last updated 12/2015 an application to amend the …...2904.79 feet and being subtended by a chord...

11
Gwinnett County Planning Division Special Use Permit Application Last Updated 12/2015 SPECIAL USE PERMIT APPLICATION AN APPLICATION TO AMEND THE OFFICIAL ZONING MAP OF GWINNETT COUNTY, GA. - APPLICANT INFORMATION I PROPERTY OWNER INFORMATION* - NAME: Cory Marshall NAME: OKORO BURDETT BRIDGET ADDRESS: 3495 Lenora Church Rd 9000 LAS VEGAS BLVD S UNIT 1151 ADDRESS: CITY: Snellviile CITY: Las Vegas STATE: Georgia ZIP: 30078 STATE: Nevada ZIP: 89123 PHONE: 678-698-5227 PHONE: 770-757-0765 coNTACT PERSON: Valrita Faldon PHONE: 678687 4929 CONTACTS E-MAIL: [email protected] *Include any person having a property interest and any person having a financial interest in any business entity having property interest (use additional sheets if necessary). APPLICANT IS THE: lll bwNER'S AGENT DPROPERTY OWNER D CONTRACT PURCHASER EXISTING/PROPOSED ZONING: R 1 OO BUILDING/LEASED SQUARE FEET: 2312 PARCEL NUMBER(S): R50Q3 126 ACREAGE: _!:5 ADDRESS OF PROPERTY: 3495 Lenora Church Rd, Snellville, GA 30078 SPECIAL usE REQUESTED: Community Living Arrangement (CLA) PLEASE ATTACH A LETTER OF INTENT EXPLAINING WHAT IS PROPOSED CEIVEDBY 2 AUG 2 Fi ?O?"J nnfng&Devetopment I

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Page 1: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/2015 SPECIAL USE PERMIT APPLICATION

AN APPLICATION TO AMEND THE OFFICIAL ZONING MAP OF GWINNETT COUNTY, GA.

- ~ APPLICANT INFORMATION I PROPERTY OWNER INFORMATION* - ~

NAME: Cory Marshall NAME: OKORO BURDETT BRIDGET

ADDRESS: 3495 Lenora Church Rd 9000 LAS VEGAS BLVD S UNIT 1151 ADDRESS:

CITY: Snellviile CITY: Las Vegas

STATE: Georgia ZIP: 30078 STATE: Nevada ZIP: 89123

PHONE: 678-698-5227 PHONE: 770-7 57-0765

coNTACT PERSON: Valrita Faldon PHONE: 678687 4929

CONTACTS E-MAIL: [email protected]

*Include any person having a property interest and any person having a financial interest in any business entity having property interest (use additional sheets if necessary).

APPLICANT IS THE:

lllbwNER'S AGENT DPROPERTY OWNER D CONTRACT PURCHASER

EXISTING/PROPOSED ZONING: R1 OO BUILDING/LEASED SQUARE FEET: 2312

PARCEL NUMBER(S): R50Q3 126 ACREAGE: _!:5

ADDRESS OF PROPERTY: 3495 Lenora Church Rd, Snellville, GA 30078

SPECIAL usE REQUESTED: Community Living Arrangement (CLA)

PLEASE ATTACH A LETTER OF INTENT EXPLAINING WHAT IS PROPOSED

CEIVEDBY

2 AUG 2 Fi ?O?"J

nnfng&Devetopment

I

Page 2: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

LEGAL DESCRIPTION 3495 Lenora Church Road, Snellville, Georgia 30039

All that tract or parcel of land lying and being in Land Lot 3, 5th District, Gwinnett County, Georgia, and being more particularly described as follows:

Beginning at a Yz inch rebar found on the Westerly right-of-way of Lenora Church Road (80' right-of-way), said point being 1205.65 feet in a Northerly direction from the intersection of said right-of-way and the South line of land lot 3; thence leaving said right-of-way North 84°15'11" West a distance.of 589.26 feet to a Yz inch rebar found disturbed; thence North 28°06'30" West a distance of 124.40 feet to a Yz inch rebar found; thence South 84°41 '58" East a distance of 644.34 feet to a Yz inch rebar found on the Westerly right-of-way of Lenora Church Road; thence along said right-of-way, following a curve to the left, said curve having an arc distance of 109 .27 feet and a radius of 2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found and THE TRUE POINT OR PLACE OF BEGINNING.

