ApplicationApplicant name:GARY ABRAHAMS, GMA NETWORK SERVICES Phone:
Applicant address:P.O. BOX 2006, BELLEVUE, WA 98009 Email:gary@gmanetworkservices.com
Owner name:CROWN CASTLE, CROWN CASTLE Phone:Fax:
Owner address:
1505 WESTLAKE AVENUE NORTH, UNIT 800,
SEATTLE, WA 98109 Email:chris.listfjeld@crowncastle.com
Administrative
Applicant Information
Type of Review Requested
File number:A-2021-0125
Assigned Planner:Cameron Scott
Related Files:
Subject Property Information
Location/street address:1250 W USTICK RD
Assessor's parcel number(s):R9532190560
Township, range, section:4N1W36
Agent name (e.g. architect, engineer, developer, representative):GARY ABRAHAMS
Firm name:GMA NETWORK SERVICES Phone:Fax:
Address:P.O. BOX 2006 Email:gary@gmanetworkservices.com
Contact name:Phone:Fax:
Contact address: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
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Project/Application Name:Dish Wireless - CZC
Description of Work:
Dish Wireless proposes to modify this existing site as follows:
Proposed Tower Scope of Work:
Remove Abandoned Mount and Equipment at 146¶
Install (3) Proposed Panel Antennas (1 Per Sector)
Install (1) Proposed Platform Mount
Install (6) Proposed RRUs (2 Per Sector)
Install (1) Proposed Over Voltage Protection Device (OVP)
Install (1) Proposed Hybrid Cable
Install Proposed Jumpers
Proposed Ground Scope of Work:
Install (1) Proposed Equipment Pad
Install (1) Proposed Ice Bridge
Install (1) Proposed PPC Cabinet
Install (1) Proposed Equipment Cabinet
Install (1) Proposed Power Conduit
Install (1) Proposed Telco Conduit
Install (1) Proposed Telco-Fiber Box
Install (1) Proposed GPS Unit
Install (1) Proposed Safety Switch
Install (1) Proposed Fiber NID (If required)
Install (1) Proposed 200A Meter
33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642
Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org
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APPLICATION TYPES
Alternative Compliance - ALT:UNCHECKED
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
Design Review - DES:CHECKED
Private Street - PS:UNCHECKED
Vacation - VAC:UNCHECKED
ADDRESS VERIFICATION
Address Verification Permit Number:LDAV-2021-0462
TYPE OF USE PROPOSED
Residential:UNCHECKED
Office:UNCHECKED
Commercial:UNCHECKED
Employment:UNCHECKED
Industrial:UNCHECKED
Single-Family Detached:UNCHECKED
Single-Family Attached:UNCHECKED
Townhouse:UNCHECKED
Duplex:UNCHECKED
Multi-Family:UNCHECKED
Vertically Integrated:UNCHECKED
Other Type of Use Proposed:Wireless Facility/monopole
PUBLIC WORKS INFRASTRUCTURE
Does this project require the extension of public infrastructure?:No
I agree to upload required checklist items for review:UNCHECKED
I acknowledge deferral of the required checklist items, may require additional
review time:
UNCHECKED
I agree to upload required checklist items with the building application:UNCHECKED
PROPERTY INFORMATION
General Location:W. Ustick Road
Current Land Use:Residential
Total Acreage:1.67 acres
Prior Approvals (File Numbers):A-2016-0308; A-2018-0213; A-2020-0209
ZONING DISTRICT(S)
R-2:UNCHECKED
R-4:UNCHECKED
R-8:CHECKED
Application Information
33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642
Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org
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R-15:UNCHECKED
R-40:UNCHECKED
C-N:UNCHECKED
C-C:UNCHECKED
C-G:UNCHECKED
L-O:UNCHECKED
M-E:UNCHECKED
H-E:UNCHECKED
I-L:UNCHECKED
I-H:UNCHECKED
O-T:UNCHECKED
TN-C:UNCHECKED
TN-R:UNCHECKED
County:UNCHECKED
PROJECT INFORMATION
Site Plan Date (MM/DD/YYYY):05/21/2021
Elevations Date (MM/DD/YYYY):05/21/2021
In Reclaimed Water Buffer:No
QUALIFYING OPEN SPACE
Open Grassy Area (min. 50' x 100'):UNCHECKED
Community Garden:UNCHECKED
Ponds or Water Features:UNCHECKED
Plaza:UNCHECKED
Additions to Public Park:UNCHECKED
Collector Street Buffer:UNCHECKED
Arterial Street Buffer:UNCHECKED
8' or 6' Wide Parkways:UNCHECKED
10' Parkway Along Arterials:UNCHECKED
Stormwater Detention Facility:UNCHECKED
QUALIFYING SITE AMENITIES
Clubhouse:UNCHECKED
Fitness Facilities:UNCHECKED
Enclosed Bike Storage:UNCHECKED
Public Art:UNCHECKED
Picnic Area:UNCHECKED
Additional 5% Open Space:UNCHECKED
Communication Infrastructure:UNCHECKED
Dog Owner Facilities:UNCHECKED
Neighborhood Business Center:UNCHECKED
Swimming Pool:UNCHECKED
33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642
Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org
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Children's Play Structure:UNCHECKED
Sports Courts:UNCHECKED
Pedestrian or Bicycle Circulation System:UNCHECKED
Transit Stop:UNCHECKED
Park and Ride Lot:UNCHECKED
Walking Trails:UNCHECKED
APPLICATION DISCLAIMER
I have read and accept the above terms:CHECKED
Your signature:Gary Abrahams
33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642
Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org
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