Centre Pointe Building B CZC 06-176~ LIeNf~S .
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CITY OF ~ -
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11 lDAHO .~i
CERTIFICATE OF ZONING COMPLIANCE - Modification~
Date: co..+o.„~.o,. i c~nnti June 27, 2008
Project Name/Number: Centre Pointe Buildin~ "B" - CZC-06-176
Owner:
Site Address: 3445 N Eagle Road .~U~ ~I ~~Q~~_
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Proposed Use: 13 653 s uare foot Retail Buildin ~ _
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Zoning: C-G
Comments:
Conditions of A~ ra ova1: Project is subject to all current City of Meridian ordinances and the conditions of
approval for the Centre Pointe Subdivision. The issuance of this permit does not release the applicant from any
requirements ofthe approved Annexation and Zoning (AZ-03-025), Conditional Use (CUP-06-026), Preliminary
Plat (PP-06-020), as well as any Development Agreements recorded for this site. The a~licant is re uy esting to
extend nart of the elevation fascia bv four feet to make the total hei t 26 feet.
Landscaping_ The Landscape Plan prepazed by The Land Group Inc., on June 5, 2006, labeled Sheet L1.0, is
approved (stamped "Approved" on September 15, 2006 by the Meridian Planning Department) with no
changes. The approved landscape plan is not to be altered without prior written approval of the Planning
Department. No field changes to landscape plan permitted; prior written approval of all material changes is
required.
Site Plan: The Site Plan prepared by Larson Architects, on August 10, 2006, labeled Sheet SP-1, is approved
(stamped "Approved" on September 15, 2006 by the Meridian Planning Department) with no changes from the
Planning Department. The approved site plan is not to be altered without prior written approval of the Planning
Department.
Elevations: , , ,
.'The Elevations prepared by Barry Jay Greenberg
Architect, labeled sheet A-7, dated June 16, 2008 are approved with no changes from the Planning
Depariment.
Irri a~ t`: An underground, pressurized irrigation system must be insta.lled to all landscape areas per the
approved specifications and in accordance with UDC 11-3A-15.
Protection of Existing Trees: Any existing trees on site must be protected or mitigated for in accordance with
the Tree Preservation section of the City's Landscape Ordinance. Per UDC 11-3B-10, coordinate with the
Parks Department Arborist (Elroy Huff, 888-3579) for approval of protection/relocation measures for the
existing trees prior to construction. Any severely damaged tree must be replaced in compliance with UDC 1]-
3B-10-C.5.
Parking;, The proposed pazking azeas shall be paved and striped in accordance with UDC 11-3B. Project
engineer/architect shall certify that the number and size of handicap-accessible spaces conforms to the
Americans with Disabilities Act (ADA). Handicap accessible sta.lls must have signage in accordance per ADA
and signed accessible. See redline parking changes/notes on the site plan.
Curbing: Per UDC 11-3B-SI, all landscape azeas adjacent to driveways; parking lots, or other vehicle use
areas, must be protected by curbing, wheel stops, or other approved protective devices. Curbing may be cut to
allow for storm water runoff.
Sidewalks: All sidewalks shall be constructed in accordance with 11-3A-17. Sidewalks shall be constructed
prior to occupancy.
Draina~e: Storm water drainage swales shall not have a slope steeper than 3:1, shall be fully vegeta.ted, and
shall be designed in compliance with UDC 11-3B-11 and UDC 11-3A-18.
Li tin : Lighting shall not cause glare or impact the traveling public or neighboring development and
comply with lighting standards as defined in UDC 11-3A-11.
Si a e: No signs are approved with this CZC. All business signs will require a separate sign permit in
compliance with UDC 11-3D.
Trash Enclosure: All dumpster(s) must be screened in accordance with UDC-11-3A-12. Trash enclosures
must be built in the location and to the size approved by SSC.
Handicap-Accessibilit_y: The structure, site improvements and pazking areas must be in compliance with all
federal handicap-accessibility requirements.
ACHD Acceptance: All impact fees, if any, sha11 be paid prior to the issuance of a building permit. If any
changes must be made to the site plan to accommodate the ACHD requirements, a aew site plan shall be
submitted to the City of Meridian Planning staff for approval prior to the issuance of a building permit.
