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HomeMy WebLinkAboutZ-6194-C Applicationv F12 �~ Lj E? CLJ u 0 4 lJ L� 1 g= 5101 aE3 COQ Q h� - C jos[ e o ❑ Cl f � ° ZED 'a TH15 SITE, 71 r ©' q p 03 oo 44TH j CD._ q r'� F Ca o G cc C�j LJ � Q �� cV � ❑ t7 ° pc �� '13 Ci o r on o o D k (�? . l] Q pati �� Q � ❑ e ❑ � CP dp Q Q (� d Cl ❑ 0 0 O �da�,Qoo 0 0 ❑ Area Zoning Z-6194— C- 7919 Asher Avenue N R13W 1" V ..,,,ity Map TRS T1 - PD _ 10 - WARD _ 6 Item No. 10 MW •CJL C OMMUNICATIONS. INC. Site Development, Consulting and Construction 6247 Amber Hills Road Phone: 205.956.0198 Trussville, Alabama 35173 Fax: 205.956.2632 Transmittal Form TO: Dana Carney FROM: Thad Watson Date Sent: 3/2/2005 Subject: Verizon Wireless — Arkansas Initial Build -Out WCF Package for Review and Approval Sites: Rosedale AR(165772) Message: Mr. Carney, Please find attached the WCF application package for a wireless site in the City of Little Rock, where Verizon Wireless plans to collocate. Please review this material and let me know if I have included all the documentation, which you require. I have also included the BP application, which has the documents Rex requires for his department attached. Could I ask that once you are able to approve the WCF application for this site, that you give the BP application package to Rex, along with your stamped approvals. I would greatly appreciate your help. Please notify me of your approval or if you have any issues with these applications. Thank you Thad Watson Project Coordinator (205) 956-0198 ext 203 ofc (205) 533-1136 mob 01/05/2005 .LVED 14:04 FAX AFIFTD,A.VIT I, �C certify by my signature below that I hereby authorize Excell Communications Acting on Behalf of Verizon Wireless to act as my agent regarding the wireless collocation of Verizon Wireless on the below described - property. Property described as: Legals are attached. Michad Brown, SSUSA Delivery Manager Central/ West Region Subscribed and sworn to me a Notary Public on this day of C�16 x _ C�`.� 5 My Commission Expires: a 24CHE11.E +TALL My COMMwim 60" Jdn"ory 21. 20M Verizon's Rosedale AR(165772) — Sprint's LR03XCO61 [a 004 01/05/2005 WED 14,04 FAX EXL4MNG LEASE PARCEL DESCRIPTION (INSTRUMENP 20010a9451) Part of the West 1/2, Norovoill 1/4, Northeast 1/4, Section 25, T -1—N, R -13—W, Pulaski Caanly, Arlinn905. more parliculorly aeccf1bed as; Commencing of the Northwest corner of the Northeast 1/4, Nbnheast 1/4 of sold SeCI;On 23; thence South 01'37'01' We 1. 175.41 feat to the SOVIn right—of—way line of ACher Avenue (Arkansm Slore, Hay, No. 5); "Vence along bald right-et—Walt 6nr North AV2B'OS' EOeI 64.66 feet; thence cOhlih i,hq along said right—al-Rat line North 5-'55"51' Eels 4b,07 last inenee sa,1h 073Y22' 9011 27.59 fret to the MNf OF SCOINNIND; thenca Hann B2'2418' lost 25.00 feet; thenen South 0111`15'22' East 35.00 feet' thomCh South 8724'38' Wool 25,00 feet; thence North 07'35'22' Wee; 35,00 feet to the PAINT OF BEGINNING, canloilting 075 square feel. or 0,010 aCr09. Moro Or less. EXISTING ACCESS k TITIUTY EASEIMT DESCRIPTION (1NSTRUMUT 8001088451) Part. of the Well. 1/2, Hanheast 1/4, Northeast 1/4, Section 2], R -13—W, Pulaski COunly, Arkanoot, more parl;cularty described ail Common ina In Lire Northwest comer of the Northeast 1/4, Northeast 1/4 of said Section 23; lhenee sa.rlh 01'37'04' West 176.11 Soot