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Application Form Last Updated: December 30, 2014
RECEIVED
JUL 15 2015 Cell Site with Antenna Special
Use Permit Application Form fora
CITY OF AMES,IOWA
DEPT.OF PLANNING&HOUSING Site in a Commercial Zone
(This form must be filled out completely before your application will be accepted.)
1. Property Address for this Special Use Permit: 615 24"'St.,Ames,IA 50010
2. 1 (We) the undersigned, do hereby respectfully request the Ames Zoning Board of
Adjustment to grant a Special Use Permit to allow a "Cell Site with Antenna"at the property
address listed above.
3. Legal Description (attach, if lengthy): ATTACHED
4. Property Owner: Carr Hardware, Inc. (cfo Randy and Mary Ketelsen)
Business:Carr Hardware. Inc. (c/o Randy and Mary Ketelsen)
Address: 4887 Evergreen Ln. NE Bemidii MN 56601
(Street) (City) (State) (Zip)
Telephone: 218-586-2598
(Home) (Business) (Fax)
5. Applicant: SBA Towers yl_ LLC
Business: SBA Towers Vl, LLC
Address: 5900 Broken Sound Parkway Boca Raton FL 33487
(Street) (City) (State) (Zip)
Telephone: 630-802-2357
(Home) (Business) (Fax)
6. Contact Person: Joe Markus
Business: Black & Veatch
Address: 16305 Swinglev Ridae Rd., Suite 230 Chesterfield MO 63017
(Street) (City) (State) (Zip)
Telephone: 314-952-5636 636-536-5842 636-536-1123
(Mobile) (Business) (Fax)
E-mail address: MarkusJ@bv.com
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Application Form Last Updated: December 30, 2014
This Special Use Permit will not be granted unless sufficient facts are presented with
the application, and at the Planning and Zoning Commission and Zoning Board of
Adjustment meetings, to support a finding that all the general and specific standards
for granting a Special Use Permit have been met.
Obtaining this Special Use Permit does not absolve the applicant from obtaining all other
applicable permits, such as Building Permits, TOOT access permits, et cetera.
I (We) certify that I (we) have submitted all the required inf venation to apply for a Special Use
Permit and that the it{formatioti is factual.
C awt, I
Signed by: l�c__A , Date: 6
Prollerty Owner(s)
Carr Hardware, Inc.
Randall A. Ketelsen, President
Print Name
(Note: No other .signature may he substituted for the Property Owner's Sigmatitre.)
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-A&
Application Form Last Updated: December 30, 2014
Legal Description
fly fatiowiing desvibed tool estate in Story C4*Vnty, JMQ:
Lots Two (2) , Three ( 3) and Four (4) in Speck' a Subdivision of the
South One Hundred Seventy-ei&ht ( 178) Feet of the. Northwest Quarter
(NWk) of the Northwest Quarter (N'%' ) of Section Thirty-five (35) ,
Township Eighty-four (84) North, Range Twenty-four (24) Vest of the
5th P.M. , Iowa, and commencing at the Southwest (SW) Corner of the
"northwest Quarter (NWT) of the Northwest Quarter Mk) of Section
Thirty-five (35) , Township Eighty-four (84) North, Range Twenty-four
(24) West of the Sth P.M. , Iowa; thence 9 1*28 ' W One Hundred Seventy-
eight (178) Feet, thence N 89010' E Two Hundred Sixteen and Ninety-
seven Hundredths (216.97) Irect to the point of beginning, thence
N WWI E Two Hundred Thirty-five and Ninety-eight Hundredths
(235.98) Feet, thence N 102W W One Hundred 1wenty-five ( 125) Feet,
thence S 89010' W Two Hundred Thirty-four rind Twenty-five Hundredths
( 234. 25) Feet , thence S 09501 E One Hundred Twenty-five (125) Feet
to the point of beginning.
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Application Form Last Updated: December 30, 2014
Cell Site with Antenna
Special Use Perjnit for a Site in a Connnercial Zone
Permission to Place a "Zoning Action Pending" Sign
on Private Property
(This form must be filled out completely before your application will be accepted.)
Section 29.1500(2)(d)(iii) of the Zoning Ordinance, requires that notice shall be posted by the
City on the subject property. One notice sign shall be posted for each property. Required
signs shall be posted along the perimeter of the subject property in locations that are highly
visible from adjacent public streets prior to the public hearing.
The owner of property at 615 24th St., Ames, IA 50010 hereby grants the City of Ames
permission to place "Zoning Action Pending" signs on the property for the purpose of informing
interested persons of the request for action by the City of Ames.
I understand that the signs will be placed on the property several days prior to action on
the request of the Planning and Zoning Commission, Zoning Board of Adjustment, or the
City Council, and may remain on the property until the request has been approved or
denied by the City.
Signed by: �=-1 Y)v, Date: 6 ._3 —/5
Pr perty Owner(s)
Carr Hardware, Inc.
Randall A. Ketelsen, President
Print Name
(Note: No other signature inav lie substitirtetl for tile Property Owners Signami-e.)
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