Meridian/Overland Stormwater Detention Basin CZC 05-057•
CITY OF MERIDIAN
Planning & Zoning Department
660 E. Watertower Ln., Ste. 242, Meridian, ID 83642
(208)$84-5533 Phone!(208}888-6854 Fax
C'FRTTFi("ATF: nF 7.nNiNf.',~nMe1,iANC'F (E'7.(") APPj,iC'ATTniV
(Section 11-19-1, Zoning and Development Ordinance}
PROJECT NAME:
APPLICANT:.
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ADDRESS: 375 ~`1p2uEAS ~~' C'~a~P,H- C,t'~y, ~~ 83~1~-
PI~IONE: ~7-C?It~o FAX: 3g?-Ca3~1 E-MAIL: ~r~uS@~ .~a.I~•~5
OWNER(S) OF RECORD: ~~ ~S a~V~
ADDRESS:
PI-IONE: FAX: E-MAIL:
ARCHITECT {IF DIFFERENT THAN APPLICANT} _~Yt.(. ~~~Z~• ~tnC.
ADDRESS: ~oZ ~ c.~V~. ~ ~~~, ~~ g~Ol {0 -.,.~...~_
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PI~IONE: ZDQ}''~~'~0~ ( FAQ: ~ ~~-'~r~s E-MAIII~~E ~~~~ y~~!Lvy~~{t~1C•G0111
ADDRESS, GENERAL LOCA'T'ION OF SITE:,Iy~t"0V~(lQit(^ OT .~UPiV ~~ ~ ~~~{~
'T'OWNSHIP, RANGE, AND SECTION: 3N ~~ ~a
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DESCRIPTION OF USE: ~rW~~ ~~~~~' _ l~r ~~at `~~~
PRESENT ZONE CLASSIFICATION: "C'1
I, GILD L ttLt~~- 1]'o..~n ~ , do hereE~y affirm that I wilt agree to pay any additional sewer, water or trash
fees or charges; if any, associated with the use that I/we have applied for, whether the use be residential, commercial
or industrial in natiu-e. Furthermore, I have read the information contained herein and certify that the information is
true and correct.
(Ap i can ' Signat e) ~~ (Date)
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