Certificate of OccupancX: All required improvements must be complete prior to obtaining a Certificate of
Occupancy. A written certificate of completion sha11 be prepared by the landscape architect, landscape designer
or qualified nurseryman responsible for the landscape plan upon completion of the landscape installation. The
Certificate of Completion shall verify that all landscape improvements, including plant materials and sprinkler
installation, are in substantial compliance with the approved landscape plan. A Temporary Certificate of
Occupancy may be obtained by providing surety to the City in the form of a Letter of Credit or cash in the
amount of 110% of the cost of the remaining improvements. A bid must accompany any request for Temporary
Occupancy'.
Plan Modificarions: Except for the items mentioned above, the approved Site Plan, Landscape Plan and
Elevations stamped "Approved" on September 15, 2006, are not to be a.ltered without prior written approval of
the Planning Department. No significant field changes to the site or landscape plans aze permitted; prior
written approval of all changes is required.
~~ ~1., i~ ~J1~..e~,~
. Sarah Wheeler
"°~^^;°*° ~':*~, D'°^^°~ Assistant CiTy Planner
*This letter does not indicate compliance with requirements of other departments/agencies, including, but not limited
to, Ada County Highway District, Central District Health Department, affected irrigation district(s), Meridian Sewer,
Water, Building or Fire Departments, Sanitary Services Co., etc. This letter shall expire one (1) year from the date
of issuance if work has not begun.
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Planning Department
CERTIFICATE OF ZONING COMPI,IANCE
Application Checklist
~e~l~ o ~~'~• I>
Pro'ect name: ~ or ~+ File #: CZ.G a6- l C~1
A licandagent: ~u<m cit~~~~ ~.~cvdsi'G•n.A~~'3 JaHw~~taK .S'c"~(,
All applications aze required to contain one copy of the following unless otherwise noted:
t~pplicant ~ ~~
~~ Description
. .. : ~ . . ~~~
Com leted & si ed Administrative Review A lication '-
Narrative fully describing the proposed use of the property, including the following:
- Information on any previous approvals or requiremeats for the requested use -
(i.e., a licable conditions of a roval or Davel ment A ment
ecorded wattan deed for the sub'ect ro erty _--.
Affidavit of Legal Interest signed & notarized by the property owner (If owner is a corporauon,
~ .
sabmit a of the Articles of In orafion or other evideace tp show that the si ' is an suthorized t) '^
Scaled vicini ma showin the location of the sub'ect ro e
Sani Service Com an a roval for trash enclosure & access drive (scamped sice plan)
~ A photometric test report for any light fixture(s) with a maximum output of 1,8001umens
~ or more (see UDC 11-3A-11)
Co y of the recorded lat that the o e lies within (8'h" x 11")
~ Address verification and utili'ty service letter from Public Works (See Lynsey Todd 898- ~
/~/ 55~0>
Site Plan~4 copies (folded to 8'h" x 11" size) •
The followin items must be shown on the site lan:
• Date, scale, north arrow, and ro'ect name (scale not lass rhan 1"=50')
• Names, addresses, and telephone numbers of the developer and the person and/or ,
firm re aring the lan
• Parkin stalls and drive aisles
• Trash enclosure(s) location
• Detail of trash enclosure (must be screened on 3 sides)
• Location and specifications for underground irrigation (Pressuri~ irrigadon can only t~a
waived if ou e•ao water ri ts exist to sub'ect )
• Sidewalks or athwa s(proposed and exiscin~
• Locaxion of ro osed building on lot (incluae aimensions co propercy lines)
• FenCiII (proposed and existing~
• Calculations table including the following:
- Number of pazking stalls required & provided (specify han~icap ac compacc scalls)
- Building size (sq. fc)
- Lot size (sq. fc)
- Setbacks
- Zoning district
• Reductiott of the site lan (8 Ih" x 11")
Landscape plan - 3 copies (folded to 8%a" x 11" size)
Plan must have a scale no smaller than 1"= SO' (1 "= 20' is preferred) and be on a standard
I drawing sheet, not to exceed 36" s 48" (24" x 36" is preferred). A plan which cannot be drarovn in
~
~ its entirety on a single sheet must be drawn with appropriate match lines on two or more sheets.
