Lakeview Golf Course Maintenance Building CZC 05-115r f r
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CERTIFICATE OF ZONING COMPLIANCE*
Date: September 2, 2005 _
Project Name: Lakeview Golf Course Maintenance`Building__
Owner: City of Meridian (Applicant: RSCI, Jeff Davis. 887-1401)
Site Address: 4200 W. Talamore Drive
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Proposed Use: 5,400 sq. ft. Maintenance Facility w/Office & Storage Space _
Zoning: R-4 _
Comments:
Conditions of Approval: Project is subject to all current City of Meridian ordinances. The issuance bf
this permit does not release the applicant from the conditions of approval for other permits previously
issued for this site, including MI-OS-001 (approved by City Council on 4-19-OS).
Site & Landscape Plan: The site plan prepared by Insight Architects, labeled A1.1, dated 6-17-Oti,
and stamped on 9-2-OS "approved" by the Meridian Planning & Zoning Department, is approved wii;h
two changes. See the redline comments on the south and west boundary landscape buffers. The
site plan is not to be altered without prior written approval of the Planning & Zoning Department;.
Building Elevation: The building elevations shown on Sheet A3.1, dated 6-17-05, are approved ~~s
shown. A minimum 2-foot roof overhang shall be constructed. The maximum building height is 2;0
feet, measured to the peak of the roof (per City Council conditions). The siding material on allfoi~r
elevations shall be TextureClad or a similar material which provides the look of textured stucco.
Fuel Storage Tanks: This CZC does not approve or disapprove of the fuel tanks shown on Sheet
Al . l .The applicant is responsible to comply with EPA and Meridian Fire Department standards ar~d
approvals for these tanks.
Irri ation: An underground, pressurized irrigation system must be installed to all landscape areas p~~r
the approved specifications and in accordance with MCC 12-13-8 and MCC 9-1-28.
Drainage: Storm water drainage swales shall not have a slope steeper than 3:1, shall be fully
vegetated, and shall be designed in compliance with the MCC.
Li htin : Lighting shall not cause glare or impact the traveling public or neighboring
development. Down-shield all lighting so it does not spill onto adjacent properties.
Si e: No signs are approved with this CZC.
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TrashEnclosure: No trash dumpster or enclosure is approved with this CZC. , ~
Certificate of Occupancy: All required improvements must be complete prior to obtaining a
Certificate of Occupancy. A Temporary Certificate of Occupancy may be obtained by providir.~g
surety,to the City in the form of a Letter of Credit or cash in the amount,of 1.10% of the cost of the
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remaining improvements. A bid must accompany any request for Teiriporary Occupancy.
Plan Modifications: The approved Site and Landscape Plans, stamped "approved" on 9-2-OS are not
to be altered without prior written approval of the Planning & Zoning Department. No significant
field changes to the site or landscape plans are permitted; prior written approval of all changes is
required.
~~ ~''t~o~s..rtil-mss - ~`X.e-~ -
. Brad Hawkins=Clark
Principal City Planner ,
*This letter does not indicate compliance with requirements ofother departmentslagencies, including, but not limited to,a
Ada County Highway District, Central District Health Department, affected irrigation district(s), Meridian Sewer,
Water, Building or Fire Departments, Sanitary Services Co., etc. This permit shall expire-one (1) year from the date of
issuance if work has not begun.
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CANNING &~ ZONING DEP
ARTMENT
~~ ' ~ INSPECTION CHECKLIST
ti ~~~~~ ~ UBDIViSI
ONS (FINAL PLATS)
This checklist should be attached to the inside cover of the Final Plat file at ALL times. ~~
~~~ (~'
Planner/Inspector Name: _ t (;t ~~
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' ~ ubdivision Name: ~C~J ~~ ~ ~ p \Ol, Phase No.: _
Contractor/Company Name: ~--Cj ~ Phone No.. +`
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~~J ~ ~, Fence Inspection ~ 11
" ~ ~ -,'``F'irst Inspection Date: ~/ / 0 (~ ~ ~~0. ~}e.-t ,rte ~ b ~ 21 l ; ~~,~.,, --}-~p ~ e '
~ -;rf Second Inspection Date: ~ / ~ Y,b: _ ~;~
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~~~`°`" Third Inspection Date: / / (NOTE: If a third inspection is required, a fee of $60 must
;% be submitted to the P&Z Dept. be ore the inspection is done.) F
"`` ,~. On -Site Checklist
~~ ' '
>~~~.
