D OWNER'S AGENT D PROPERTY OWNER ~CONTRACT PURCHASER

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1 Last Updated REZONING APPLICATION AN APPLICATION TO AMEND THE OFFICIAL ZONING MAP OF GWINNETT COUNTY, GA. APPLICANT INFORMATION NAME: C K K Development LLC ADDREss: 174 Dacula Rd CITY: Dacula OWNER INFORMATION* NAME: See Attached ADDRESS: CITY: STATE: GA ZIP: STATE: ZIP: PHONE: PHONE: CONTACT PERSON: Duncan Corley PHONE: CONTACT'S d u ncancorley@comcast. net APPLICANT IS THE: D OWNER'S AGENT D PROPERTY OWNER CONTRACT PURCHASER PRESENT ZONING DISTRICTS(S): RL REQUESTED ZONING DISTRICT: R-SR LAND DISTRICT(S): 7 LAND LOT(S): 362 ACREAGE: ADDREss of PROPERTY: 1784, 1785, 2252,Buford Dam RD PRoPosED DEVELOPMENT: Senior oriented Residence RESIDENTIAL DEVELOPMENT NON-RESIDENTIAL DEVELOPMENT No. of Lots/Dwelling Units _9_7 No. of Buildings/Lots: Dwelling Unit Size (Sq. Ft.): _2_,0_0_0 Total Building Sq. Ft. Gross Density: _3_. 9_8 Density: Net Density: _3_.9_8 PLEASE ATTACH A LETTER OF INTENT EXPLAINING WHAT IS PROPOSED RZR. ' S. JUL 0 '! Plannm Qt urjv VtJ ll,ent

2 Rezoning Owners information Buford Dam Rd. IH Kennedy Group LLC (Joe Kennedy) 5485 Golf Club Dr. Braselton, GA Phone: Stella Mooney 3455 Farmers Academy Rd. Carnesville, GA Phone: Phillip & Holly Bagwell 6553 Old Garrett Rd. Buford, GA Phone: RECE\VED BY JUL

3 L E G A L D E S C R I P T I 0 N ALL THAT TRACT OR PARCEL OF LAND LYING AND BEING IN LAND LOT 361 AND 362, OF THE 7TH DISTRICT, GEINNETT COUNTY, GEORGIA AND BEING MORE PPARTICULARLY DIECRIBED AS FOLLLOWS: BEGINNING AT THE CENTERLINE OF OLD GARRETT ROAD (ON RIGHT-OF-WAY) AND THE 80 FOOT RIGHT-OF-WAY BUFORD DAM ROAD, THENCE PROCEEDING IN A SOUTHWESTERLY DIRECTION A DISTANCE OF FEET TO A POINT, SAID POINT BEING THE TRUE POINT OF BEGINNING: THENCE North 71 degrees 40 minutes 47 seconds West for a distance of 9.48 feet TO A POINT THENCE North 66 degrees 30 minutes 57 seconds West for a distance of feet to a POINT; THENCE North 75 degrees 42 minutes 28 seconds West for a distance of feet to a POINT; THENCE North 85 degrees 41 minutes 10 seconds West for a distance of feet to a POINT; THENCE South 86 degrees 29 minutes 38 seconds West for a distance of feet to a POINT; THENCE South 78 degrees 50 minutes 00 seconds West for a distance of feet to a POINT; THENCE South 75 degrees 02 minutes 36 seconds West for a distance of feet to a POINT; THENCE South 74 degrees 13 minutes 59 seconds West for a distance of feet to a POINT; THENCE South 73 degrees 53 minutes 08 seconds West for a distance of feet to a POINT; THENCE South 70 degrees 31 minutes 26 seconds West for a distance of feet to a POINT; THENCE South 67 degrees 10 minutes 42 seconds West for a distance of feet to a POINT; THENCE South 66 degrees 06 minutes 46 seconds West for a distance of feet to a POINT; THENCE South 66 degrees 22 minutes 06 seconds West for a distance of feet to a POINT; THENCE North 10 degrees 37 minutes 04 seconds West for a distance of feet to a POINT; THENCE North 67 degrees 08 minutes 51 seconds East for a distance of feet to a POINT; THENCE North 11 degrees 10 minutes 15 seconds East for a distance of feet to a POINT; THENCE North 84 degrees 01 minutes 10 seconds West for a JUL distance of feet to a POINT; THENCE North 07 degrees 46 minutes 15 seconds East for a Planning & Deve,opment distance of feet to a POINT; THENCE in an Easterly direction along centerline of a creek for a distance of 324.0± to a POINT; THENCE South 76 degrees 51 minutes 31 seconds East for a distance of feet to a POINT; THENCE South 05 degrees 59 minutes 04 seconds East for a RZR '17 018