Said tract or parcel of land containing 1.499 acres.

SUP '20 · 5 7 AUG 2 ~ '"' Y' i

Page 3: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

THIS BLOCK RESERVED FOR THE CLERK OF THE SUPERIOR COURT

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MCCALLA, CARL WIWAMS JR D.B. 3530, PG. 339 I MCCALLA COURT I PID-R6017 014

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LEGEND ARC RADIUS CHORD AIR CONDmDNING RIGHT-OF-WAY ADJOINING OWNERSHIP BACK OF CURB BUILDING CORNER BUILDING CENTERLINE BRICK WALL MASONRY WALL BUILDING SETBACK LINE CONCRETE CONCRETE CORNER ELECTR/CflY METER EDGE OF PAVEMENT FIRE HYDRANT H.ODD INSURANCE RATE MAP GAS METER IRON PIN FOUND OISTURBEO 1/2" REBAR 1/2" REBAR W/ CAP POWER LIGHT POLE PROPERTY LINE POWER POLE DEED BOOK PLAT BOOK PAGE POINT OF BEGINNING POINT OF REFERENCE OVERHEAD POWER REBAR WATER METER

AREA 1.499 ACRES

65,335 SQUARE FEET

SUP '20 0 5 7

SCALE : 1" = 40'

O' 20' 40' BO'

N/F SMITH, ANGELA

D.B. 49988, PG. 398 I 3485 LENORA CHURCH ROAD I

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I 3515 LENORA CHURCH ROAD I

NOTES: JN MY OPINION THIS PLAT IS A CORRECT REPRESENTATION OF THE LAND PLATTED AND HAS BEEN PREPARED IN CONFORMrTY WITH THE MINIMUM STANDARDS AND REQUIREMENTS OF THE LAW.

THIS SURVEY HAS BEEN PREPARED FOR THE EXCWSIVE USE OF THE PERSON OR ENTITIES NAMED HEREON. NO EXPRESS DR IMPLIED WARRANTIES WITH RESPECT TO THE INFORMATION SHOWN HEREON IS TO BE EXTENDED TO ANY PERSONS DR ENT/TES OTHER THAN THOSE SHOWN HEREON.

:CEIVEDBV

AUG 2 5 2020

nnlng&Development

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MAGNETIC

1205.65' ALONG R/W OF LENORA CHURCH RD FROM INTERSECTION WITH

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THE LANO LOT AND DISTRICT LINE PER D.B. 51974, PG. 420

NOTES: UNLESS STATED OTHERWISE HEREON, ONLY EVIDENCE OF EASEMENTS OR STRUCTURES THERETO WHICH ARE READILY APPARENT FROM A CASUAL ABOVE GROUND VIEW OF PREMISES ARE SHOWN. NO LIABILITY IS ASSUMED BY THE UNDERSIGNED FOR LOSS RELATING TO THE EXISTENCE OF ANY EASEMENT NOT DISCOVERED FROM MY CASUAL ABOVE GROUND VIEW OF THE PREMISES.

UNLESS STATED OTHERWISE HEREON, THIS SURVEY WAS PREPARED WITHOUT BENEFIT OF AN ABSTRACT OF TlTUE. NO LIABILITY JS ASSUMED BY THE UNDERSIGNED FOR LOSS RELATING TO ANY MATIER THAT MIGHT BE OJSCDVIERED BY AN ABSTRACT OR TITLE SEARCH OF THE PROPERTY.

