A6A COUNTY RECORDER J. DAVID NAVARRO 1
BOISE IDAHO 04115104 04:46 PM
DEPUTY Vicki Allen
RECORDED-REQUEST OF III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ~~~
Pioneer 1 ~~~~~~~~
AMOUNT 3.00
QUITCLAIM DEED
For Value Received
Irma Khristyuk, wife of Ivan Khristyuk
do hereby convey, release, remise and forever quit claim unto
Ivan Khristyuk, a married man as his sole and separate properly
whose address is 3477 N. Weston Way, Meridian, ID 83642
the following described premises, to-wit:
Lot 17 in Block 3 in Sundance Subdivision No. 2, according to the plat thereof in Book 86 of Plats at Pages
9772 thru 9773, Records of Ada County, Idaho.
together with their appurtenances.
Dated: April 13, 2004
STATE OF IDAHO County of Ada, ss.
On this 15th day of April, in the year of 2004, before me Cindy
Khristyuk, known or identified to me to be the person/persons
.instrument, and acknowledged to me that he/she/they executed t
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public personally appeared Irma
re subscribed to the within
Notary'P'd}iHa of Idaho
Residing at Boise
Commission expires: May 5,-2005
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A Pioneer Company
PIONEER TITLE COMPANY
' OF ADA COUNTY
8151 W. Rifleman Ave. /Boise, Idaho 83704
(208) 377-2700
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f''1 ._ _ _---- _ _
---.
_. ADA COUNTY RECORDER J. DAVID NAVARRO 1
BOISE IDAHO 04/15104 04:46 PM
DEPUTY Vicki Allen
RECORDED-REQUEST OF 'II II IIIIIIIIIIIIIIIIIIIIIIIIIIIII ~~~
Pioneer 1 ~~~~~~~~
AMOUNT 3.00
CORPORATE WARRANTY DEED . fNiTlA!_
t
FOR VALUE RECEIVED,
Corey Barton Homes, Inc., an Idaho Corporation
a corporation duly organized and existing under the laws of the State of Idaho, grantor, does hereby Grant, Bazgain,
Sell and Convey unto
Ivan Khristyuk, a married man as his sole and separate property
whose address is: 3477 N. Weston Way, Meridian, ID 83642, grantee, the following described real estate, to-wit:
Lot 17 in Block 3 in Sundance Subdivision No. 2, according to the plat thereof in Book 86 of Plats at Pages
.9772 thru 9773, Records of Ada County, Idaho
SUBJECT TO current yeazs taxes, irrigation district assessment, public utility easements, subdivision,
restrictions, U. S. patent reservations, easements of record and easements visible upon the said premises.
TO HAVE AND TO HOLD The said premises,. with their appurtenances unto the said Grantee, his heirs and
assigns forever. And the said Grantor does hereby covenant to and with the said Grantee, that it is the owner in a fee
simple of said premises; that they aze free from all encumbrances and that it will warrant and defend the same from
all lawful claims whatsoever.
1N WITNESS WHEREOF, The Grantor, pursuant to a resolution of its Boazd of Directors has caused its
.corporate name to be hereunto subscribed by its officers this 15th day of April, 2004.
or ~ Barton Homes, Inc.
B
erena Clark, Secretary
STATE OF IDAHO, County of Ada, ss.
On this ~ day of April, in the year of 2004, before me Cindy Phillips, a notary public, personally appeazed
Serena Clazk known or ident~ed to me to be the Secretary of the corporation that executed the instrument or the
person/persons who executed the instrument on behalf of said corpor d acknowledged to me that such
corporation executed the same.
,e ~
',®~e.~~~`{ PHIj,LIA~~~..~ Cind Philli
a V .• ee r Y
4 a v ; ;; ~, ~, ry Notary Public of Idaho
_ ~ g ~ ~ ~• ~ '~ Residing at Boise
_ _ ...
4 ~ d Commission expires: May 5, 2005
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PJ~v. 79. 7006 ? ~M r No. 6301 P. 6
AF'FI~AVIT OF LEGAL INTEREST
STATE OF IDAHO )
COY7NTY OF ADA )
I, .T,~/~~z ~,els ~ ~y1~ /1
1P/'CGL[C1'/I(nsme) _ (address)
-- ~3~--
(city) (state)
being first duly sworn upon, oath, depose and say:
1. That I am the »ecord owner of the property described on the attached, and I grant my
permission to:
{name) (address) 836/6
to submit the ae~:onapanying application(s) pertaining to that property.
2. I agree to indeniztify, defend and hold the City oi' Meridian and its employees 6~arznless
from any claim or liability resulting from any dispute as to the statements contained
herein or as to tl~e ownership of the property wluck~ is the subject of the application.
3. I hereby grant ~enxtission to City of Meridian staffto enter the subject property for the
purpose o#`szte iu~spections related to pxoeessing said application(s).
Dated this ?day of .~yP/~J Pr . Zao6
~~
(Sign s e) -
SUBSCRIBED AND SWORN tc~ before me flue day and year first above written.
