SPECIAL USE PERMIT APPLICATION AN APPLICATION TO AMEND THE OFFICIAL ZONING MAP OF GWINNETT COUNTY, GA. NAME: New Bridge Church

Transcription

1 Gwinnett County Planning Division Special Use Permit Application Last Updated 12/20 S SPECAL USE PERMT APPLCATON AN APPLCATON TO AMEND THE OFFCAL ZONNG MAP OF GWNNETT COUNTY, GA. APPLCANT NFORMATON NAME: Nr~R ~~~~9, 9ery~rc~~ d. ADDRESS: c\o Mitch Peevy 4480 Commerce Dr city: Buford PROPERTY OWNER NFORMATON* NAME: New Bridge Church ADDRESS: 1446 Calvin Davis Circle city: Lawrenceville state: Ga ZP: state: Ga ZP: PHONE: PHONE: contact PERsoN: Mitch Peevy PHONE: CONTACT'S E-MAL: mitchpeevy@gmaii.com *nclude 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). APPLCANT S THE: DOWNER'S AGENT,., PROPERTY OWNER D CONTRACT PURCHASER EXSTNG/PROPOSED ZONNG: R- 1 OO BULDNG/LEASED SQUARE FEET: 3 7' 926 PARCEL NUMBER(S): ACREAGE: /.:(, 3_ 3 ADDREss of PROPERTY: 1446 Calvin Davis Circle specal use REQuEsTED: Primary and Secondary School (\)r \J d~e ') PLEASE ATTACH A LETTER OF NTENT EXPLANNG WHAT S PROPOSED 2 SUP '17024

2 LEGAL DESCRPTON - CROSSROADS COMlvillNTY CHURCH ALL THAT TRA'cT or parcel of land lyiqg and being in Land Lot 51 of ti1e 7 1 District, G.M.D. 404 of Gwinnett County, Georgia and being more particularly described as follows: BEGNNNG at a concrete marker on the mitered intersection formed by the 60 foot right of way of Calvin Davis Circle and the varying right of way of Georgia Highway 20, also known as Buford Lawrenceville Highway; THENCE along the mitered right of way South 30 Degrees 20 Minutes 20 Seconds East, a distance of feet to a concrete right of way marker, THENCE continuing along the right of way of Georgia.Highway 20, South 14 Degrees 33 Minutes 14 Seconds West, a distance of35?..59 feet to a Y2 inch rebar found; THENCE continuing al.ong the right of way of Georgia Highway 20, South 58 Degrees 57 Minutes 12 Seconds West, a distance of feet to a concrete right ofway m(lrker found; THENCE continuing along.the right of way ofgeorgia Highway 20, South 3_8 Degrees 33 Minutes 48 Seconds West, a distance of87.70 feet to a concrete right of way marker found; THENCE continuing along the right of way of Georgia High_way 20, South 75 Degrees 40 Minutes 38 Seconds East, a distance of feet to a point in the centerline of the Yellow River, THENCE along the centerline of the Yellow River the following courses and distances: South 52 Degrees 11 Minutes 1_6 Seconds West, a distance of feet to a point in the centerline ofthe Yellow River; THENCE South 59 Degrees 57 iv!inutes 27 Seconds West, a distance of33.95_feet to a point in the centerline of the Yellow River; THENCE S~>Uth 70 Degrees 26 Minutes 49 Seconds West, a distance of43.58 feet to a point in the centerline of the Yellow River; THENCE North 63 Degrees 28 iv!inutes 11 Seconds West, a distance of80.74 feet to a point in the centerline of the Yellow River; THENCE North 38 Degrees 04 Minutes 49 Seconds West, a distance of feet to a point in the centerline of the Yellow River; THENCE North 41 Degrees 22 Minutes 52 Seconds West, a distance of32.90 feet to a point in the centerline of the Yellow River; THENCE North 33 Degrees 51 Minutes 03 Seconds West, a distance o feet to a point 'in the centerline of the Yellow River; THENCE North 80 Degrees 08 Minutes 48 Seconds West, a. distance of feet to a point in the centerline ofthe Yellow River; THENCE N<?rth 6_6 Degrees 20 :tvfinutes 42-Seconds West, a distance of33.45 feet to a point in the centerline of the Yellow River; THENCE South 72 Degrees 03 Minut.es 08 Seconds West, a distance of79.72 feet to a point in the centerline of the Yellow River; THENCE South 89 Degrees 01 Minutes 46 Seconds West, a distance of l feet to a point in the centerline of the Yell ow River; THENC~ South 70 Degrees 07 Minutes 05 Seconds West, a distance of63.6l feet to a point in the centerline of the Yellow River; THENCE South 46 Degrees 42 Minutes 45 Seconds West, a distance of feet to a point in the centerline of the Yellow River; THENCE South 67 Degrees 01 Minutes 14 Seconds West, a distance of 4.25 feet.to a point in the centerline of the Yellow River; THENCE leaving said centerline of the Yellow River; North 13 Degrees 19 Minutes 12 Seconds East, a distance of feet. to a point on said right of way of Calvin Davis Circle; THENCE continuing along said rigi1t- of-way South 80 Degrees 22 Minutes 47 Seconds East, a distance of feet to a point; TrffiNCE continuing along said right-of-way along the arc of a curve to the right an arc distance of feet; said curve having a radius of feet and being subtended by a chord bearing of South 68 Degrees 26 Minutes 10 Seconds East and a chord distance of feet to a point; THENCE continuing along said right-of-way South 56 Degrees 29 Minutes 34 Seconds East, a distance o feet to a point; THENCE continuing along said right-of-way along the arc of a curve to the left an arc distance of feet; said curve having a radius of feet and being subtended by a chord bearing of South 67 Degrees 07 Minutes 55 SecondsJ.ast and a-chord distance of feet to a point; THENCE continuing along said right-of~ fiws~ut1@77(i)e~re~q 46.Minutes 15 Seconds East, a distance of feet to the PONT OF B ti ~ Said tract contains acres... SUP '17024