THIS PLAT OF SURVEY MAKES NO WARRANTY OR GUARANTEE AS TO THE EXISTENCE OF ANY EASEMENTS OF ANY TYPE. NO ABSTRACT OR TITLE SEARCH WAS PERFORMED TO DISCOVERED THE EXISTENCE OF ANY EASEMENTS.

ONLY ACTS OF POSSESSIONS, IF ANY, THAT ARE VISIBLE FROM CASUAL INSPECTION OF THE PROPERTY ARE SHOWN HEREON. NO WARRANTY OR GUARANTEE JS IMPLIED KS TO THE EXISTENCE OF ACTS OF POSSESSION BY THE ADJOINERS TO THE LANDS SHOWN AND DESCRIBED HEREON.

UNLESS STATED OTHERWISE. GOVERNMENTAL JURISDICTIONAL AREAS OR NEGATIVE EASEMENT, IF ANY, WHICH MIGHT IMPACT ON THE USE OF THE PREMISES WERE NOT LOCATED. NO LIABILITY JS ASSUMED BY THE UNOERSJGNEO FOR ANY LOSS RESULTING FROM THE EXERCISE OF ANY GOVERNMENTAL JURISDICTION AFFECTING THE USE OF THE PREMISES. REPRODUCTIONS OF THIS SKETCH ARE NOT VALID UNLESS SIGNED, DATED, AND SEALED WITH A SURVEYOR'S SEAL

PROJECT DESCRIPTION: SURVEY FOR:

CORY J. MARSHALL

UTILITY PROTECTION CENTER

~ IF YOU DIG GEORGIA. ..

CALL US FIRST/

81 1 IT'S THE LAW

THREE WORKING DAYS BEFORE YOU DIG

NOTES: THIS SURVEY HAS BEEN PREPARED FOR THE EXCWSIVE USE OF THE PERSON OR ENTmES NAMED HEREON. NO EXPRESS OR IMPLIED WARRANTIES WITH RESPECT TO THE INFORMATION SHOWN HEREON JS TD BE EXTENDED TO ANY PERSONS OR ENTITIES OTHER THAN THOSE SHOWN HEREON. ---------------THIS SURVEY WAS PREPARED IN CONFORMrTY WITH THE TECHNICAL STANDARDS FOR PROPERTY SURVEYS IN GEORGIA AS SET FORTH BY IN CHAPTER 180-7 OF THE RULES OF THE GEORGIA BOARD OF REGISTRATION FOR PROFESSIONAL ENGINEERS AND LAND SURVEYORS AND AS SET FORTH IN THE GEORGIA PLAT ACT O.C.GA 15-6-67.

FLOOD HAZARD STATEMENT: THIS PROPERTY DOES NOT LIE WITHIN THE 1" ANNUAL FLOOD (100-'\'EAR FLOOD) FEDERAL FLOOD HAZARD AREA AS PER PANEL NO. 13135C0146F DATE: SEPTEMBER 29, 2006

ZONING INFORMATION: ZONING PER GWINNm COUNTY, GA ZONED R-100 BUILDING SETBACK REQUIREMENTS: FRONT - 35' SIDE - 1 a' ONE YARD, 25' TWO YARDS REAR - 40'

NOTE: ZONING INFORMATION SHOWN HEREON TAIKEN FROM ZONING MAPS ANO MUNICOOE.COM ONLINE LIBRARY. NO ZONING REPORT PROVIDED FOR THIS SURVEY.

ADAM & LEE LAND SURVEYING 5640 GA. HWY. 20 S.

LOGANVILLE, GA. 30052 (770)554-8995 3495 LENORA CHURCH ROAD, SNELLVILLE, GEORGIA 30039

SECTION: COUNTY: GWINNm DISTRICT: 5TH LANO LOT: 3 FAX=(77D)554-8134 lf1nl'.adamandlee.com

NOTES: FJELD INFORMATION FDR THIS SURVEY WAS OBTAINED WITH A 5 SECOND THEODOLITE ANO AN ELECTRONIC DISTANCE METER.