pre-to ~,~~:11 ~~
_ Item Srte Notes O.K. ( )
. '2`~ ~ b~ ` A.mDate of approved final plat fencing plan / '"/
~~2~~ ~ ~~ B. Perimeter"fencm~* ~ . ~
~ ~~~ ~ 1. Materials ~~~ ~~
2. Height ,~- `
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3. Clear vision triangle(s) ~r
4. Location per plan +~
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C. Micropath fencing ~ ty - ~ ~
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1. Materials `~ ++~
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2. Height
3. Location per plan ~F
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ll. Multi-use pathfer~cing ';
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I.Materials
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2. Height
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E Special FP;fence ~ ~; ~ ~` ' -
conditions? '
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- Unless otherwise approved, either permanent,or temporary fencing must be installed aroi.irid the ;~`
perimeter of the phase prior to release of any biiilding;pei=rriits. '°
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_ Post-Inspection Checklist
Item Date Complete ~f
A. Notify Public Works & Bldg. Dept of status (for building permits) ~~
~~
Landscape & Amenity
Inspection
First Inspection Date: / /
Second Inspection Date: ~_/_~_/~
Third Inspection Date: l I (NOTE: If a third inspection is required, a fee of $60 mrdst
be submitted to the P&ZDept. be ore the inspection is done.)
On -Site Checklist
Item Site Notes O.K. (~~)
_
--- --. -
A. Date of~ appirovecl final plat laifdsca~e plan 7 ' : / .
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B..Street buff~,r(s) ~.~. ,
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1. Width of buffer {exclude ~ ~ ~~
detached s/w widths
2. # of trees
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3. Caliper/size of trees ., `, ' 4
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measure 6-8 inches above L
ound)
4. Species mix ~~
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5. Groundcover (if seeded,
1%
veri ermination) 11
6. Right-of--way landscaping ~~
(if applicable) ~~
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FC .'Coztmlon area(s) . ~: ~ A
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4
,
1. Width of buffer (exclude
detached s/w widths) ~_ ~ ~
2. # of trees
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3. Caliper/size of trees ~
(measure 6-8 inches above ~
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4. Species mix 1~
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5. Groundcover (if seeded, '---""
veri ermination) L II
`D Amenities (if required} _ ti ,'-~~`
:1. Installed per plan .-_.. 1
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B .Pathways
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. Venfy width of path a's ~''~- ~k .. .
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re aired ~'
2. Verify tividth of buffers as ~~
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re aired 1l
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S. it "~t.~L_`~7'fd ll.I {~I. .~i?p7:l fFJ.)F.)i:.'ri?7i.%r=i ~7f?j ('r~'i
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F. Existing trees/mitigation
1. Verify existing tree(s)
retained
2. Verify mitigation tree(s)
G.-Sight triangle(s) ~~
1. Verify size/location
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2. Verify height of shrubs ~~
H, Pressurized irrigation
(veri installed) k
I. Stormwater areas P
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1. Less than 3:1 slopes I~
2. Dry creek formation (if ~~
a licable)
3. Max. 5 ft. dimension for
rock sump ~~
4. Max. 2 ft. dimension for rF
sand/grease grates ~~
J. Special Final Plat conditions ;
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*Unless otherwise approved, either permanent or temporary fencing must be installed around the ~~
perimeter of the phase prior to release of any building permits.
Post-Insuection Checklist
Item Date Complete ~ N
A. Notify Public Works & Bldg. Dept of status (for CO's) ~ C
B. Notify Applicant of status ~ I
C. Partial surety release (for inclement weather only)* j``
1. Estimate value of incomplete improvements X 110% (base off of
a roved bid) ~ ~
2. Final surety ~ ~
* The only instance that CO's maybe released prior to 100% of landscape improvements being done :~s
inclement weather, as determined by the Director. CO's must not be released on a "per block" or
incremental basis. If weather is a factor, follow MCC 12-13-19-2.
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C. Caleb `Hood
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From: C. Caleb Hood ~ ~t
• Sent: Monday,. March 19, 2007 4:37 PM ~
To: Brent Bjornson; Mindi~Smith; Karie Glenn
Subject: Lakeview GC Maintenance Building
The Planning Department required improvements around this building located at 4200 W. a
Talamore Drive have been completed. As far as the Planning Department is concerned, occupancy
may be granted and the surety from RSCI for $2,406•may be refunded. '-~
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Note to file: There is a planter island just to the north of this site (on the golf course lot) that they a,re '
(re)installing. The materials within the planter were on this maintenance site, but have .not yet been ~
installed because the curbing has not been poured. Also, although not on this site, I talked with Rich
Rush about making the weed area on the other side of the canal more attractive (at least putting
weed killer down and re-sodding). He said- they were coming up with a plan to make that look
better from the street. I believe this is actually a HOA common lot. Finally, the lighting issue seems 8
to have been resolved. The GC has added a switch to the light on the south side of the building a:nd ~
will leave the light off at night. ~ ` .