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4 ATTACHMENT 5A PAGE2 REVSED 07/91 STANDARDS GOVERNNG EXERCSE OF THE ZONNG POWER PURSUANT TO SECTON 1702 OF THE 1985 ZONNG RESOLUTON, THE BOARD OF COMMSSONERS FNDS THAT THE FOLLOWNG STANDARDS ARE RELEVANT N BALANCNG THE NTEREST N PROMOTNG THE PUBLC HEALTH, SAFETY, MORALTY, OR GENERAL WELFARE AGANST THE RGHT TO THE UNRESTRCTED USE OF PROPERTY AND SHALL GOVERN THE EXERCSE OF THE ZONNG POWER. PLEAS::: RESPOND -1 U 1 HE 1-ULLOVviNG STANDARDS N THE:: SPAC::: PROVDED UR USE AN ATTACHMENT AS NECESSARY: (A) WHETHER A PROPOSED REZONNG WLL PERMT A USE THAT S SUTABLE N VEVV OF THE USE AND DEVELOPMENT OF ADJACENT AND NEARBY PROPERTY: THE APPLCANT BELEVES THE PROPOSED USE S SUTABLE. (B) WHETHER A PROPOSED REZONNG WLL ADVERSELY AFFECT THE EXSTNG USE OR USABLTY OF ADJACENT OR NEARBY PROPERTY: THE PROPOSED USE WLL NOT ADVERSELY AFFECT THE USE OF THE SURROUNDNG PROPERTES. (C) WHETHER THE PROPERTY TO BE AFFECTED BY A PROPOSED REZONNG HAS A REASONABLE ECONOMC USE AS CURRENTLY ZONED: THE APPLCANT BELEVES THAT THE SUBJECT PROPERTY DOES NOT HAVE A REASONABLE ECONOMC USE WTHOUT THE SPECAL USE PERMT. (D) WHETHER THE PROPOSED REZONNG WLL RESULT N A USE WHCH WLL OR COULD CAUSE AN EXCESSVE OR BURDENSOME USE OF EXSTNG STREET, TRANSPORTATON FACLTES, UTLTES OR SCHOOLS: THE PROPOSED USE WLL NOT PRODUCE AN ADVERSE AFFECT ON THE EXSTNG NFRASTRUCTURE. (E) WHETHER THE PROPOSED REZONNG S N CONFORMTY WTH THE POLCY AND NTENT OF THE LAND USE PLAN: THE SUBJECT PROPERTY S DESGNATED AS EXSTNG/EMERGNG SURBURBAN. (F) WHETHER THERE ARE OTHER EXSTNG OR CHANGNG CONDTONS AFFECTNG THE USE AND DEVELOPMENT OF THE PROPERTY WHCH GVE SUPPORTNG GROUNDS FOR ETHER APPROVAL OR DSAPPROVAL OF THE PROPOSED REZONNG: SEE LETTER OF NTENT. CASE NUMBER PLANNNG DVSON USE ONLY : SUP '17 024

5 Based upon the above reasons, the applicant feels that this is a reasonable request and that action contradictory to the rezoning will constitute a taking of property in violation of the Just Compensation Clause of the Fifth Amendment and the Due Process Clause of the Fourteenth Amendment to the Constitution of the United States, and Article P, Section 1, Paragraph 1, and Article 1, Section 3, Paragraph 1 of the Constitution of Georgia, denying the owner viable use of its land. SUP '17 02~