4 distance of feet to a POINT; THENCE South 56 degrees 39 minutes 33 seconds East for a distance of feet to a POINT; THENCE South 31 degrees 38 minutes 33 seconds East for a distance of feet to a POINT; THENCE North 25 degrees 46 minutes 57 seconds East for a distance of feet to a POINT; THENCE North 19 degrees 32 minutes 18 seconds West for a distance of feet to a POINT; THENCE North 40 degrees 16 minutes 42 seconds East for a distance of feet to a POINT; THENCE South 50 degrees 45 minutes 36 seconds East for a distance of feet to a POINT; THENCE South 78 degrees 00 minutes 53 seconds East for a distance of feet to a POINT; THENCE South 87 degrees 53 minutes 59 seconds East for a distance of feet to a POINT; THENCE South 03 degrees 24 minutes 57 seconds West for a distance of feet to a POINT; THENCE South 63 degrees 39 minutes 15 seconds East for a distance of feet to a POINT; THENCE South 07 degrees 32 minutes 09 seconds West for a distance of feet to a POINT; THENCE South 03 degrees 47 minutes 40 seconds West for a distance of feet to a POINT; THENCE South 02 degrees 11 minutes 48 seconds West for a distance of feet to a POINT; THENCE South 00 degrees 52 minutes 39 seconds West for a distance of feet to a POINT; THENCE South 00 degrees 03 minutes 15 seconds West for a distance of feet to a POINT; THENCE North 72 degrees 56 minutes 11 seconds West for a distance of feet to a POINT; THENCE South 18 degrees 54 minutes 22 seconds West for a distance of feet to a POINT; THENCE South 77 degrees 17 minutes 47 seconds East for a distance of feet to a POINT; THENCE South 16 degrees 47 minutes 04 seconds West for a distance of feet to a POINT; THENCE South 19 degrees 29 minutes 30 seconds West for a distance of feet to a POINT; THENCE South 24 degrees 59 minutes 32 seconds West for a distance of feet to a POINT; THENCE South 31 degrees 58 minutes 34 seconds West for a distance of feet to a POINT; THENCE South 31 degrees 08 minutes 22 seconds West for a distance of feet to a POINT; THENCE South 24 degrees 31 minutes 16 seconds West for a JUL distance of feet to a POINT; THENCE South 21 degrees 15 minutes 02 seconds West for distance of feet to a POINT; l>lanning & Development THENCE South 19 degrees 01 minutes 32 seconds West for a distance of feet to a POINT; THENCE North 55 degrees 49 minutes 46 seconds West for a RZR '17 018

5 distance of feet to a POINT; THENCE South 35 degrees 28 minutes 27 seconds West for a distance of feet to a POINT; Together with and subject to covenants, easements, and restrictions of record. Said property contains 24.4 acres more or less. RZR '17 Ol 8 JUL 0 7 LUI/