to The South fight—of—way line of Asher Avenue (Arkanem Stals Hy. Ne, 5r Ihencb mono aoi: fighl—of—way 6ne North 6125'05' Coat 84.86 feet; lhenee canGnu;ng oleno said right—at_rpy 0a Narlh 841555s' East 90.07 1=1. to the POINT or e1:0WNIN(i: thence Conlmu;ng along said figm—W—low lin& uarin GVZ:]'p4' Call 26.21 ran; thence swth 07 33'Y2' Eae4 35.78 fear, IhlenCC' �avih 62'21'38' WM 25.0 foot: lhenee North 07'35'22' Wast 77AD 1rr" to the POIk7 of 9EGN1114G, conlOining 795.64 square feet, or 0.018 acne, man or Isu. EXPANSION OF EXISTING LEASE PARCEL (INSTRUMENT 2001059451) A parcel of land lying in Section 23, TOwhehip 1 North, Range 13 West, %1580 County, Arkansas heing mato particularly described as follows: tbMrrkM;ng at 0 metal lcnre post found of the Northeast Corner at on esisl'.nq Imes pores[ a6 aesclibed in a Whey by Nope Cnq;ACef], Inc.. dot Mir 20, 2001; said point hiving AFIFOMaa Saulh Slate Marto CocrolTutes of N: 207149.0744. E; 1202961.8294; tnenee run $ 07131a' E for o d;aten s of 35.14 feet Is a me14] fence paetl tierce S aYCO'28' W for a snot rice of 25.00 feet to q 3/6' mpea rebar net (SCO In the S.autheest corner of said 160ea parcel: sed point being W Pn;nt of Sw Inmfntx nrn;; Conlinue S 133'00'28' W for o dinanct of 10.00 reel to a 5/8' Capp411 venae bet (501); lhenee N 4713'10' W fat o iratattee of 3.144 feet to a 5/8' capped rebdr "I (SGI) on the Southeasterly line Of a R;ght—of—Woy Ememenl as described in InatrurAenl No. 2002141253 as recorded in th4 Officr of the C;rcuil Chunky Cleek ar gaff CWnlyt thansit N 61'57'479' F otanq solo SOulneoetery line for b alalonae or 4.39 last to a 5/6' cappad heir NI (SCI); thcnca N 82'AW42' E !"bring !told Saulheaslerty fine for a ffAlaftus of S.90 feat m n 5/8' capped rubor lei (SCI) at Pit NorthWrsl corner at abora ba;d loose piece,; thence S 07.13'10' E for a dialgnCl M 35.04 feel to the Point al Beglnn;ftg. Sold asove described parcel conlatro 347 =,Am reel, more or less. 12' x SO' 12ASE AREA A pofcel or land lylnq In Secrlan•23, Township 1 North, Range 13 West, Pulaski Covnly. Arkansas being mare porl4rilorly described as follows Gomm&nc;ng 111 a metal dente past found at the Nall[noosl cOrAV of On eX110mg IMOE peradl aft dncdbea in 0 eutvey by hope Engineers. Ina., ogles Juy 28. 2001; void palm homing Ark Moll Savin Stale Alone ComeMnales of N: 20571s9,0744. L 5202081.8284; thence run S 07'13'tB' E for a detonce of 47.14 feel ID o mete) 1eACe pOsl; thence S 8300'26' w for o OialaACo n1 2540 to a 5/9' COppeo nba+ set (SC!) m the Soulhwest tamer of 4a4 levee pare.l; thence continue 5 8Y00'26' W fof a distance of 10.40 real to a 5/8" cappso fiber eat (SCI): thence N 0713'18' IN for o Oielanse of 2.$7 "net to o rofnl: lham:r N 83.11'44' E fad o distance of 4.38 feet to n 5/6' sapped rsbbr yet (SGI) end the Peine of Beginning; lheACe N 06'46'31' W far a distance of 30,!10 fast to a 5/9' copp,td rebaf fit ($Of); thence N 143't3'49' E tar a di;tOlr44 or 12.Gp fret lu o 5/8' copped r_Lar set (,r.Gl): [Vette, 5 OTea'11' E for a d;elanee of 30.00 Lett to a 5/0' eappW naor del (SG1): 1hMee 5 8313'4V W for a disionee or 12.00 feel to the Point of Beginning. Selo ubo-r aosodbaC eorcol calpains 780 ar;uort ItaL Mufti or less. FLOOD NOTE The Sua)eet pnpeny appears to k ;n tort& 'X' of the plana Insurance Rate trap Community panel No. 0301510;03i..Wen