C. Caleb~Hood- - ~~ ~~~
Current~Planning Manager ~ ~ •
City of Meridian Planning Department
660 E. Watertower Street, Ste. 202
Meridian, ID 83642
208.884.5533 _ ,
208.888.6854 (fax) ~
Vision without action is a daydream..
Action without vision is a nightmare.
3/19/2007
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~~ : ~, ~~~~ CITY OF MERIDIAN
C~~rr~icn " ~ ,
"~""~ ~ TEMPORARY OCCUPANCY
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This Temporary Certificate of Occupancy expires . ~ ~ ~ ~ ~ ~~~ ~~
A Certificate of Occupancy must be obtained before this date. Occupanc and the date shown
and without a Certificate of Occupancy is a violation of International Building Codes and City Ordinance and
therefore unlawful and subject to notice, revocation, and prosecution with penalties as prescribed by law.
Site Address ~Zt~ ~~ • ~ ~ -~ ~ ~ ~~"`
Name of property owner representative ~_ --~
Building Permit Number ~•~''' ~ ~~ .
Surety Amount ~'"! ~' _ ~ Surety Expiration Date ~ E , ~ ~
The following conditions must be satisfied by (TCO expiration date above) to receive the Certificate of
Occupancy: ~~
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All city departments that identified conditions will conduct final inspections prior to issuance of the i~ertificate
of Occupancy to determine if their conditions of approval have been met. It is the responsibility of the undersigned
to request the inspections.
I, the undersigned, have read the conditions of this Certificate and agree that the conditions described above will
be met by the date specified and in conformance with the codes and ordinances of the City of Meridian or the
Temporary Certificate of Occupancy will become invalid for further occupancy of the premises. ~~
Signature (Represetl~tive o
,:/~
Date
Printed name of signature above
Building Officialy ~ ~ TCO
~~ ~~
Position/Title' ~~
If
Issue Date ~ ~~ t~ "7 ~
( ~~~ -'_. CITY OF MERIDIAN 1~
'~~ ""'"~ TEMPORARY OCCUPANCY "~a
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This Temporary Certificate of Occupancy expires on ~.j ~ ~ #~~~, ~ 1~ Z II ~"~
c u anc of the remises be and the d~ to shown
A Certificate of Occupancy must be obtamed before this date. O c p y p y
and without a Certificate of Occupancy is a violation of International Building Codes and City Ordinance and ..~~~
therefore unlawful and subject to notice, revocation, and prosecution with penalties as prescribed by l;aw.
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Site Address r~ ~~a,-.., ; ~_ _ . ~ j ~ ~;1 ~=s f ~~r ,~:: ~t:
Name of property owner representative " ~}' ~ ~~~~`-~...~._
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Building Permit Number
SuretyAmount Surety Expiration Date ~~ 1 ~ ~~y~~`
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The following conditions must be satisfied by (TCO expiration date above) to receive the Certifica ~~ of
Occupancy: ~ ii
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All city departments that identified conditions will conduct final inspections prior to issuance of the Certificate
of Occupancy to determine if their conditions of approval have been met. It is the responsibility of the undersigned
to request the inspections. ~l
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I, the undersigned, have read the conditions of this Certificate and agree that the conditions described above will
be met by the date specified and in conformance with the codes and ordinances of the City of Meridi ~~ or the
Temporary Certificate of Occupancy will become invalid for further occupancy of the premises.
Signature (Repre§entative of Property Owner) Date
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~.:1 y"~''! 5 Cf 1 ~-t~ 7"'Zl1 ~c~'/.~s a / ~'°y' /r'c,,'`~ /~~~'i91 qC~ - 'I
Printed name of signature above PositionJTitle
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Building Official --~°~'"`~~ ~~~CO Issue Date ~~ ~~ ~ •~~ ~
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Alaser~M evised 3/7/06
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Page 1° of 1
. Caleb Hood ~,#r~t~.
