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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, EAGLE, ID 83616 Email:eric.shaw@powderriverdev.com Owner name:PAUL DAIGLE, ADA COUNTY HIGHWAY DISTRICT Phone:Fax: Owner address:3775 N. ADAMS ST., GARDEN CITY, ID 83714 Email:crasavage@achdidaho.org Administrative Applicant Information Type of Review Requested File number:A-2020-0201 Assigned Planner:Cameron Scott Related Files: Subject Property Information Location/street address:3103 E ST LUKES ST Assessor's parcel number(s):R5443010016 Township, range, section:3N1E17 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 Email:eric.shaw@powderriverdev.com Contact name:ERIC SHAW Phone:Fax: Contact address:408 S. EAGLE RD. SUITE 200 Email:eric.shaw@powderriverdev.com 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 Project/Application Name:Verizon NWC St. Lukes St. and S. Eagle Rd. - CZC Description of Work: Collocation of wireless antennas on existing ACHD traffic signal located at NW corner of E St. Lukes & S Eagle Rd. This address represents nearest parcel to location. Installation of: 1 side mounted assembly with canister antenna and radio shroud along with associated power/fiber conduits, 3 panel antennas, 2 junction boxes, 1 fronthaul, 1 fiber demarcation box and 1 Power Disconnect Stand w/ Power Disconnect Switch- onto existing traffic light pole within the right of way 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 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-2020-0655 TYPE OF USE PROPOSED Commercial:CHECKED Other Type of Use Proposed:Colocation of Wireless antennas on existing structure in the Right of Way. PROPERTY INFORMATION General Location:Northwest corner of E. St Lukes St & S. Eagle Rd (near 3103 E St. Lukes St) Current Land Use:Existing ACHD light pole in ROW Total Acreage:n/a Prior Approvals (File Numbers):A-2019-0028 ZONING DISTRICT(S) C-G:CHECKED PROJECT INFORMATION Site Plan Date (MM/DD/YYYY):10/02/2019 Landscape Plan Date (MM/DD/YYYY):10/02/2019 Elevations Date (MM/DD/YYYY):10/02/2019 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:Eric Shaw Application Information 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