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ApplicationApplicant name:JODIE KNOPP, TAEC / VERIZON WIRELESS Phone: Applicant address:6126 W. STATE STREET, STE. 205, BOISE, ID 83703 Email:jodie.knopp@taec.net Owner name:CYNTHIA RASAVAGE, ACHD Phone:Fax: Owner address:1301 N. ORCHARD ST., BOISE, ID 83706 Email:crasavage@achdidaho.org Administrative Applicant Information Type of Review Requested File number:A-2021-0034 Assigned Planner:Cameron Scott Related Files: Subject Property Information Location/street address:3210 N CENTREPOINT WAY Assessor's parcel number(s):S0532449210 Township, range, section:4N1E32 Agent name (e.g. architect, engineer, developer, representative):JODIE KNOPP Firm name:TAEC / VERIZON WIRELESS Phone:Fax: Address:6126 W. STATE STREET, STE. 205 Email:jodie.knopp@taec.net Contact name:Phone:Fax: Contact address:Email: Project/Application Name:Verizon NEC Ustick and Centrepoint - CZC Description of Work: Verizon Wireless is proposing to collocate on the existing traffic signal located at the northeast corner of the intersection of East Ustick Road & North Centrepoint Way, Meridian, ID 83646. The proposed installation will consist of one (1) small cell canister antenna, one (1) equipment enclosure at the top of the pole, and two (2) exterior mounted conduits. There will also be two (2) small ground vaults added near the base of the pole to house power and fiber. The new equipment is intended to relieve capacity coverage of the area. 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?: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-2019-0545 TYPE OF USE PROPOSED Other Type of Use Proposed:Wireless Communications Facility PUBLIC WORKS INFRASTRUCTURE Does this project require the extension of public infrastructure?:No PROPERTY INFORMATION General Location:NE corner of E. Ustick Rd. & N. Centrepoint Way Current Land Use:PROW/Traffic Control Structure Total Acreage:.01 Prior Approvals (File Numbers):CZC (A-2019-0274) ZONING DISTRICT(S) C-G:CHECKED PROJECT INFORMATION Site Plan Date (MM/DD/YYYY):12/14/2019 Elevations Date (MM/DD/YYYY):12/14/2019 Proposed Building Height:43'-0" 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:Jodie Knopp Application Information 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 3