6 Letter of ntent The applicant and owner New Bridge Church requests a special use permit to allow a Daycare, a Primary and Secondary school at their campus located at 1446 Calvin Davis Circle. The church is located on acres with a total of 3 buildings and 550 parking spaces. The school, Hope Academy, will be serving the primary and secondary grades. They are partnering with New Bridge who has offered their campus as they have a large facility and it is currently only used about 2 days a week. The school plans to offer a 3 and a 5 day per week program for the students with ratios of students to 1 teacher. The hours of operation will be from Bam to 3pm and the school currently has a total of 41 students. No new construction is planned as the buildings are large enough and are already set up for classes and auditorium space. The daycare will be mostly for parents involved with the school and church and will act as a feeder for the school as well as a mothers morning out. SUP '

7 Gwinnett County Planning Division Special Use Permit Application Last Updated SPECAL USE PERMT APPLCANT'S CERTFCATON THE UNDERSGNED BELOW S AUTHORZED TO MAKE THS APPLCATON. THE UNDERSGNED S AWARE THAT NO APPLCATON OR REAPPLCATON AFFECTNG THE SAME LAND SHALL BE ACTED UPON WTHN 12 MONTHS FROM THE DATE OF LAST ACTON BY THE BOARD OF COMMSSONERS UNLESS WAVED BY THE BOARD OF COMMSSONERS. N NO CASE SHALL AN APPLCATON OR REAPPLCATON BE ACTED UPON N LESS THAN SX (6) MONTHS FROM THE DATE OF LAST ACTON BY THE BOARD OF COMMSSONERS. LJ 3 1/ Date Signature of Notary Public Date 4 SUP '17 02~

8 Gwinnett County Planning Division Special Use Permit Application Last Updated SPECAL USE PERMT PROPERTY OWNER'S CERTFCATON THE UNDERSGNED BELOW, OR AS ATACHED,S THE OWNER OF THE PROPERTY CONSDERED N THS APPLCATON. THE UNDERSGNED S AWARE THAT NO APPLCATON OR REAPPLCATON AFFECTNG THE SAME LAND SHALL BE ACTED UPON WTHN 12 MONTHS FROM THE DATE OF LAST ACTON BY THE BOARD OF COMMSSONERS UNLESS WAVED BY THE BOARD OF COMMSSONERS. N NO CASE SHALL AN APPLCATON OR REAPPLCATON BE ACTED UPON N LESS THAN SX (6) MONTHS FROM THE DATE OF LAST ACTON BY THE BOARD OF COMMSSONERS. D te ~ 3 Jj Date 5 SUP '17 02A4

9 Gwinnett County Planning Division Special Use Permit Application Last Updated CONFLCT OF NTEREST CERTFCATON FOR SPECAL USE PERMT The undersigned below, making application for a Special Use Permit, has complied with the Official Code of Georgia Section A-, et. seq, Conflict of nterest in Zoning Actions, and has submitted or attached the required information on the forms provided. :Jefr Lt J - LDR-?oRA-f P s1dfjjr TYPE 0~ PRNT NAME AND TTLE SGNATURE OF APPLCANT'S ATTORNEY OR REPRESENTATVE DATE ~~~. Q~.. ~3 )1 t SJGNAURE OF NOTARY PUBLC DATE TYPE OR PRNT NAME AND TTLE \ 11 \ll iiii/ ~''''\.~~~~~;''~-;;. ~ ~': ~1.\SSOJti ~"?: ~.:::: ":),.,p ".f'_.o, 'L.. ~ - ~"' ~ ~,.,. *~ OT AQCTsEA~\ ' :::. "'rl,. * = ~.~ 2019 ~..,.. ~ ~... ~ "'t:..?t_~ ~o~ o ~ DSCLOSURE OF CAMPAGN CONTRBUT0~~ ~. 99;.:~~v\!' f 1\\ 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 ~m:: of ;?::nett Counj;~P7m4~o~ 1 f the answer is yes, please complete the following section: 0 1t; rjy Pv '''" -Q#/f; YOURNAME 1 NAME AND OFFCAL POSTON OF GOVERNMENT OFFCAL CONTRBUTONS (List all which aggregate to $250 or More) DATE CONTRBUTON WAS MADE (Within last two years) Attach additional sheets if necessary to disclose or describe all contributions. 7 SUP '17 024