6 r r;:jrrr.t-[f!h.i.b.liet!il I'O H I'OI I'o'TOrHF;I;ISHINC I.U.. L\NI'llOT W:t. k / Y wr c: rrr orw.n N/t" NOW 01: FOIUU:Itt.Y C"TI Clllt.if' TO/' F'OLIN U OTI' OI'I:NTOP FUIIN il COHitUGATEIJMI:TAl.I'II'E k[i NFO itci:droncrt:te I'If'E f>o I.WISYLCI\lO!tlllF: I'I!'[ :<ISr;U; li'inc CATCH llc :W [lotibu:winccati"iiiia.."'ii'i CL ItltlNI.t:T OUTU.I HY!lt:AO WAU. 1'1 lfl EH INU I.. SASITAilY t:w I :Il COI'nlm i. S\'!Tf:loi MAN IIOI.l: IN \'[R'T OVtfUI E,\U i'o'iif:r U t: - Orb- 0\'[IUIEAU n : U:I'IIO!'II: IJSI: l'nilo IGII!JUN IJ n:u:rtujn[ UN!: unun r ou: UNil ERC IIO l inil I'OWfi( US[ 1./ 1' llgiit POU: r 1/ T CAULE/ INTI:IISI:Ti ti;u:r r!mh: 11( Fllc f: IIYPRANT 1fATtii\JNI: WATI."H ioi i:tt:ll. ;I! C:N I'ti!'IT mer: or r MON n"ori NC wr:n.anih' I'OINT j I uru M [J <Ctuur. ::.rzc :_1,0(1030L11oP(r[[l., - -i:j;;,'.. ;;,:::;:,," 'i;u: - 2lJ_A_ "'U f:fu,::w [1. T l 1;1[ 'Of [l(['l -- :-0 ; l.\"- IE'I;l(". I If \ Ol- r.v;..(."' rc 4 TJ;{(.".[li'I:..'IC( (tin [V[F"iJ:[(II![[:.). -T=r --- =F ; ;'" I I 7].;2 o:,o;, TYPICAL LOT LAYOUT 8AG /t I.L 111Rr;/N!A r;a,il 24.4± ACRES TOTAL AREA -:')8"" rul] N/r US ARUr CNr>Na:Tr.i OWNER/DEVELOPER: 0 1, LL( 17 4 DACULA F'OAD DA!:UtJ\, GA 00 1 '? _:.l HP CNJTACT - OUN(AII COPLEY PHr)rlE 770-'1G2-,':\- :s;. DESIGNER/ENGINEER: RIIJG0-A8[PNATH1.:1. AC:SOC 1'-1 DACULA ROAD DACULA. GEORGIA HR COJHACT - OUNCA!"J (0PLE' ' PHOh![ :?-.94",f LOT CHART BLOCK LOTS A 29 B I 37 c 31 TOTAL I 97 IOIAI.A!V.Ofrf:'O:IP(IIT'l :! l H I.CH ;l'l!mr. H r I'!TOCl!l r Qr(lflo lgnwrr,...- IOIAL II!Jill'(l< r( LOT 7 LilT fp!j'/('{(l rj.w ow. l tdt>/...0: 1<0 OCWJT'r l tot:/u:rt II '' II'"-' (l[ll"': rzc 1[11 loirl!' 1.(100 r N J.f(AI[D fll\0 :f.l([ u r"'"" ()lltll r: ::cc Fl'l'li'07ll :.o:'jtil r rlf H t D ncr 'TAC \1'1""'-"" L')ISCf:...ODO:C\.Ill'[rUT II'I'V'N CO I.I,;II.11'{,\ [0...11(0 r-. -:: (I"W,'I <IF(A Pf'!M0 0 Jr At: II' ": 'J.'{Pk[ tot 'A-::111< <i l!ti:: :. i.. 73t;>! 0)5 N/F ZHOUSH/(IINk 7jt! "' 7)61 oe; 73!:1.. ')JbO LOCATION llap VICINITY MAP --N-T.S-, - RSR/ AcrJVE ADULT CONCEPT A C:IH 1 1([ 11)11 l,ll n [(IUII(fl Tl'[[t Woo H[ 1.0-'r";l[fl 0'1 <IT[ 11 &CCf\IJ.IIJ0.\1 sn::rrr uc,,, riutlf. c>r.u : r-...: oh[ll...l.!/1 Ol. ILl t-.&for rr rnfl IIJ','l[UI.l we. Ill fi I.Ct: M.r '(IU{fl r1 It( L( l ltl n:m PJJ:'I I<t;j n Uh i >- E-o i.l :g oti:;$ t,!j u 2Sz c:: c:: 00 < ::ill l]:l ;:; -.---r--r-r-t!: Moci' [ [!:: [ g- l :z '"d I!... ;;;._ :1"'1 Q:02 -o ru- ::l ::l co Qo 0,_,. "' co c._ c r- ;o m () m a? r:m. < < m ('I) CNOW""'" M!TO«"':'f'-1 0':. ;.;;-;,:;;:;:._:: 'lii.:!t :.:!:!::;, ;,;." ;' 3'. (\[Jr:. fl "';(.: :[. w :, ri:o ( :;-.-\\I ;::O\.l'1\:l f/>j <cc. o,:-c; N/F 8ACltfl.LL _j BOUNDARY SURVEY NOT BY THIS FIRM THIS DRAWING IS NOT FOR RECORDING. THIS DRAWING IS NOT FOR CONSTRUCTION \ \ 2Z.A '' GR,\PIIIC' SCAI. E: I :: JOO ' 10C: --====iim 200 :Jio 0 <(w 0 O:::o_ 0 <(-1.. ow > g; ow "" o:::o lii o S: LL::::S:::: f;'j ::J (()0 0:: g SHEET 1 or

