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ApplicationApplicant name: ERIC SHAW, POWDER RIVER DEVELOPMENT SERVICES/ON BEHALF OF VERIZON WIRELESS Phone: Applicant address:408 S. EAGLE RD. SUITE 200 Zip:83616 Email:eric.shaw@powderriverdev.com Owner name:Phone:Fax: Owner address:Zip:Email: Administrative Applicant Information Type of Review Requested File number:A-2020-0140 Assigned Planner:Cameron Scott Related Files: Subject Property Information Location/street address:1623 S WELLS AVE Assessor's parcel number(s):R3238510040 Township, range, section:3N1E20 Agent name (e.g. architect, engineer, developer, representative):ERIC SHAW Firm name: POWDER RIVER DEVELOPMENT SERVICES/ON BEHALF OF VERIZON WIRELESS Phone:Fax: Address:408 S. EAGLE RD. SUITE 200 Zip:83616 Email:eric.shaw@powderriverdev.com Contact name:Phone:Fax: Contact address:Zip:Email: Project Description Planning Division ADMINISTRATIVE APPLICATION 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 1 Project/Application Name:Verizon SWC Overland and Wells - CZC Description of Work: Powder River Development Services is representing Verizon Wireless for the Small Cell network expansion project onto an existing ACHD traffic Pole in Meridian in the Public Right of Way. This site is to be located on the ACHD pole on the Southwest corner of E Overland Rd & S Wells Ave (near 1623 S Wells Ave) Scope: Installation of 3 Panel antennas, 3 Junction Boxes, and 1 Power Disconnect Stand w/ Power Disconnect Switch onto existing traffic light pole within the right of way. (Detailed narrative included with attached documents). 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 2 APPLICATION TYPES Is this application exempt from fees?:No Certificate of Zoning Compliance - CZC:CHECKED Does project have prior approval?:No ADDRESS VERIFICATION Address Verification Permit Number:LDAV-2020-0407 TYPE OF USE PROPOSED Commercial:CHECKED Other Type of Use Proposed:Colocation of Wireless antennas on existing structure in Right of Way PROPERTY INFORMATION General Location:Southwest corner of E Overland Rd & S Wells Ave (near 1623 S Wells Ave) Current Land Use:Existing ACHD light pole in ROW Total Acreage:n/a ZONING DISTRICT(S) C-G:CHECKED PROJECT INFORMATION Site Plan Date (MM/DD/YYYY):07/02/20 Landscape Plan Date (MM/DD/YYYY):07/02/20 Elevations Date (MM/DD/YYYY):07/02/20 TIME EXTENSION INFORMATION Number of months extension:24 APPLICATION DISCLAIMER I have read and accept the above terms:CHECKED Your signature:Eric Shaw Application Information 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 3