The followin items must be inclnded on the landsca e lan:
• Date, scale, north arrow, and ro'ect name
660 E. Watertower Street, Suite 202 • Meridian, Idaho 83642
Phone: (208) 8845533 • Facsimile: (208) 888-6854 • Website: www.meridiancity.org
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• Names, addresses, and telephone numbers of the developer and the person and/or
firm re arin the lan
• Stamp/signature of a landscape arclutect, landscape designer, or qualified
nurseryman re arin the lan
• Existing natural features such as canals, creeks, drains, ponds, wetlands,
flood lains, hi oundwater azeas, and rock outcro in s
• Location, size, and species of all existing trees on site with trunks 4 inches or
greater in diameter, meastu~ed 6 inches above the ground. Indicate whether the
tree will be retained or removed
• A statement of how existing healthy trees proposed to be retained will be
rotected from dama e durin construction
• Existing structures, planting azeas, light poles, power poles, walls, fences, berms,
parldng and loading areas, vehicular drives, trash areas, sidewalks, pathways,
stormwater detention areas, s~ s, street furniture, and other man-made.el~ments _
''~ • Existing and proposed contours for all azeas steeper than 20%~slope. Beims shall '
• be shown with one-foot contours '
~ •• Si t Trian es as defined in 11-3A-5 of this ordinance •'' •• ~
~ , • Location and labels for a11 proposed plants, inclnding trees, shrubs,
a.nd ~ '
.
,
, groundcovezs (trees imusc not be pianted in Ciry wacer or sewer easements). Sca1e ~shown for
~ . . . lant'materials shall'reflect a roximate ma~ure:size . . . ., ,, ' .; •
.• . ~~~ A plant lisf that shows the plant symbol, quanary", bot~wical name, common ~name; '. :.~ ; I'. ::'.
,,_, miriimum planting size and container, tree olass ~I, II,;or IIn, and comments _(for ~. ,~ .
s acin , stakin , and installation as a o~iate) .. • '
, . .
~. .:.;:_ . ...
.. ..:..., .,- • Planting and installation details as necessary to ensure c.onfaimanGa with a11 ... ~"'"~.: ~'
.
. , , • r iured standazds . .
~
~ • Desi drawin (s) of all fencin ro osed for screenin
ses
. .....
~~ ~~ Calculatio~ of project components to demonstrate~co~npliance with~the ~~
~ • : requirements of this ordinance, including: '~•. , . . , • ...
- Number of sireet trees and lineal feet of street fronta.ge .
~ . ' ,~ ~ - Width of street buffers (exclusive of right-of.,-way.) , ' .. . ' , ' , ". . ,
- Width of parking lot perimeter landscape strip .
' - Buffer width between different land uses (if applicable)
~ ~ - Number of parking stalls and percent of parking.azea:witti internat landscaping
~ ,
- Total number of trees and tree species mix ~ ~
• •
- Mitigation for removal of existing trees, ittcluding number of caliper inches ~
~
bein removed `
~
Reduction of the landsca e lan (8'h" x 11'~
Buildin elevations showin construction materials '~ a---~`.;,;
`~ If applying for approval of a public school, provide additional information as required 6y ' "'~ ~" '~
rN the Public School Facili s lemental checklist er §67-6519 ;~U'
Fee (If tlus ro'ect had rior a roval on a site lan, reduced fees may a ly)
ACHD Accentance: Applicant shall be responsible for meeting the requirements of ACHD as they pertain to this
applicatlon. All impact fees, if a~rcy, shall be pard prior to the issuance of a building permit. If may changes must be
made to the site plan to accorrunodate the A CHD requirements, a new site plare shall be submitted to the Cdty of
Meridian Planning & Zoning Deparnnent for approval prior to the issuance of a buildireg permit
Your building permit will not be issued acntil ACHD hcu approved yo~tr plans and all associated fees have been paid
THIS APPLICATTON SHAI~L NOT BE CONSIDERED COMPLETE UNTIL STAFF HAS RECEIVED ALL
REQUIRED INFORMATTON.
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
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COUNTY OF ADA )
I,
(name)
~ . . . , . (~tY). _ .
(address)
(sta.te) . .
~ ~~ ~~ b~iiig fiisf du(1y svvom upon, oath, depose and say: •~ ~' ~
;; .~, '~ ~. ' , ~ L That ~I .am the record ~owner of the property described on the attached; anc~ I grant~my ~
. _ . . . . ~ . . _ . , permis$io~-to: . • . . _ ~ . . , . .. . . . ~ .
.,...,.. . ~~~. . . . ~ ,., . . . • :~ . , .ti•~ . . _ ~ .. ,. , ~
, . ,. , .. . .. . . ~.. . , ~. _ • _ .. ~ .. : :
~ ; . ~ .. .. . . • • . ' ~ . ~ (name)' ~ ~ . ' , .(address) . . . . . . . ,
~ ~ • ,: . ~~ . , . . . :,. ... . . ,. . ,. ~ . . . ...~ . ~ .