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From: C. Caleb Hood ~ ~
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Sent: Wednesday; January 31, 2007 9:58 AM ~
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To: Ted Baird ~ ° p
Cc: Bill Nary; Anna Canning;. Brent Bjornson
Subject: 4200 W. Talamore Drive (Lakeview GC Maintenance Bldg)
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Ted,
We have run into some problems regarding compliance on this site near the Lakeview clubhouse.
Below is a summary of what has transpired so far. We would like some direction on how to procE~ed. ,
On September 2, 2005 Brad Hawkins-Clark issued a certificate of zoning compliance (CZC-05-1 ].5) t
fora 5,400 sq. ft. maintenance bldg w/ office and storage. On June 19, 2006 I did a site check. The , ~
landscaping along. the street (Dawson) and on the south side of the building was not complete. L.
There were no life safety issues and I obtained a $2,400 surety from RSCI to complete the remaining ~
LS. I recommended to the Bldg Dept. that they give RSCI a temporary occupancy until 9-1=06 to ` ~
complete the LS; the Bldg. Dept. issued a Temporary Certificate of Occupancy (TCO) unti19-1-0~3.
On 11-3-06 we called Harrison Hotchkiss with RSCI and told him that the TCO had expired and that
he needs to complete the LS and'lighting issue (a neighbor called and complained about it note" ` _ - , ~
being shielded)- out there ASAP. I asked Bldg to extend the TCO to ~12-21-06, in anticipation of i
RSCI's completion; Bldg complied with my request. On January 3, 2007, after being reminded from C
Brent Bjornson that the TCO had again expired for this project, I again called Harrison for an
update. He informed me that he was going to check with his `guys and see where they are with the
punch list and get back to me. I have not heard from him since. I left` a message for him on Monday €
the 29th of January and he has not returned my call.
f
This one is a little bit odd. in that the City actually. owns the ground under which the maintenances ,
building lies. I have discussed. with Brent the option of posting the building "not approved for
occupancy.'' But before we do so, I wanted to get some feedback from you. Bldg is in a tough spot
because they need to issue the CO but. I can't sign off. Again we do have. $2,400 that we can use, but ,
we historically haven't done that. The main idea with the not approved for occupancy sticker is i.o ~
get there attention, If it comes to spring time I guess we can take the surety and plant the trees a.nd ,
sod ourselves. They just aren't being real good at working with us on this one. Please advise.
Thanks, - ~' ~
Y e•
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C. Caleb Hood ~
Current. Planning Manager
- ~
_
.Meridian Planning Department ~ ~ . '
~
660 E. Watertower Lane ~° '~
Meridian, ID 83642 t
208.884.5533
208.888.6854 (fax)
'
Vision without action is a daydream.
Action without vision is a nightmare. ~ ,
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1 /31 /2007 k
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C. Caleb Hood
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From: C. Caleb Hood
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Sent: Tuesday, February 06, 2007 2:12 PM
To: Bill Nary; Tammy de Weerd; Caleb Hood; Anna Canning k
r Cc: ~Ted Baird; Erik@oaaslaney.com ~ f
Subject: RE:"Here is a letter I received. regarding the golf course ~.
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ask the Building Department to extend the temporary occupancy on the maintenance building until
March 15th, as requested in the letter: If the remaining landscaping and the neighbors concerns regarding
lighting are addressed, final occupancy can be issued; the Building Department has confirmed that these
are the last remaining items.
~.
Erik/Dick -Please contact me when the landscaping is complete so I can do a final inspection. Thank °
you...
C. Caleb Hood a
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Current Planning Manager i
MeridiarrPlanning Department `
' ~ ~ _
660 E. Watertower Lane
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~~
Meridian; ID 83642 .- t
208.884.5533
208.888.6854 (fax)
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Vision without action is a daydream. ~
Action without vision is a nightmare.
From:'Bill Nary [mailto:naryb@meridiancty.org] ~
Sent: Tuesday, February 06, 2007 10:02 AM - ! r
To: Tammy de Weerd; Caleb Hood; Anna Canning-
Cc: Ted Baird
Subject: Here is a letter I received regarding the golf course
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Bill Nary ~ ;:
Ciry. Attorney/HR Director
City of Meridian
~
703 Main Street `
Meridian, ID 83642
208.898.5506 or ~ t
208.898-5503 (office) °
208.884.8723 (fax) ~ ~ ~ .
