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ApplicationApplicant name:GARY ABRAHAMS, GMA NETWORK SERVICES Phone: Applicant address:P.O. BOX 2006, BELLEVUE, WA 98009 Email:gary@gmanetworkservices.com Owner name:Phone:Fax: Owner address:Email: Administrative Applicant Information Type of Review Requested File number:A-2021-0123 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/Application Name:AT&T Upgrade - CZC Description of Work: Install AT&T on monopole: Bring power/fiber to site location; Add AT&T approved walk in cabinet (WIC) and associated interior equipment; add (1) 30 kw AC diesel generator; add (1) new GPS unit; add (3) VFA12- HD-WLL sector mounts on (E) monopole; add (6) antennas, (2) per sector; add (15) RRH's, (5) per sector; add (3) DC6 surge suppressors (1) per sector; add (6) DC Trunks; add (3) fiber trunks 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 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?: Yes Design Review - DES:CHECKED Private Street - PS:UNCHECKED Vacation - VAC:UNCHECKED ADDRESS VERIFICATION Address Verification Permit Number:LDAV-2021-0400 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 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 Rd. Current Land Use:Residential Total Acreage:1.67 Prior Approvals (File Numbers):CZC-A-2016-0308; CZC-A-2020-0209; CZC-A- 2018-0213 ZONING DISTRICT(S) R-2:UNCHECKED R-4:UNCHECKED Application Information 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 2 R-8:CHECKED 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):06/14/2021 Elevations Date (MM/DD/YYYY):06/14/2021 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 33 E Broadway Avenue, Suite 102ƔMeridian, Idaho 83642 Phone: (208)884-5533ƔFacsimile: (208) 888-6854ƔWebsite: www.meridaincity.org 3 Swimming Pool:UNCHECKED 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 4