beers an effective date of OClvber 19, 2001 and IS NDS in a spacial Ifaoa harem area. No Bela mhnev rmonla sure used in This delermiaalton and an ainmijn ctrulicole may de neodetl for Veirificolion. SURVEYOR'S CERTIFICATION To V4610 Wireless Tennessee partnership: This 4 to Certify that INS Map of plal and the survey on which it it bases sere made in avaonanae With `*Min'enum Standard Deloil Requirements for ALTA/ACSII Lond T c Surveys,' jaWy s11epC1hed and adaplV4 by ALTA, ACSM and NSPS in 1999, and incl,ask Items 1-6, 10-12 of Table A Viereaf. Purauoet to the Accuracy Slandoroo as adopted by ALTA, NSIbS, and ACSM and In .f11e; Da the dole of this CortiliCOliOa. undersighea further certifies that; ' int survey measurements were mode in accofoCnce .i%h the u'.i-:imum Mate, 01slance, and Closure RegvirCmtnt► far Su Nay treosuremenrs Which Control Lona Bouneor;ea for ALTA/ACSM Lana TBC Surveys,' ) ( y RQSEDALE_AR Wintom L Mow l SEG. 23, T -1-N, R -13-W a; Arkamov • Ivrea No, 1425 AULASkI COUNTY, ARKANSAS 0005 Mr. Dana Carney Department of Planning and Development City of Little Rock, Arkansas 723 West Markham Street Little Rock, Arkansas 77201 In re: Zoning Awlications Dear Mr. Carney: Please accept this letter as documentation that I am leasing a portion of my land located at 7825-n west `" SF Little RacL AR 72204 to Verizon Wireless to be used for constructing and operating a wireless telecommunications facility. It is my understanding that in order to utilize the land for the intended purpose, Verizon Wireless will need to apply for permit approvals with the City of Little Rock. Please accept this letter as my/our approval for Verizon Wireless to file any and all necessary applications for permits or approvals in order to proceed with Verizon Wireless' intended use of the land to build and operate a wireless telecommunications facility on our property. Thank you very much. Sincerely yours, Printed Name sivialure Michael Brown, SSUSA Delivery Manager Title Central/ West Regm Date Z3 r.� .21!004' Verizon -Rosedale AR Sprint-LR03XC061 EXISTING LEASE PARCEL DESCRIPTION (INSTRUMENT 2001089451) Part of the West 1/2, Northeast 1/4, Northeast 1/4, Section 23, T -1-N. R -13-W, Pulaski County, Arkansas, more particularly described as: Commencing at the Northwest corner of the Northeast 1/4. Northeast 1/4 Of said Section 23; thence South 01'37'04 Wesl 176,41 feet to the South Aghl-af-way line of Asher Avenue (Afkansas State Hwy. No. 5); thence along said rignt-of-way kne North 61'26'05" East 84.66 feet; thence cbnlinumy along said right -of -May fine North 64'5554" East 98.97 feet: thence South 07'35'22" East 27.89 feet to the POINT OF BEGINNING; thence North 82'24'38" Eatt 25.00 feel; thence South 07'35'22" East 35.00 feet: thenea South 82'2439' West 25.00 feet; thenea North 07'35'22' West 35.D0 feet to the POINT OF BEGINNING, containing 875 square feet, or D.020 acres, more or less. EXISTING ACCESS & UTILITY EASEMENT DESCRIPTION (INSTRUMENT 2003089451) Part of the West 1/2, Northeast 1/4, Northeast 1/4, Section 23, T -1-N, R -13-W, Pulaski County, Arkansas, more particularly described as: Commencing a1 the Narm.lst corner of the Northeast 1/4, Northeast 1/4 of Sold Section 23; thence South 01'37'04` West 176.41 feet 10 the South right-of-way line of Asher Avenue (Arkansas Start Hwy. No. 5); shone along said