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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 Zip:83616 Email:eric.shaw@powderriverdev.com Owner name:Phone:Fax: Owner address:Zip:Email: Administrative Applicant Information Type of Review Requested File number:A-2020-0139 Assigned Planner:Cameron Scott Related Files: Subject Property Information Location/street address:1026 N MERIDIAN RD Assessor's parcel number(s):R6129010501 Township, range, section:3N1E7 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 Zip:83616 Email:eric.shaw@powderriverdev.com Contact name:Phone:Fax: Contact address:Zip:Email: Project/Application Name:Verizon SEC Meridian and Carlton - CZC Description of Work: On existing ACHD traffic pole at Southeast corner of Meridian Rd & Carlton Ave (near 1026 Meridian Rd, but IN the Right of Way), project includes: Installation of 3 Panel antennas, 3 Junction Boxes, and 1 Power Disconnect Stand w/ Power Disconnect Switch onto existing traffic light pole within the right of way. Project narrative included with submitted documents. 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?:No ADDRESS VERIFICATION Address Verification Permit Number:LDAV-2020-0406 TYPE OF USE PROPOSED Commercial:CHECKED Other Type of Use Proposed:Small Cell Wireless Colocation PROPERTY INFORMATION General Location:Southeast corner of Meridian Rd & Carlton Ave (near 1026 Meridian Rd) Current Land Use:Traffic pole in public Right of Way Total Acreage:n/a ZONING DISTRICT(S) O-T:CHECKED PROJECT INFORMATION Site Plan Date (MM/DD/YYYY):07/02/20 Landscape Plan Date (MM/DD/YYYY):07/02/20 Elevations Date (MM/DD/YYYY):07/02/20 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 2