7 Last Updated 2/20 14 REZONING APPLICAN T 'S RESPONSE STANDARDS GOVERNING THE EXERCISE OF THE ZONING POWER PURSUANT TO REQUIREMENTS OF THE UNIFIED DEVELOPMENT ORDINANCE, THE BOARD OF COMMISSIONERS FINDS THAT THE FOLLOWING STANDARDS ARE RELEVANT IN BALANCING THE INTEREST IN PROMOTING THE PUBLIC HEALTH, 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: I r I I (B) WHETHER A PROPOSED REZONING WILL ADVERSELY AFFECT THE EXISTING USE OR USABILITY OF ADJACENT OR NEARBY PROPERTY: 11/o (C) WHETHER THE PROPERTY TO BE AFFECTED BY A PROPOSED REZONING HAS ABLE ECONOMIC USE AS CURRENTLY Z ONED I 1- (D) WHETHER THE PROPOSED REZONING WILL RESULT IN A USE WHICH WILL OR COULD CAUSE AN EXCESSIVE OR BURDENSOME USE OF EXISTING STREETS, TRANSPORTATION FACI TIES, UTILITIES, OR SCHOOLS: 'yf 'J. v4tt (E) WHETHER THE PROPOSED REZONING IS IN CONFORMITY WITH THE POLICY AND INTENT O F THE LAND USE_ L A)'J :. - # /f>i a it 11 dehyr.w.l<.j t:,ej/u b/wl cdt/l. (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 R:fiore/te/Ll "dk r t; f e - C ue-esj h. - :h.,..t'lr ;=to= === :=!=BY 3 RZR ' JUL 0 7 LU'II

