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ApplicationApplicant name:JASON EVANS, J5 INFRASTRUCTURE PARTNERS Phone:2088667725 Applicant address:3327 NORTH EAGLE ROAD, SUITE 110-131 Zip:83646 Email:jasonevans@cableone.net Owner name:Phone:Fax: Owner address:Zip:Email: Administrative Applicant Information Type of Review Requested File number:A-2020-0153 Assigned Planner:Cameron Scott Related Files: Subject Property Information Location/street address:915 N TEMPORARY ST Assessor's parcel number(s):R1901000077 Township, range, section: Agent name (e.g. architect, engineer, developer, representative):JASON EVANS Firm name:J5 INFRASTRUCTURE PARTNERS Phone:2088667725 Fax: Address:3327 NORTH EAGLE ROAD, SUITE 110-131 Zip:83646 Email:jasonevans@cableone.net Contact name:Phone:Fax: Contact address:Zip:Email: Project/Application Name:Verizon NWC Locust Grove and Fairview - CZC Description of Work:Installation of antennas and small cell equipment on an ACHD traffic structure. 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 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-2020-0429 TYPE OF USE PROPOSED Commercial:CHECKED PROPERTY INFORMATION General Location:NW Corner of Locust Grove & Fairview Current Land Use:Commercial PROJECT INFORMATION Site Plan Date (MM/DD/YYYY):7.27.2020 Landscape Plan Date (MM/DD/YYYY):N.A Elevations Date (MM/DD/YYYY):7.27.2020 Percentage of Site Devoted to Building:N.A Percentage of Site Devoted to Landscaping:N.A Percentage of Site Devoted to Paving:N.A Who will own and Maintain the Pressurized Irrigation System in this Development:N.A In Reclaimed Water Buffer:No SEND NOTIFICATION EMAIL NOTIFICATION SENT (System Use Only):CHECKED TIME EXTENSION INFORMATION Number of months extension:24 APPLICATION DISCLAIMER I have read and accept the above terms:CHECKED Your signature:Jason Evans Application Information 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 2