right-of-way tine North 6116'05' East 64.66 feet; thence continuing along said right-of-way line North 6455'54 Edit 98.07 feet to the POINT OF BEGINNING; thence continuing along said right -oto -way line North 54'55'54' East 26.21 feel; thence South 07,35'22' East 35.76 fact. thensc South 82'24'38" Weal 25-00 feet: thence North 07'21S'22" Wast 27,89 feet to the POINT OF B6CINNIW, containing 795.64 square feet, or 0.016 acres, more or lase. EXPANSION OF EXISTING LEASE PARCEL (INSTRUMENT 2001089451) A parcel of land lying in Section 23, Township 1 North, Range 13 West, Pulaski County, Arkansas being more particularly described as follows: Commencing at a metal fence Past found at the Northeast corner of on ex;acng lease parcel as described in a survey by Nope Engineers, Inc., doted July 20, 2001; amid point having Arkonsos South State Plane Coordinates of N: 2D57149.0744. E: 1202961.8284; thence run S 07'13'18' E fee a diaionce of 35.14 feet to o metal fence pest; thence S 8500'26' W for a distance of 25.00 Seel to a 5/6' copped rebdr set (SGI) 01 the Southwest tamer of told lease parcel: said point being the Paint of Beginning; thence continue S BSOD'26` W for a distance of 10.00 feet to a 5/8' capped reoor set (SGI); thence N 07'13'16" W for a distance of 33,44 fest to a 5/8" capped robot set (SGI) on the Southeasterly line of a Right-of-Wey Eosament as described in Instrument No. 2002144253 as retarded ;n the Office of Ina Circuit County Clerk of eaw County; thence N 61'57'06" E along said Southeasterly rine for a distance of 4.39 lest to a 5/0" capped rimer set (SGI); thence N 8246'42' E leaving said Souttu:aillady line for a distGnee df 5,90 feet to a 5/6" capped reoor sat (SGO at the Northwest comer of above sold Ic se parcel; thence S 07"13'i8' E tar a distance of 35,0a feet to the Pains of Seg;ein;ng. Said above described parcel contains 347 square feet, more or less. 12' X 30' LEASE AREA A parcel of land lying in Section 23, Township 1 North, Range 13 West, Pulaski County, Arkansas being more particularly described as follows: Commencing at a metol fence post Found at the Northeast corner of On exist Nig lease parcel as described In s aurvay by Hope Engineers. Inc., doled Jub 20, ?,OD1;said point having Arkonsas South State Plane Caord:hetes of N: 2057149.0744, E: 1202961.8284; thenea run S 07113'18" E for a d4lance of 35.14 feet la d metal fence poll; thence S 83'00'26' W for a distance of 25.DD to a 5/8" capped reoor sea (SGI) a1 the Southwest corner or said lease parcek thence continue S 83'00'26 W for a distance of 10.00 lett to a 5/8" capped rebdr set (SGl]; thence N 07'13'18" W For a distance of 2.97 feat to a point., thence N 63'13'49' E for a distance of 4.38 feet to a 5/B" capped reoor set (SGI) and the Paint of Begift6ngi thence N 575'48'11' W for a distance of 30.00 Teat to 0 5/8' tapped rebor set (SGI); lhence N 63'13'49' E for m distance of 12,00 Feet to a 5/8" capped rebdr set (SGI); thence S 06'46'11- E for a dissonce of 30.00 feet la a 5/8' capped rebdr set (SGt); thence S 83'13'49" W for a distance of 12.00 feet to the Point of Beginning.. Said above described parcel contains 360 square fees, more or less. FLOOD NOTE The subject, property appears td lie in Zone 'x' of the Flood Insurance Rote Map Community Panel No. 0501810103F, which bears on affeclive date of October 19, 2001 