THE FJELD DATA UPON WHICH THIS MAP OR PLAT IS BASED HAS A CLOSURE PRECISION OF ONE FOOT IN 20,061 FEET AND AN ANGULAR ERROR OF 04 SECONO(S) PER ANGLE POINT AND WAS ADJUSTED BY LEAST SQUARES.

THIS MAP OR PLAT HAS BEEN CALCULATED FOR CLOSURES AND IS FOUND TO BE ACCURATE WITHIN ONE FOOT IN 1,301,337 FEET.

ALL IRON PINS LABELED AS SET DR FOUND (IPS OR IPF) ARE 1 /2" REBAR RODS, UNLESS OTHERWISE NOTED. (ALL 1/2" REBAR W/ CAP)

INFORMATION REGARDING THE REPUTED PRESENCE, SIZE, CHARACTER Al-ID LOCATION OF EXISTING UNDERGROUND UTILITIES ANO STRUCTURES JS SHOWN HEREON, THERE IS NO CERTAINTY OF THE ACCURACY OF THIS INFORMATION AND IT SHALL BE CONSIDERED IN THAT LIGHT BY THOSE USING THIS DRAWING. THE LOCATION AND ARRANGEMENT OF UNDERGROUND UTILITIES ANO STRUCTURES SHOWN HEREON ~JAY BE INACCURATE AND UTILITIES AND STRUCTURES NOT SHOWN MAY BE ENCOUNTERED. THE OWNER, HIS EMPLOYEES, HIS CONSULTANTS, AND HIS CONTRACTORS SHALL HEREBY DISTINCTLY UNDERSTAND THAT THE SURVEYOR JS NOT RESPONSIBLE FOR THE CORRECTNESS OR sumCIENCY OF THIS INFORMATION SHOWN HEREON.

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= = = = =2~"}9lf]F!!£1AD~o}jhY= = = = = lli/S PLAT IS A RETRACEMENT OF AN EXISTING PARCEL DR PARCELS OF LAND AND DOES NOT SUBDMDE OR CREATE A NEW PARCEL OR MAKE ANY CHANGES TO A1NY REAL PROPERTY BOUNDARIES. THE RECORDING JNFORflATION OF THE DOCUMENTS, MAPS, PLATS, OR OTHER INSTRUMENTS WHICH CREATED THE PARCEL OR PARCELS ARE STATED HEREON. RECORDATION OF THIS PLAT DOES NOT IMPLY APPROVAL OF ANY LOCAL JURISDICTION, AVAILABILITY OF PERMITS, COMPLIANCE WITH LOCAL REGULATIONS OR REQUIREMENTS, OR SUITABILITY FOR A1NY USE OR PURPOSE OF THE LAND. FURTHERMORE, THE UNDERSIGNED LAND SURVEYOR CERTIFlES THAT THIS PLAT COMPLIES YI/TH THE MINIMUM TECHNJCALiios FOR PROPERTY SURVEYS IN GEORGIA KS SET FORTH IN THE RU 0 REGULATIONS OF THE GEORGI/\ BOARD OF REGISTRl<TION FOR PRO JO ENGINEERS ANO LANO SURVEYORS ANO AS SET FORTH IN O.C.G.A S ON 15-6-67.

JAMES A. JACOBS 07/10/2020 ~-

DATE OF PLAT PREPARATION 07/10/2020 BY: HMG

DATE OF FIELD SURVEY 06/29/2020 BY: AMB 0.8. 51974, PG. 419 P.B. 35, PG. 95B SCALE: 1" - 40' SHEET # 1 OF 1

20173

Page 4: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

Letter of Intent

A Certain Lad Ministries, LLC

3495 Lenora Church Road Snellville, GA 30078

The intent use of property is to operate as a community living arrangement facility, inspected and permitted by Healthcare Facility Regulation Department. As a Community Residential Alternative Services (CRA) we targeted for individuals who require intense levels of support. These services are individually planned and tailored to meet the specific needs of the individual and to accommodate fluctuations in his or her needs for various services. Community Residential Alternative (CRA) services include assistance with and/or training in activities of daily living such as bathing, dressing, grooming, and other personal hygiene, feeding, toileting, transferring and other similar tasks.

