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ApplicationApplicant name:CAMERON COLGAN, POWDER RIVER DEVELOPMENT Phone: Applicant address:408 S. EAGLE RD, SUITE 200, EAGLE, ID 83616 Email:cameron.colgan@powderriverdev.com Owner name:ERIN LANE, ECO-SITE Phone:Fax: Owner address: 1010 SYNC ST., STE 575, MORRISVILLE, NC 27580 Email: Administrative Applicant Information Type of Review Requested File number:A-2020-0193 Assigned Planner:Cameron Scott Related Files: Subject Property Information Location/street address:1919 N BLACK CAT RD Assessor's parcel number(s):S1204449251 Township, range, section:3N1W4 Agent name (e.g. architect, engineer, developer, representative):CAMERON COLGAN Firm name:POWDER RIVER DEVELOPMENT Phone:Fax: Address:408 S. EAGLE RD, SUITE 200 Email:cameron.colgan@powderriverdev.com Contact name:Phone:Fax: Contact address:Email: Project/Application Name:T-Mobile Upgrade - CZC Description of Work:See narrative. Existing cell tower modification. 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 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?:Yes Does your project contain new construction and/or modifications to an existing building or the site?: No ADDRESS VERIFICATION Address Verification Permit Number:LDAV-2020-0606 TYPE OF USE PROPOSED Other Type of Use Proposed:Wireless Cellular Facility PROPERTY INFORMATION General Location:NW side of the property, existing cell facility Current Land Use:Wireless Cellular Facility Total Acreage:4.642 Prior Approvals (File Numbers):H-2016-0091 ZONING DISTRICT(S) L-O:CHECKED PROJECT INFORMATION Site Plan Date (MM/DD/YYYY):09/29/2020 Landscape Plan Date (MM/DD/YYYY):N/A Elevations Date (MM/DD/YYYY):09/29/2020 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 Irrigation District:N/A Primary Irrigation Source:N/A Secondary Irrigation Source:N/A Square Footage of Landscaped Areas to be Irrigated by City Water Connection:N/A Proposed Building Height:100' Existing Floor Area (If Applicable):N/A Gross Floor Area Proposed:N/A Number of Standard Parking Spaces Provided:N/A Number of Compact Parking Spaces Provided:N/A Number of Employees:0 Number of Residential Units:0 Minimum Square Footage of Living Area (Excluding Garage):N/A Gross Density:N/A Net Density:N/A Application Information 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 3 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 4 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:Cameron Colgan 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 5 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 6