and IS NOT in a special Jlodd. ho;std oreo. No Fald measurements were used in this determination and an elevation certificate may be needed For verification, SURVEYOR'S CERTIFICATION To Verizon Wireless Tennessee Partnership: This is to certify thbl this map or plat Una the survey on whlan it IS based Rem made in accordance with Un;mum Standard Detail RequlFements for ALTA/ACSM Land Title Surveys: jointly established end adopted by ALTA. ACSM and NSPS in 1999, and includes items 1-6, 10-12 of Table A thereof. Pursuant to the Accuracy Standards as adopted by ALTA, +)SPS, one ACSM and in effeci on the dale of this c"lirctlon. undersigned further certifies that; • the survey measurements sere mode in accordance with the "Minimum Angle, Distance, and Cloture Requirements Jar Survey Measurements Which Control Land Boundaries for ALTA/ACSM Land Tate Surveys." ROSEDALE_AR William L How I SEC. 23, T -1-N, R -13-W Arkansas Re tared No. 1425 PULASKI COUNTY, ARKANSAS V��1-- �17►�vrr�� f?�s 500 West Dove Road - Southlake, TX 76092 (682) 831-3234 - FAX (682) 831-3283 WIRELESS TELECOMMUNICATION FACILITY STATEMENT OF RADIATED POWER Verizon Wireless Site Name: Rosedale AR Verizon Wireless Site ID: 165772 Site Address: 7825-D W. 44th St., Little Rock, AR 72204 Type of Installation: New PCS base station (Collocation) The Equivalent Isotropically Radiated Power (EIRP) for this installation is 890 watts or less. The current FCC rule (reference: Code of Federal Regulations, Title 47 - Telecommunications, Chapter 1 - Federal Communications Commission, Part 24 - Personal Communications Services, Subpart E - Broadband PCS, Section 24.232 - Power and antenna height limits) permits up to 1640 watts EIRP for this type of installation. This installation as designed meets the FCC requirements. David R. Mason Verizon Wireless Radio Frequency Engineer /Z -ZZ ['Y Date Please be sure that ALL of the requested information below is completed. Any omissions could affect our ability to expedite this application. Sprint Sites USA does not guarantee the availability of your ground space nor the approved ACL until the Lease Agreements have been fully executed. Please do not hesitate to call us if you have any questions regarding your application or our process. Sprint Site ID: LR03XCO61 Can be found on our website (h :llwww.s rintsstesusa.com ) Desired In Service Date: 2005 Your Site ID: Rosedale AR Please list your site number and site name if both are used. Site Status: ® Built ❑ Not Built (Click to Check One) Purpose of System (Cellular, Paging, Etc.): PCS Structure Type (Monopole, Lattice, Etc.): Mono I SITE INFORMATION (This information can be found on our website{httnJ/wovw.sprintsitesusa.aamj. If you need further assistance, please contact your regional Sales Analyst their contact information is listed at the end of this application.) Street Address: 7825 W 44TH ST City: Little Rock State: AR ZIP: 72204 Latitudes (NAD 83): �34-42-46Longitudes (NAD 83): 92-21-50.206 W POINT OF CONTACT INFORMATION (This information may include contractor or site acquisition consulting information. Please include information for the initial point of contact— this person will be contacted for any Issues prior to an executed lease. — Company Name: Excell Communications Point of Contact: Thad Watson Street Address: 6247 Amber Hills Rd. City: Trussville