The upstairs of home have 4 bedrooms to service 4 residents and basement of home to operate the day to day operations and business for A Certain Lad Ministries serving Metro Atlanta.

If you have any question, please feel free to contact at 678-698-5227. Thank you.

s p '20 . 5 7 AUG 2 :i ?11J'.:?>fj)

Page 5: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/2015 SPECIAL USE PERMIT APPLICANT'S RESPONSE

STANDARDS GOVERNING THE EXERCISE OF THE ZONING POWER

PURSUANT TO REQUIREMENT OF THE UNIFIED DEVELOPMENT ORDINANCE, THE BOARD OF COMMISSIONERS FINDS THAT THE FOLLOWING STANDARDS ARE RELEVANT IN BALANCING THE INTEREST IN PROMOTING THE PUBLIC HEAL TH, SAFETY, MORALITY OR GENERAL WELFARE AGAINST THE RIGHT TO THE UNRESTRICTED USE OF PROPERTY AND SHALL GOVERN THE EXERCISE OF THE ZONING POWER.

PLEASE RESPOND TO THE FOLLOWING STANDARDS IN THE SPACE PROVIDED OR USE AN ATTACHMENT AS NECESSARY:

(A) WHETHER A PROPOSED SPECIAL USE PERMIT WILL PERMIT A USE THAT IS SUITABLE IN VIEW OF THE USE AND DEVELOPMENT OF ADJACENT AND NEARBY PROPERTY:

Yes

(B) WHETHER A PROPOSED SPECIAL USE PERMIT WILL ADVERSELY AFFECT THE EXISTING USE OR USABILITY OF ADJACENT OR NEARBY PROPERTY: No, this special permit will not affect sorrouding areas.

(C) WHETHER THE PROPERTY TO BE AFFECTED BY A PROPOSED SPECIAL USE PERMIT HAS REASONABLE ECONOMIC USE AS CURRENTLY ZONED: No this will not be affected.

(D) WHETHER THE PROPOSED SPECIAL USE PERMIT WILL RESULT IN A USE WHICH WILL OR COULD CAUSE AN EXCESSIVE OR BURDENSOME USE OF EXISTING STREETS, TRANSPORTATION FACILITIES, UTILITIES, OR SCHOOLS: No this will not be excessive or burdensome. This home is almost 2 acres and wil l not have heavy traffic to home. It is used for residential purposes

(E) WHETHER THE PROPOSED SPECIAL USE PERMIT IS IN CONFORMITY WITH THE POLICY AND INTENT OF THE LAND USE PLAN: Yes we are in compliance with standards and plan to use home as a CLA home to service Developmental Disabilty Clients

(F) WHETHER THERE ARE OTHER EXISTING OR CHANGING CONDITIONS AFFECTING THE USE AND DEVELOPMENT OF THE PROPERTY WHICH GIVE SUPPORTING GROUNDS FOR EITHER APPROVAL OR DISAPPROVAL OF THE PROPOSED SPECIAL USE PERMIT: No changes currently. ~CEIVIEDBY

SUP '20 0 5 7 3

AU G n -.,

nnlng&Development

Page 6: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

Gwinnett County Planning Division Special Use Permit Appl icat ion

Last Updated 12/2015

SPECIAL USE PERMIT APPUCANT'S CERTIFICATION

THE UNDERSIGNED BELOW IS AUTHORIZED TO MAKE TH IS APPLICATION. THE UNDERSIGNED IS AWARE THAT NO APPLICATION OR REAPPLICATl0N AFFECTING THE SAME LAND SHALL BE ACTED UPON WITHIN 12 MONTHS FROM THE DATE OF LAST ACTION BY THE BOARD OF COMMISSIONERS UNLESS WAIVED BY THE BOARD OF COMMISSIONERS. IN NO CASE SHALL AN APPLICATION OR REAPPLICATION BE ACTED UPON IN LESS THAN SIX (6) MONTHS FROM THE DATE OF LAST ACTION BY THE BOARD OF COMMISSIONERS.