8 July 6, 2017 To: Gwinnett County Planning and Dev. One Justice Square 446 West Crogan St. Suite 150 Lawrenceville, GA RE: LOI Rezoning Request 1784 for Buford Dam Rd. Attn: Mr. Jerry Oberholtzer Manager, Current Planning This Letter of Intent is to request a rezoning of the subject property to Senior Oriented Residence District (R-SR). The parcels are located on Buford Dam Rd in between Old Shadburn Ferry and Garrett Rd. The property consists of /-acres. It is currently zoned RL. The assembled property is located in the 7th District, Land Lot 362, parcel numbers 069, 070, 029, 030 and 031 of unincorporated Gwinnett County. The proposed R -SR Development would provide a great choice for retiring or empty nester Gwinnettians to be near great amenities like Lake Lanier and parks, while being close to their grandchildren. Though the proposed development will have almost no impact to schools it is very close to N. Gwinnett, Buford and Lanier High Schools. The development would provide quality housing options for seniors in a beautiful part of the county. The proposed development will consist of 97 detached lots. The homes will be a minimum of 2,000 finished square feet. All homes would include a double car garage and have attractive architecture with building materials consisting of brick, stacked stone, shake or fiber cement siding. All homes will comply with ADA standards for accessibility. Alleys will be utilized to provide rear entry for the main block of the development. Cui-de-sacs have been minimized and only used where necessary. A homeowner's association will be set up to comply with restrictions as set out in section of the UDO. Applicant respectfully requests approval of the submitted rezoning application. C K K Development Services, LLC RZR ' JUL 0 7!Ol/

9 Last Updated 2/20 14 REZONING APPLICANT'S CERTIFICATION THE UNDERSIGNED BELOW IS AUTHORIZED TO MAKE THIS APPLICATION. THE UNDERSIGNED IS AWARE THAT NO APPLICATION OR REAPPLICATION 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. Sign Date Type or Print Name and Title I... Corle, I. Gwinn"'":.,.' f}y ElpQa Slpllmber ; Notary Seal JUL / 4

10 Last Updated 2/2014 REZONING PROPERTY OWNER'S CERTIFICATION THE UNDERSIGNED BELOW, OR AS ATTACHED, IS THE OWNER OF THE PROPERTY CONSIDERED IN THIS APPLICATION. THE UNDERSIGNED IS AWARE THAT NO APPLICATION OR REAPPLICATION 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. K-Ail-- r(jjd (../? I) (I:}- Date G ' n&_;j.- < ::0 {{'.).. Vj o_q).dd j.j -'<v-- b-es- '7 j 65 tt I Type or Print Name and Title l\t!a G (.,;., GAvZ7lVt.\z Signature of Notary Public -{ Date 5 RZR ' JUL 0 7 LUJ / Planning & Devejopment

11 Last Updated 2/20 14 REZONING PROPERTY OWNER'S CERTIFICATION THE UNDERSIGNED BELOW, OR AS ATTACHED, IS THE OWNER OF THE PROPERTY CONSIDERED IN THIS APPLICATION. THE UNDERSIGNED IS AWARE THAT NO APPLICATION OR REAPPLICATION 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 COl"lMISSIONERS. Signature of Property Owner Date.5-I-4/P- oa# Type or Print Name nd Title Signture of Notary Public 5 RZR ' JUL

12 Last Updated 2/2014 REZONING PROPERTY OWNER'S CERTIFICATION THE UNDERSIGNED BELOW, OR AS ATTACHED, IS THE OWNER OF THE PROPERTY CONSIDERED IN THIS APPLICATION. THE UNDERSIGNED IS AWARE THAT NO APPLICATION OR REAPPLICATION 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. Date Date 5 RZR ' JUL

13 Last Updated 2/20 14 REZONING PROPERTY OWNER'S CERTIFICATION THE UNDERSIGNED BELOW, OR AS ATIACHED, IS THE OWNER OF THE PROPERTY CONSIDERED IN THIS APPLICATION. THE UNDERSIGNED IS AWARE THAT NO APPLICATION OR REAPPLICATION 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. - )/ s RZR ' JUL