State: I AL ZIP 35173 Phone Number: (205) 926-0198 Ext 203 Fax Number: (205) 956-2632 E-mail Address: thadwatson@excellcommunications.com CARRIER INFORMATION (This information should not include contractor or site acquisition consulting information. Please include only carrier specific information as it pertains to the leasinq Process. _ Company Name: Verizon Wireless Scott Cates Point of Contact: Implementation Manager Verizon, Texas Region Federal Tax No.: Street Address: 1500 West Cove Road City: Southlake State: I TX ZIP: 176092 Phone Number: (682) 831-3220 Fax Number: (682) 931-3283 E-mail Address: scott.cates@vedzonwireless.com Contract to Be Executed By (Name & Title): Howard Bower, Area VP - Network Accounts Payable Contact (Sublease Level): Are You a Corporation or Partnership? Partnership State in Which Your Business Entity was Formed: DE Company Name & Address to Appear on Legal Documents for Notice provision Verizon Wireless Tennessee Partnership, a Delaware general partnership, d/b/a Verizon Wireless by Calico Partnership, Its General Partner. F_ Sprint Site Name: FOR SSUSA USE ONLY — �^ Site Not Built Information: — TECHNICAL PARAMETERS ***Attachment of manufacturer's s eciflcatfons of antennas is required Please place additional equi ment ALPHA BETA Antenna Quantity 2 2 Azimuth Orientation (Deg) 0 120 Wbrmadon on the next page -1 GAMMA 2 240 Amphenol Antel Amphenol Antel Amphenol Antel Antenna Manufacturer &Model # BSA-185065/12CF E -DIN 20 BSA-185065/12CF E -DIN 20 BSA-185065112CF E -DIN 20 Antenna Dimensions (I x w x d / wt) 70.9"x6.3"x2" / 10.6 lbs 70.9"x6.3"x2" / 10.6 lbs 70.9"x6.3"x2" / 10.6 lbs Antenna Mounting Type TBD TBD TBD I Downtilt Mechanical Elec 10M, 20E 10M, 20E 10M, 20E TX/RX or Duplexed? TX/RX TX/RX TX/RX Proposed Antenna Center Line 136 136 136 Trans Line Type/Size 1 5/8 1 5/8 1 5/8 Total Number of Lines per Sector 2 2 2 Total # TMAs/MHAs per Sector N/A N/A N/A Power Output 16 watts 16 watts 16 watts TX 1905-1910 MHz TX 1985-1990 MHz TX 1985-1990 MHz Frequency (MHz and Band Type) RX 1985-1990 MHz RX 1905-1910 MHz RX 1905-1910 MHz POWER REQUIREMENTS Required Voltage & Total Amperage: 120/240 VAC single-phase, 200 amps Are you providing your own generator back up power? ® Yes ❑ No (Click to Check) Space Required for generator: 4'x 10'(included in 12'x30' lease area) Is an additional fuel tank needed? No LAND REQUIREMENTS How large a parcel or land is required? Length (ft): 30' Will an external shelter be required? ® Yes ❑ No (Click to Check) Width (ft): 12' ADDITIONAL TECHNICAL REQUIREMENTS (Please add any additional notes or comments as it ertains to our pro osed collocation Verizon Wireless will utilize a Cellxion pre -fab shelter with an exterior Generac model SD060 60kW generator (which uses a 225 gallon internal belly fuel tank). SSUSA SERVICES In order to decrease application processing time and offer a sin le source for collocation and services, SSUSA offers the following services. RF Studies: Please check the Structural Analysis ❑ Interference Analysis ❑ boxes that interest Construction Services: Architectural & Engineering Zoning and Permitting for this collocation p IBJ Quick Start Program: Electric Drawings Utility Installation MPE Analysis ❑ I Construction & Installation ❑ Electrical Upgrade (if needed) Thank you for choosing Sprint Sites USA for your collocation