, . . , , .. ~. . , ~ , ; . ; to ~sut~mit tlie accompanying, application(s) pertaining to that property. . '.' . : .
~. .. ,~ 2. . ! I agree to indemnify, defend and hold the City of Meridian and its employees harmless .:
~ . . . . ~ ~ - ~ . ~ ~ . • ftom any cl~im or 'lialiility xesulti~g from any dispute as to. the . statements contai.ned ~, ~ ~
~ ~ ~ .~.~~~ ~, herein or as to.the ownership of the property which is the subject of~the application. •: ~ ...
. . . . .. _ ~ • ~ _~ ~ , : ~ . • , . .. - . , . . . . . . ,. ~ . ~, . , . . , . ,
,
. .;.,:, , ~:. ,,.~ , . 3. °~' ~~ I-hereb ' ~
y~grant pei~tnission to City of 1VIeridian stafF to euter the"s~bjee~ property -for the ~' ,•~ ~
• ~ ~ ~ • • ~ , purpose of site inspections related to processing said a~plication(sj. ~ • ~
Dated this day of . 20
(Signatiure)
SUBSCRIBED AND SWORN to before me the day and year first above written.
(Notary Public for ldaho)
Residing at:
My Commission Expires:
E~II?IAN
~~~~~
of Review Requested (check all
Planning Department
y4~°' - ADMIlVISTRATIVE REVIEW APPLICATION
~~~ 2 6 ~~
{ PAeridia ent
•dtv o ._ _..~rtr+~
r.~-•-
^ Accessory Use
^ Alternadve Compliance
^ Certificate of Zoning Compliance
^ Condidonal Use Permit Minor Modificadon
^ Design Review
^ Private Street
^ Property Boundary Adjustment
^ Short Plat
^ Temporary Use Certificate of Zoning Compliance
0 Time Extension (Director)
^ Vacadon
^ Other
Applicant Information
STAFF USB.ONLI':
File number(s): C7_~ ~ b~ -~ 7~
Project na.me: .~~N-~~G 'f~ Nl~ ~L~~ l ,~
Date filed; ~~~„` Date com lete:
Assigned Planner. ~~I~~~~Pv^"~-.n _01r~~, (A~~
Related files •~p : 0(l1- 0 2p *~~ b fo -D~.
Applicant name: ~ l c.~ t? '(/Nc~ ~ f t.i ~ k v c~ 37~ ~t ~~ K'~ S Phone: .3 ~.~ "~ ~ 9
Applicantaddress: ~ 9 Y8 S. ~o oc~fo C~o~tir ~160 Zip: $~ ~i YZ
Applicant's interest in properly: .i~Own ^ Rent 0 Optioned O Other
Owner name: _ S`q.,K ~ q S cx G o v~• Phone:
Owner address: ~P;
Agent name (e.g., architect, engineer, developer, representadve): __ ~o c~a'~~ ~.q K S~~' ~
Firm name: CJ .{{• ~ oo K G~ Ga . Phone:
Address: S' a~ t~ c.T S c. (i a u c° ~P:
Primary contact is: ~plicant ^ Owner ^ Agent ^ Other
Contact name: ~ d c.~ c~.'~ La. w~ ~~ ~~ Phone: ~J ~~' l f/
E-~i: __ -J - Sc~ ~ G ~ a _/1r ~ f F~: 3~Z.3 , 7S'.2 3
5ubject Property Information
Location/street address: ~.3 Y y /Y N.o. q/~
Assessor's pazcel number(s):
Township, ra.nge, section: Total acreage: ~Q
Current land use: Co w tM pK T/ o L Cunent zoning district: C~~",s
l~
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: www.meridiancity.org
1 (Rev. 4/4R78)
Projecdsubdivision name: ~ tQ
General description of proposed projecdrequest: ~ a c~ r~~ f c c~.'j t oo.~ a~`' ~' Z C' O 6~ ~ y? 6
Pr ed zoning dishict(s):
Acres of eac e proposed:
Type of use proposed (c all that apply):
^ Residential ^ Commercial ffic
Amenities provided with this development (
R~ho will own & maintain the pressurized irrigation syste '~tus development?