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2/6/2007 f
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February 2, 2007 ~
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Mr. Bli Nary, City Attorney/HR Director y
City of Meridian ~~°
703 Main Street _
Meridian, Idaho 83642 `p
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[dear Bill,
- ~
-Thank you for.infarming us of the compliance issues related to the Maintenance `
Building at Lakeview Golf Course. It appears that there has been some
miscommunication and possibly a lack of communiea#ion in the correspondence ~ i
between the City and our contractor for this building projects In an effort to eliminate
any confusion regarding the compliance issues, we are committed as follows: `: _ r
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,.-1.. Lakeview requests an extension of its TCO,~to~ March 15, 2007 in order to finish r
' its remaining issues for project completion. , `
2. Landscaping materials have been ordered and additional orders will be placed to
`coincide with the ground thaw expected in the next couple weeks. Lakeview
started work lasf fall but when the ground became frozen, we ceased our efforts.
3. Adequate trees/shrubs will be planted to shield the lighting from the concerned ~
neighbor. `
. 4. All communication with Lakeview in the future should be directed to Dick -Davis ~ '
and if he is not available to Erik Oaas. We will respond in a very timely manner _ `
to such communication. ' ` ~ ~
' Vase "are' delighted ~r.~ith ~!! the pesiti~,ie ca~mpnts ~~e have received frQrn'the patrons and=..
' many ofi our neighbars:about'how significantly positive our. efforts o rejuvenate this
previously tired property have been. We appreciate the City of Meridian's ,~
encouragement and support of our' continuing efforts in this regard. Please let us know
if there are any other compliance items we can-address to complete this project per
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plan.
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Ve yours,. ..: _. _ - . _ ..
~______ 1 ~ . _ _ %~ -
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P.O. Box 2020 • Boise, Idaho 83701 `
Ph. (208) 429-9596 • Facsimile (208} 429-9597 r ~~
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C. Caleb Hood # i ~~
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4 From: C. Caleb Hood
Sent: Wednesday, January,03, 2007 12:10 PM - ~ '
To: Brent Bjornson
Cc: Anna Canning .
Subject: RE: 4200 W. Talamore Dr.
I talked with Harrison Hotchkiss (RSCI contractor working on the Lake View Maintenance _.
Building). He was going to check with his guys and see where they are with the punch list and
get back to me. It didn't sound like he thought the improvements had been finished yet, but he ~i
assured me that they would be working towards compliance. Brent, I don't know what you want
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to do with the already expired:TCO??? By ordinance we (through the Building Official) can do ~~
another temp, but I am hesitant in this case. "There is not a lot to finish and we (you). have already
extended their TCO once; they just need to get it done. Let me know though if you need to do an .! ,
extension for you records, or if you need something in the interim. But, please do not issue the
final CO yet.
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C. Caleb Hood ' ~~
Current Planning Manager ~ ` ~~
' Meridian Planning Department , }
660 E. Watertower Lane
Meridian, ID 83642
208.884.5533
208.888.6854 (fax) ,
.,,
Vision without action is a daydream.
Action without vision is a nightmare.
F 4
From: BrentPBjornson
Sent: Wednesday, January 03, 2007 10:31 AM
To: C. Caleb Hood
Subject: 4200 W. Talamore Dr. '
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Caleb;
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On u/9 we spoke on the phone and you extended the 9/1/06 TCO expiration to 12/21/06. What is the -. ~:
status? We need to issue the CO. ! r
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Thank You. +
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Brent
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1 /3/2007
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C. Caleb -Hood
From: Steve O'Brien ~ °-
Sent: Tuesday, June 13, 2006 8:40 AM
To: C. Caleb Hood
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Subject: Lakeview. Maintenance Shed Outdoor Lighting ` _
Caleb,
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Below is the contact info for the Gordon Margulieux. He is the person who contacted the city regarding the '
Lakeview maintenance shed outdoor lighting: " ~
Work # 484-8569
Home # 888-.6883 ~ ~ ~
Email: gordonmx ~uno.com , ~ E
Address: 2040 N. Interlachen Way, Meridian, ID 83642 ~ , ,~
Let me know if there is anything. else you need. , ` ~~~ ~ ~ ~ ~ ~ ' b ~ ~~
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Thanks, +, ~ ~ s~ ; 1 ~- " ` ~ ~A ~ ~~..5 ' f` ~
Steve ~ ~ .~ v1 ~~ 55,
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6/15/2006
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Lakeview'Golf Club ~ ~3 ~
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4200 W. Talamore Blvd. - ~
Meridian, Id. 83642.