14 Last Updated 2/20 14 CONFLICT OF INTEREST CERTIFICATION FOR REZONING The undersigned below, making application for a Rezoning, has complied with the Official Code of Georgia Section A- I, et. seq, Conflict of Interest in Zoning Actions, and has submitted or attached the required information on the forms provided. SIGNATURE OF APPLICANT'S ATTORNEY OR REPRESENTATIVE DATE TYPE OR PRINT NAME AND TITLE DISCLOSURE OF CAMPAIGN CONTRIBUTIONS Have you, within the two years immediately preceding the filing of this application, made campaign contributions aggregating $ or more to a member of the Board of Commissioners or a member of the Gwinnett County Planning Commission? DYES 0 If the answer is yes, please complete the following section: NAME AND OFFICAL POSITION OF GOVERNMENT OFFICIAL CONTRIBUTIONS (List all which aggregate to $250 or More) DATE CONTRIBUTION WAS MADE (Within last two years) Attach additional sheets if necessary to disclose or describe a 6 ions. EDBY JUL RZR '17 018

15 Last Updated 2/20 14 VERIFICATION OF CURRENT PAID PROPERTY TAXES FOR REZONING 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 REZONING REQUEST. PARCEL I.D. NUMBER: (Map Reference Number) - R District Land Lot Parcel Type or Print Name and Titl;/ TAX COMMISSIONERS USE ONLY (PAYMENT OF ALL PROPERTY TAXES BILLED TO DATE FOR THE ABOVE REFERENCED PARCEL HAVE BEEN VERIFIED AS PAID CURRENT AND CONFIRMED BY THE SIGNATURE BELOW) TSAIT TITLE DATE JUL RZR,

16 Last Updated 2/20 14 VERIFICATION OF CURRENT PAID PROPERTY TAXES FOR REZONING 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 REZONING REQUEST. PARCEL I.D. NUMBER: (Map Reference Number) R District Land Lot Parcel Sign Date Type or Print Name and Ti e TAX COMMISSIONERS USE ONLY (PAYMENT OF ALL PROPERTY TAXES BILLED TO DATE FOR THE ABOVE REFERENCED PARCEL HAVE BEEN VERIFIED AS PAID CURRENT AND CONFIRMED BY THE SIGNATU E BELOW) NAME TSA- JI c TITLE DATE JUL RZR '

17 Last Updated 2/2014 VERIFICATION OF CURRENT PAID PROPERTY TAXES FOR REZONING 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 REZONING REQUEST. PARCEL I.D. NUMBER: (Map Reference Number) - R District Land Lot Parcel Sign Date Type or Print Name and Tiili/ TAX COMMISSIONERS USE ONLY (PAYMENT OF ALL PROPERTY TAXES BILLED TO DATE FOR THE ABOVE REFERENCED PARCEL HAVE BEEN VERIFIED AS PAID CURRENT AND CONFIRMED BY THE SIGURE BELOW) JJ; ',--S4lL T NAME t TITLE (;-g - 7 DATE 7 RZR ' JU

18 Last Updated 2/20 14 VERIFICATION OF CURRENT PAID PROPERTY TAXES FOR REZONING 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 REZONING REQUEST. PARCEL I.D. NUMBER: (Map Reference Number) R District Land Lot Parcel Type or Print Name and T/l'e TAX COMMISSIONERS USE ONLY (PAYMENT OF ALL PROPERTY TAXES BILLED TO DATE FOR THE ABOVE REFERENCED PARCEL HAVE BEEN VERIFIED AS PAID CURRENT AND CONFIRMED BY THE Spl -BELOW) - r.j:lt_ - KiAME I u r TITLE u --r - (7 DATE JUL RZR '

19 Last Updated 2/20 14 VERIFICATION OF CURRENT PAID PROPERTY TAXES FOR REZONING 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 REZONING REQUEST. PARCEL I.D. NUMBER: (Map Reference Number) R District Land Lot Parcel Sig Type or Print Name and Ti e TAX COMMISSIONERS USE ONLY (PAYMENT OF ALL PROPERTY TAXES BILLED TO DATE FOR THE ABOVE REFERENCED PARCEL HAVE BEEN VERIFIED AS PAID CURRENT AND CONFIRMED BY THE SIGNATURE BELOW) g1j ( 1- "NAME {c - )_g - 17 DATE TITLE RECEIVED By 7 RZR '17 U 1 tl JUL

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