Which irrigation district does this property lie within~
Primary imgadon source: Secondazy:
Square footage of landscaped azeas to be irrigated (if primary or secondary poinc of connecaon is ciry
Residential Project Snmm
Num of residential units:
Number of
Proposed number of
1 Bedroom:
Minimum square foota.ge of
Proposed building height:
Minimum property size (s. fl: Avera.ge property size (s.f.):
Gross density (DU/acre-total laad): , t density (DU/acre-excluding roads & alleys):
Percentage of open space provided: Acreage o en space:
Percentage of useable open space: (See Chapter 3, ' le
Type of open space provided in acres (i.e., landscaping, public, common, etc):
Type of dwelling(s) proposed: ^ Single-family ^ Townhomes ^ Duplexes
G, for qualified open space)
^
Non-residential Project Snmmary (if applicable) ~~
Numbe uilding lots: Other lots:
Gross floor area pr ed: Existing (if applicable):
Hours of operation (days and Building height:
Percentage of site/project devoted to the ing:
Landscaping: Buil Paving:
Total number of employees: Maximum numbe ployees at any one time:
Number and ages of students/children (if applicable): Seating capacity:
Total number of parking spaces provided: Number of compact spaces pro '
Anthorization •
Print applicant name: L. V~ L V
Applicant signature: _ 6 ~y D~
Date:
and/or other lots:
^ Industrial ^ Other
Number of building lots:
units (for multi-family developments only):
~ 2 or more Bedrooms:
.
660 E. Watertower'Lane, Suite~20 • en an, a o g3(42 ~
Phone: (208) 8845533 • Facsimile: (208) 888-6854 • Website: www,meridiancity.org
2
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C O M P A N Y
Real Estate Development
EI Doredo Business Campus
1940 S. Bonha Wey, Suite 160
Meridian, Idaho 83642
P.O. Box 82Q4
Boise, Ideho 83707-2204
Date: June 24, 2008
To: Meridian Planning & Zoning
From: Jonathan R. Seel
Subject: Modification of Certificate of Zoning Compliance
TELEPHONE (2081323-1919 / FAX 323-7513
Blue Marlin Inveshnents is requesting a modification of CZC 06-176, referenced as
building B at CentrePoint Market Pla.ce. The change is to extend the fascia four feet as
shown on the attached building elevation. No other changes will occur to the building or
surrounding site area.
Please contact me should you require additional information.
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When recorded retum to:
W.H. Maore Company
1940 S Bonito Way Ste 160 ADA COUNTY RECORDER J. DAVID NAVARRO AMOUNT 6.OU 2
Meridtan ID 83642 BOISE IDAH0~~9128/06 11:12AM
DEFUTY Bon~i~~O~er~~llig -II I I 1~~ ~~ ~ ~~ ~~~I I I 11111 I~~
RECORDED-REQUEST OF 1~Esi`~#~6~~ ~
W H Moore
GRANT DEED
For value received,. Winston H. Moore and~ Diane L. Moore, husband and wife, the grantor, does hereby
grant, bargain, sell and convey unto Blue Marfin Investments, LLC, an Idaho limited liability company, the
grantee, whose current address is PO Box 8024, Boise, Idaho 83707, the following ~eal property located ln
Ada County, Idaho:
See Exhibit A, attached;
To have and to hold said premises, with their appurtenances, unto the grantee, its successors and
assigns forever, subJect to all assessmenfs, claims, encumbrances, easements, restrictions and rights-of-
way apparent or af record.
Dated: ~. ~ ~
Winston . obre ~,\ ~
State of Idaho )
) ss.