(Notary Public for Idaho) --
Residing at:
11~Iy Commission Expires:
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DE~'ARTlYI1:~IT' of a3~TH AfJD w~.faR>~ `:
~APPtICAT1 tDIV FOR BASK I~AY CAR£ L1Ci~ NSE L7R CERTIFICATION
P. 212
HW-Q383
Rav9 7th
.TYPE; {check ane} ~ _~ B:raic pay Care Cen#erLicense {i3 ormor~ c3t~drPn}
~ ~~~P ~Y Care F'acr~fy ticer:se {71n 72 ch~sfren)
.- v ~• Lrry Cars Home License {t's or fewer Cnildrert}
,,, Ce~rtittsd Graup Day Care Fac~ity {7 to tZ Cl~dren} .
!, -~~llVf} ~N'2lS ~L~ here!'Y aPP~- fora 8asio D~iy Cara License ar Cerfr~rcadon (ir~di~te
above) in accordan! c:~~~rith ,!daha Code 39-'f'Id
1, t understand that my facalrty must camply with alt
applicable health ,~rtd fire standards and alt owners, operators, employees and vaiuntaar5 and al! ether
lndividu~ls twelve {1~) year,. Cf age nr alder having unsupervised dirad contact with eh7dren in qre
~shal! have r~'imirt~od his#ory c1~eclG.
Lghteen f19 veers of age s ai! in },dg
a ct?erk df the J~~+,~nii~,e„~,; ' yf tie ~,gistrate Divisioe of the Distriot
D~urj Cou____nty Pre~r ' f •snd W . ~ Teeards as a +therr~,~y thg
minas and his rtar .nt nr ~ r~i' n ' ' rt !fee Charged this erin~irtal baelceround
s~7.eCiC_ There 'sha(~ also be ; ~u~~ ~gjster regardirta ~~j of the abeve-
named aersart4 'mod • h m on(v ose _Oe[*v s who have
~~~~ 'ail twelve f t21 h rs ink month.
~-ppGcanrs name {please prirR) 1 ~ iUi4 h~,2~s~ v~
Applicant's Sow! ;3e~urity au~~er _. _
Name of l=acility ,
Address of l=aality ,_~ 4~,,,7 ~ ~1/ t (,c~@S' J'tO~U ~
City, State, l~ Z'tp .,,~'~ia/U ~A 836 ~/'
Telephone Number _~Z08 $8~/ - O~/0 ~
Name of Qperator _~ ~ ~N~@iS v
Name of Employ; Duties
(Add ano#her afiee## six mtxra name;.)
Names of Volunteers
Duties
(Add another sheet for more p,~mes,)
'fhe Department of l~~ealth and Welfare wilt Process your appli~:atian upor+ receipt of the necessary
reports from #~e Health Deperhnent, the Fire Department and the Crimu~at fdentifiptlan 8ursau.
Signature
Date ~'
~~ CITY OF ~ }
- ert~t~n ~~~
33 E. Idaho Ave.
~~. Meridian, ID 83642 ~
/i'1
// ,.L Date / 6
Applicant
' ,-~ h V i S I ~-
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Address ~'1 ~'"~
Phone ~~ ~-Q
• CASH CHECK # NAME ON CHECK IF DIFFERENT THAN APPLICANT
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PAYMENT DOES NOT INDICATE CEPTAN OF APPLICATION -
~~
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9 5 6 6 Bece~~ed
Y ~ - TOTAL
55748
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RADIUS NOTICE REPORT
~ o-.pan-ZOOS
FILE NAME: irina
Owners Owner Address
ANDERSON LANCE E 3513 N WESTON WAY
MERIDIAN, ID 83646-3192
Property Address: irina
BARTOSH MIKHAIL 3440 N WESTON WAY
BARTOSH VALENTINA MERIDIAN, ID 83646-3193
Property Address: irina
CLEGG ALAN 3572 N PESCADO WAY
CLEGG JULIE A MERIDIAN, ID 83646-3195
Property Address: irina
CONNOR JOHN T 22140 ALTA DR
CONNOR WENDY M TOPANGA, CA 90290-0000
Property Address: irina
HIBBARD RICHARD 21541 HUMMINGBIRD ST
HIBBARD CHRISTINE TRABUCO CANYON, CA 92679-0000
Property Address: irina
JENSEN JEFFREY H 3530 N WESTON WAY
JENSEN TAMARA A MERIDIAN, ID 83646-3192
Property Address: irina
KHRISTYUK IVAN 3477 N WESTON WAY
MERIDIAN, ID 83646-3193
Property Address: irina
KLEVENBERG JAMES A 2202 W FOREST GROVE CT
KLEVENBERG ELICIA C EAGLE, ID 83616-0000
Property Address: irina
MCINTYRE PAULA 3498 N PESCADO WAY
MCINTYRE BRENDA MERIDIAN, ID 83646-3194
Property Address: irina
1
~ ~
Owners Owner Address
NEBEL RICHARD H 360 E CASSIDY DR
MERIDIAN, ID 83646-3175
Property Address: irina
NEBRIGICH ANDY 3512 N WESTON WAY
MERIDIAN, ID 83646-3192
Property Address: irina
PALMERTON JEREMY L 3458 N WESTON WAY
PALMERTON WENDY A MERIDIAN, ID 83646-0000
Property Address: irina
QUILANTAN ALEX JR 19 VIA LATIGO
QUILANTAN MARTHA V RANCH SANTA MARGARITA, CA 92688-1967
Property Address: irina
SHULL NICOLE R 3476 N WESTON WAY
SHULL JOE MERIDIAN, ID 83646-3193
Property Address: irina
STRINGER PHILLIP 18314 MARLIN WATERS DR
HUMBLE, TX 77346-0000
Property Address: irina
2