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'TO. City of Meridian, Planning and Zoning ~
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RE:~ Lakeview Golf Club maintenance building landscape design bid. ~ e ~ ~
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4• 8 Redbud, 2" caliper trees $ 1,000:00 z '
3 Skyline Locust 2" caliper. $ 375.00
8 Golden Privet 2 gal. $ 102.40
' ~ - .18 ~ Red Twig Dogwood 5 gal. $ 259.20..
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4 Burning Bush 5 gal. $ 83.60 ~ P
` 10 yds 3f4 Soil Aide mulch $ 264.00 ~ ~ ,,
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° - SUB TOTAL $ 2,083.80 k
TAX ` $ 104.19
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TOTAL $ 2,187.99
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. - Richard Rush ~ t
Golf Course Supt. G ~ ~ ~
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CHD
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September 22, 2005
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TO: RSCI
1854 E Lanark Street
Meridian, ID 83642
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SUBJECT . MCZC-05-115
Maintenance. Facility & Qffice I
4299 W Talamore Dr ~ - y£
In res onse to our re uest for comment; the Ada Coun Hi hwa District ACRD staff has reviewed
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the submitted application and site plan for the item referenced above: It has been determined that the ~ ~
Right-of--Way and Development Services Department does not have any site specific requirements for t
you at this time due to the fact that the proposed application: ~ F
Is for a maintenance facility and office space within Cherry Lane Golf Course and '
no new access to the public roadway system. is proposed. ?
A traffic impact fee will be assessed by ACHD and will be due prior to the issuance
of a building permit. Contact ACHD Planning 8~ Development Services at 387-6170
for information regarding impact fees.
You will need to submit final plans to the ACRD Development Review Department
prior to receiving final approval.. '
If the site plan or use should change in the .future,. ACHD will review the site plan and may require
improvements to the transportation system at that time.
If you have any questions, please feel free to contact me at (208) 387-6171.
Sincerely,.
i ,
Karen Anderson
Right-of-Way Specialist
Right-of-Way and Development Services. ,
cc: Project File, Construction Services
Meridian City~'~
Insight Architects {
2238 Broadway Avenue
Boise, ID 83706
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Ada County Highway District • 3775 Adams Street • Garden CitS~, ID • 83714 • PH 208-387-6100 • F~ 345-7650 • unvw.achd.ada.id.
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CITY OF MERIDIAN
Planning & Zoning Department
660 E. Watertower Ln., Ste. 202, Meridian, ID 83642
(208)884-5533 Phone / (208)888-6854 Fax
C'FRTTFTC".ATF, nF 7,ONTNl~' COA~Pi TAl\T('F (,~7C'1 APPT TC'ATi(ll`7
(Section 11-19-1, Zoning and Development Ordinance)
PROJECT NAME: Lake View Golf Course Maintenance Facility
APPLICANT: RSCI
ADDRESS: 1854 E Lanark Street, Meridian, ID 83642
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PHONE: 208-887-1401 FAX: 208-888-9130 E-MAIL: Jeff@rscigroup.com_:.
OWNER(S) OF RECORD: City of Meridian
ADDRESS: X33 E I_daho, Meridian, ID 83642
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PHONE:208-888-4433 FAX: E-MAIL:
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ARCHITECT (IF DIFFERENT THAN APPLICANT): Insight Architects
ADDRESS:_ _ 2238 Broadway Avenue, Boise. ID 83706
PHONE: 208-338-9080 FAX:208-338-9067 E-MAIL
ADDRESS, GENERAL LOCATION OF SITE: 4200 W Talamore Dr Meridian, ID 83642
TOWNSHIP, RANGE, AND SECTION:
DESCRIPTION OF USE: 5400 sf maintenance facility with office, storage '
PRESENT ZONE CLASSIFICATION: R4
I, , do hereby affirm that I will agree to pay any additional sewer, water or trash
fees or charges, if any, associated with the use that Uwe have applied for, whether the use be residential, commercial
or industrial in nature. Furthermore, Lhave read the information contained herein and certify that the information is
true and~o ect. ,
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j` (A, p 'cant's ignature) (Date)
f 1 Rev. I I/03.~'03
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07/16/2005 14:11 2083389067 INSIGHTARCHITECTS~ M PAGEW~01' r~ ~
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ERIDl~N ~Eff2E ®E~',t~~~~t~-130
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33 E. Idaho Ave.
Meridian, ID 83642-''"u •~
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PAYMENT DOES NOT INDICATE ACCEPTANCE OF APPLICATION TAX
Received
5990
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TOTAL
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' 87!18!2005 14:11 2083389067 INSIGHTARGHITECTS PAGE 01 ~ I
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