County of Ada )
~ . ~ ~~ ~, ~~t~ . L
Diane t"'IGloore
,~
inston H. Moore, her a me in- aot
On this ~~ day of ~ll~ilQ,~ . 2006, before me, the undersigned, a Notary P.ublic in and for
said State, personally appea4~ed Winston: ~H. Moore, known or identified to me to be the same person
described in and who ezecuted the within instrument, and he duly acknowledged to me that he executed
the same as principal, and ~add'itionally that he separafely executed the name of Diane. L. Moore as
principal and his own name as fier attomey in fact. ~
~~~o~uin~nii~i~i~
\``\``~~~~~~~E L. G/BS+O~~i~~' _
' Notary Pub ic fo Idaho
= .' ~ NOTA12y ~: % Residing at ~ I~ ,_I d~a ~i
- •~ Comm Expires O L- i 3- 2Q t~
_*• _
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~ '~ 1'UBLIC s ~
EXHIBIT A
CentrePoint Marketplace (excluding Kohl's parcel)
~------~---..... _._
---~---- --- ------ ---- aNf y 5-
A parcef of land located in the Southeast quarter of Section 32, Township 4 North, Range 1
East, Boise Meridian, Ada County, Idaho, being a(I of Parcels "A" and °C° as shown on Record
of Survey No. 7372 recorded as Instrument No. 106070944, records of Ada County, Idaho,
together with a portion (after excepting the South 38' as Ustick Road right-of-way) of the
property shown on Record of Survey No. 4612 recorded as Instrument No. 99042527, records
of Ada County, Idaho, which combined parcel is more particularly described as foliows:
Commencing at the Southeast comer of said Section 32; thence _
North 89° 44' 39" West 1,328.23 feet along the South line of said Section 32 to a point; thence
North 00° 29' 45" East 38.00 feet to a point on the North boundary of the East Ustick Road right-
of-way, said point being the Reai Point of Beginning; thence
North 00° 29' 45" East 1,447.43 feet along the West line of the East half of the Southeast
quarter of said Section 32 to a point; thence
North 28° 00' 30" West 238.36 feet to a point; thence
North 25° 08' 01" West 25.02 feet to a point; thence
North 44° 52' 43" West 99.30 feet to a point; thence
North 31 ° 39' 43" West 201.40 feet to a point; thence
North 47° 39' 43" West 44.31 feet to a point; thence
South 89° 46' 53" East 1,348.50 feet to a point; thence
South 00° 30' 07" West 225.00 feet to a point; thence
South 89° 46' 15" East 290.50 feet to a point on the West boundary of the North Eagle Road
right-of-way; thence
South 00° 30' 19" West 1,019.20 feet along the West boundary of the North Eag(e Road right-of-
way to a point; thence ~
So~#h 01 °_50' 49"J1 Ve t_1.,~4~ee~~lo~g the West_ boundary of.the N_o_rth Eagle Road right-of:
way to a point; thence
South 46° 02' 29" West 43.16 feet to a point; thence
North 89° 44' 39" West 186:37 feet along the North boundary of the East Ustick Road right-of-
way to a point; thence
North 00° 00' 52" East 359.26 feet to a point; thence
South 89° 59' 56" West 181.53 feet to a point; thence
North 46° 31' 46" West 104.54 feet to a point; thence
North 00° 00' 04" West 28.58 feet to a point; thence
North 89° 59' 53" West 205.85 feet to a point; thence
South 00° 00' 04" East 65.17 feet to a point; thence
South 89° 59' 56" West 289.65 feet to a point; thence
North 00° 00' 08" East 137.66 feet to a point; thence
North 89° 59' 26" West 105.26 feet to a point; thence ~
South 00° 15' 21"West 512.46 feet to a point; thence
North 42° 46' 09" West 10.99 feet to a point; thence
North 89° 44' 39" West 39.00 feet to a point; thence
South 43° 16' 51" West 41.04 feet to a point; thence
North 89° 44' 39" West 135.44 feet along the North boundary of the East Ustick Road right-of-
way to the Real Point of Beginning.
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO )
)
COUNTY OF ADA )
~~r't\c (/~qY( ~t.~i ~Nvd~~'~'-y~'~u'~'S
I, ~ t t.~ s'7~'o ~.t ~ o~ K tr +- ~~!' Yd ~~se.c r~c- CJ c,-y +'E~' !' 6' 6
(name) (address) ~
'~ tis'KI'~tcle~ ~~^ .
~
(city) (staxe)
being first duly sworn upon, oath, depose and say:
That I am the record owner of the property described on the attached, and I grant my
permission to:
~aK~fi G~a~. S~~~G , ! SY~ ~oK~fa wa
(name) (address)
to submit the accompanying application(s) pertaining to that property.
2. I agree to indemnify, defend and hold the City of Meridian and its employees harmless
from any claim or liability resulting from any dispute as to the statements contained
herein or as to the ownership of the property which is the subject of the application.
3. I hereby grant permission to City of Meridian staff to enter the subject property for the
purpose of site inspections related to processing said application(s).
Dated this ~day of ~ c~ ~ C' , 20 d vn
igna e)
SUBSCRIBED AND SWORN to before me the day and year first above written.
~pa~wNy~
~~~Qtt~, T~i( (~11~1V1
~ a . . •~ (Notary Public for ldaho)
~
~~~ Residing at:_ I ~yCll_L~~~
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