Cory Marshall, CEO Type or Print Name and Title

Signature of Notary Public Date

s rzo 7 4 AUG 2 5 ZO'ZiID

Page 7: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

Gwinnett County Piarmang Division Speda~ Use Permit Application

Last Updated 1212015

SPECIAL USE PERMIT PROPERTY OWNER'S CERTIFICATION

THE UNDERSIGNED BELO\/\/, OR AS A TT ACHED, IS THE OVVNER OF THE PROPERTY CONSIDERED IN THiS APPLiCATION. THE UNDERSIGNED iS AWARE THAT NO APPLICATION OR REAPPUCATION AFFECTING THE SAME LAND SHALL BE ACTED UPON 'NITH!N 12 MONTHS FROM THE DATE OF LAST ACTION BY THE BOARD OF COMMISSIONERS UNLESS WAIVED BY THE BOARD OF COMMISSIONERS. IN NO CASE SHALL AN APPUCATION OR REAPPLICATION BE ACTED UPON IN LESS THAN SlX (6) MONTHS FROM THE DATE OF LAST ACTfON BY THE BOARD OF COMM ISS!ONERS.

Date

Bridget Okoro Burdett Type or Print Name and Title

S -I - ..:;0 Signature of Notary Public Date

SUP '20 0 5 7 s

Page 8: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

Gi.Ninnett County Planning Division Special Use Permit Application •

SPECIAL USE PERMIT IN A RESIDENTIAL DISTRICT

Last Updated 12/2015

(Only submit with Special Use Permit Appl ication for a use within a res idence)

I, the undersigned applicant, understand and agree that the Special Use Permit, if approved, shall automatically terminate in the event that this property is sold, transferred or otherwise conveyed to any other party, or the bus iness which operates the special use is sold, transferred, otherwise conveyed or discontinued.

Cory Marshall Type or Print Name

Signature of Notary Public Date

UP '20 ·· 5 7 AUG 2 'fi ?M

6 .

Page 9: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/20 I 5

CONFLICT OF INTEREST CERTIFICATION FOR SPECIAL USE PERMIT

The undersigned below, making application for a Special Use Permit, has complied with the Official Code of Georgia Section 36-67A~1, et. seq, Conflict of interest in Zoning Actions, and has su it d or attac the required information on the forms provided.

SIGNATURE OF APPLICANTS ATTORNEY OR REPRESENTATIVE

DATE

Ko/hlu_f\ !?:= fJ( DJ._~( e5 2, ,-.Y-1-~D SIGNATURE OF NOTARY PUBLIC DATE

Cory Marshall , CEO

TYPE OR PRINT NAME AND TITLE

TYPE OR PRINT NAME AND TITLE

Have you, within the two years immediately preceding the filing of this application, made campaign contributions aggregating $250.00 or more to a member of the Board of Commissioners or a member of the Gwinnett County Planning Commission?

DvEs .[i]No Cory Marshall YOUR NAME

If the answer is yes, please complete the follow ing section:

NAME AND OFFICAL CONTRIBUTIONS DATE CONTRIBUTION POSITION OF (List ~II which aggregate to WAS MADE

GOVERNMENT OFFICIAL $250 or More) (Within last two years) n/a

Attach additional sheets if necessary to disclose or describe al l contr ibutions.

SUP '20 · · 7 AUG 2 5 20 ?.1

Page 10: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/201 5

VERIFICATION OF CURRENT PAID PROPERTY TAXES FOR SPECIAL USE PERMIT

THE UNDERSIGNED BELOW IS AUTHORIZED TO MAKE THIS APPLICATION. THE UNDERSIGNED CERTIFIES THAT ALL GWINNETT COUNTY PROPERTY TAXES BILLED TO DATE FOR THE PARCEL LISTED BELOW HAVE BEEN PAID IN FULL TO THE TAX COMMISSIONER OF GWINNETT COUNTY, GEORGIA. IN NO CASE SHALL AN APPLICATION OR REAPPLICATION FOR REZONING BE PROCESSED WITHOUT SUCH PROPERTY VERIFICATION.