needs. We look forward to working with you to help meet your on air objectives as simply and quickly as possible. .d 7m Please note the following: • This application is subject to Sprint Sites USA Engineering Approval. • Proposed site modifications may also be subject to local zoning approval including building permit. • Landowner consent may also be required. • If land is leased to Sprint Sites USA by any governmental or private agency, Sprint Sites USA will require a letter of consent from the agency giving you approval,to lease Sprint Sites USA's facilities on their land. Send all completed applications via email to: Sprint Sites USA — Regional Sales Analyst Kim Cordes Northeast Sales Analyst Phone — 201-995-4027 Kcorde01 @sprintspectrum.com Questions/General Information Contact Regional Sales Manager: Glenn Miller National Sales and Account Manager Phone — 201-995-4026 Gmillel2@spdntspectrum.com Sprint Sites USA 535 East Crescent Avenue Ramsey, NJ 07446 Phone — 201-995-4000 Fax — 201-995-4001 WIRELESS COMMUNICATION FACILITY MCF) APPLICATION WCF CASE, FILE NO: 7r 'i` 11jRE53; _7825-D Ween 44"i Street., Litda.Rook, AEC 72204 LEGAL, DEXPUTION: (Pleast see attached legal description} ZONING CLASSIFICATION: Z- ABUTTING RESMEN LALL: YES —X—'.VO PROPERTY LOCATED IPI FLOODPLAIN DISTRICT: YES X NO L ATTACHM: _mt a OR WITH SUPPORT STRUCTURE: E.risting Wireless Tower Maximum Setbapks: Height Front dear $idea p�lac suildr ,Urs Wl4vnxt, vyGF rower �iPVICv�P proposed I SECUMTY)`ENCING HEIGHT: � 8', LIGHTING! YES _ NO (Existing Site Collorationrvo New Lighung) DOWNSHIF-fdJ 7. _p/ai LANSCAPE PLAN ATTACHED: Yrs ERP M- FORMATION ATTACHED: ^Yrs COLLOCATION STATfMENTIhGRfEIWIENT ATTACHMD: ---00l1ucadC0 APPlication AtUrhed A-DI)MONAL DEVEL OPMB'>\(T STANDARD INFOILMATION; Vmwn is to install apre-fab shelter, exterior gaaerator, coax and associated antennas cm. the existing tower,____ APPLICANT NAME: ExcW] CommuWcatiorks onBehaLFof Verizon Wirelesx (Thad. Watson -Project Coordinator) APPLICANT ADI?RESS: `2743 Amber Hits Rond, Trussville, AL 35173 - AFPIdC 4NT PIFIONE NO (208} 436 0195 ext 203 FAX :NO: —(205) 956-2632 APPLICANT SIGIVATURB; Date R.ecei*red: _ ' V� Any hforrration not MovAad regarilhty esseme,it or Boodwaylplairt. Yhth impaeMs tha Aeclsion regardM9 fhfs ePpv-a*m, is the maponsilt ty of ft appik ant Easement Clearance; <� Da"ird Applioe mn, rav Denied NOTE: OBTA1Tl A BLY7 bpYG BERMfP BF.iTOYiE B£GtI+iYFPiG hMY COf��CRt1c r1[lu- srrwnte r rnry ns rvre Al Cf M 6- tw 13(o P��tr. BY Pia:ilmn-9 St Dat.t lcpnlant 8f.alf 7?aiJj� : iJ t is C -tip t'_icCi oil %,qcF Pali jt, City of Little Rock Planning and Development Filing Fees Date:_ --� Annexation $ Board of Adjustment $ Cond. Use Permit/T.U.P. n ' V" $ C� Final Plat $ Planned Unit Dev. $ Preliminary Plat $ Special Use Permit :tea $ io RezoningSite www.excellcommunications.com Plans Street Name Change $ Street Name Signsr Number - - at ea. $ Public Hearing Signs Number -at -ea. $ Total $ d File No. �— Location Applicant CIC C- 1 ��-� 2 CIru t By INC. COMMUNICATIONS, Site Development, Project ,lfanagement, Construction & Real Esrnte Brokerage Thad Watson Project Coordinator 6247 Amber Hills Road Office: (205) 956-0198 ex 203 Trussville, AL 35173 Cell: (205) 533-1136 Fax: (205)956-2632 email: thadwatson@excellcominunications.com www.excellcommunications.com