*Note: A SEPARATE VERIFICATION FORM MUST BE COMPLETED FOR EACH TAX PARCEL INCLUDED IN THE SPECIAL USE PERMIT REQUEST.

PARCEL l.D. NUMBER: (Map Reference Number)

Signfure of

5

Cory Marshall, CEO Type or Print Name and Tit le

0003 126 District Land Lot Parcel

***PLEASE TAKE THIS FORM TO THE TAX COMMISSIONERS OFFICE AT THE GWINNETT JUSTICE AND ADMINISTRATION CENTER, 75 LANGLEY DRIVE, FOR THEIR APPROVAL BELOW.***

TAX COMMISSIONERS USE ONLY

/2-/p DATE

lMECElvED BY

SUP '20 5 7 8 AU G 2 5 ? c; ,, l

Page 11: Last Updated 12/2015 AN APPLICATION TO AMEND THE …...2904.79 feet and being subtended by a chord bearing South 01°44'33" East a distance of 109.26 feet to a Yz inch rebar found

t.u <ommlulon•r't omn

COUNTY Unincorporated

NOTICE OF TAXES - GWINNETT COUNTYt GEORGIA

Richard Stee!e, Tax Commissioner www.GwlnnettTaj{Commissloner.com

3495 LENORA CHURCH RD LENORA CHURCH ROAD

FOR ADDITIONAL INFORMATION THAT MAY HELP ANSWER YOUR QUESTIONS, PLEASE SEE THE REVERSE SIDE OF THIS NOTICE. If you have an escrow account, your tax information is available to your mortgage company; however, it is your responsibility to ensure taxes are paid.

j &.')

LANO VALUE: BUILDING VALUE: TOTAL VALUE: ASSESSED VALUE:

ACREAGE: 1.5000

• TAXING AUTHORITY ASSESSED VALUE

COUNTY GENERAL FUND 69,480 DETENTION CENTER BOND 69,460 DEVELOPMENT/CODE ENFORCEMENT 69,480 FIRE & EMS 69,480 POLICE 69.480 RECREATION 69,480 TOTAL COUNTY TAXES

ASSESSED VALUE

STATE 69,480 TOTAL OTHER TAXES

0.034919

LEVYING AUTHORITY RATE

$1 B.23/month

VOE

0 0 0 0 0 0

0 0

VOE

0

COUNTY SOLIO WASTE STORMWATER SERVICE $2.461100 sq.ft X 3900 sq.ft.

EXEMPTIONS

0 0 0 0 0 0

0 0

TAXABLE VALUE

69,480 69,480 69,480 69,480 89,480 69,480

69,480 69,480

x 0.007209 0.000000 0,000360

0.003200 0,001600 0.000950

0.019700 0.001900 0.021600

500.BB 0.00

25.01 222.34 111.17

66.01

1,368.76 132.01

1,500.77

EXEMPTIONS TAXABLE VALUE X MILL RATE = TAXES LEVIED

0 69,480 0.000000 0.00

AMOUNT CHARGE

218.76 AD VALOREM TAXES: 95.94 ASSESSMENTS:

TOTAL AMOUNT DUE

0.00 2,426.18

AMOUNT

2,426.18 314.70

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R5003 126 BRIDGET 0 OKORO BURDETT 9000 LAS VEGAS BLVD S UNIT 1151 LAS VEGAS NV 89123-3372

SUP '20 5 7

19 185003001260000

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AUG 2 5 20?0

Address Change : D Check here and fill out the back of this remittance slip If your billing address or property location has changed.

I I m1t1;iat:;;JeV.tloii•mant

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