10 Gwinnett County Planning Division Special Use Permit Application Last Updated VERFCATON OF CURRENT PAD PROPERTY TAXES FOR SPECAL USE PERMT THE UNDERSGNED BELOW S AUTHORZED TO MAKE THS APPLCATON. THE UNDERSGNED CERTFES THAT ALL GWNNETT COUNTY PROPERTY TAXES BLLED TO DATE FOR THE PARCEL LSTED BELOW HAVE BEEN PAD N FULL TO THE TAX COMMSSONER OF GWNNETT COUNTY, GEORGA N NO CASE SHALL AN APPLCATON OR REAPPLCATON FOR REZONNG BE PROCESSED WTHOUT SUCH PROPERTY VERFCATON. *Note: A SEPARATE VERFCATON FORM MUST BE COMPLETED FOR EACH TAX PARCEL NCLUDED N THE SPECAL USE PERMT REQUEST. PARCEL.D. NUMBER: (Map Reference Number) District Land Lot '-( Parcel TAX COMMSSONERS USE ONLY (PAYMENT OF ALL PROPERTY TAXES BLLED TO DATE FOR THE ABOVE REFERENCED PARCEL HAVE BEEN VERFED AS PAD CURRENT AND CONFRMED BY THE SR N~= E= ~v~ ~ ~ = NAME TSA--rt TTLE DATE 8 SUP '17 024

11 Gwinnett County Planning Division Special Use Permit Application Last Updated 12/20 15 SPECAL USE PERMT APPLCATON AN APPLCATON TO AMEND TH E OFFCAL ZONNG MAP OF GWNNETT COUNTY, GA. APPLCANT NFORMATON NAME: N ej~ f~ r~q~-~~u ~~~~ae,,+ ADDRESS: c\o Mitch Peevy 4480 Commerce Dr city: Buford PROPERTY OWNER NFORMATON* NAM E: New Bridge Church ADDRESS: 1446 Calvin Davis Circle city: Lawrenceville state: Ga ZP: state: Ga ZP: PHONE: PHON E: contact PERsoN: Mitch Peevy PHONE: CONTACT'S E-MAL: mitchpeevy@gmaii.com *nclude 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). APPLCANT S THE: DOWNER'S AGENT 1 1 PROPERTY OWNER D CONTRACT PURCHASER EXSTNG/PROPOSED ZONNG:R- 1 OO BULDNG/LEASED SQUARE FEET: 37,926 PARCEL NUMBER($): ACREAGE: / ), 3 5 ADDREss of PROPERTY: 1446 Calvin Davis Circle srectal use REQUESTED: Daycare F -ac: \: ~ C flrovp) PLEASE ATTACH A LETTER OF NTENT EXPLANNG WHAT S PROPOSED SUP '17025

12 LEGAL DESCRPTON - CROSSROADS COMMUNTY CHURCH ALL THAT TRACT or parcel of land lyiqg and being in Land Lot 51 of the 1' 11 District, G.M.D. 404 of Gwirmett County, Georgia and being more particularly described as follows: BEGNNNG at a concrete marker on the mitered intersection formed by the 60 foot right of way of Calvin Davis Circle and the varying right ofway of Georgia Highway 20, also known as Buford Lawrenceville Highway; THENCE along the mitered right of way South 30 Degrees 20 Minutes 20 Seconds East, a distance of feet to a concrete right of way marker, THENCE continuing along the right of way of Georgia rlighway 20, South 14 Degrees 33 Minutes 14 Seconds West, a distance of feet to a Vl inch rebar found; THENCE continuing al.ong the right of way of Georgia Highway 20, South 58 Degrees 57 Minutes 12 Seconds West, a distance of99.07 feet to a concrete right of way m~rker found; THENCE continuing along.the right of way of Georgia -ighway 20, South 3.8 Degrees 33 Minutes 48 Seconds West, a distance of87.70 feet to a concrete right of way marker found; THENCE continuing along the right of way of Georgia Highway 20, South 75 Degrees 40 Minutes 38 Seconds East, a distance of feet to a point in the centerline ofthe Yellow River, THENCE along the centerline of the Yellow River the following courses and distances: South 52 Degrees 11 Minutes 16 Seconds West, a distance of feet to a point in the centerline of the Yellow River; THENCE South 59 Degrees 57 Minutes 27 Seconds West, a distance of33.95.feet to a point in the centerline of the Yellow River; THENCE S~>Uth 70 Degrees 26 Minutes 49 Seconds West, a distance of43.58 feet to a point in the centerline of the Yellow River; THENCE North 63 Degrees 28 'Minutes 11 Seconds West, a distance of80.'74 feet to a point in the centerline of the Yellow River; THENCE North 38 Degrees 04 Minutes 49 Seconds West, a distance of feet to a point in the centerline of the Yellow River; THENCE North 41 Degrees 22 Minutes 52 Seconds West, a distance of32.90 feet to a point in the centerline of the Yellow River; THENCE North 33 Degrees 51 Minutes 03 Seconds West, a distance of37.03 feet to a point in the centerline of the Yellow River; THENCE North 80 Degrees 08 Minutes 48 Seconds West, a. distance of feet to a point in the centerline of the Yellow River; THENCE N~rth 6.6 Degrees 20 Minutes 42-Seconds West, a distance of33.45 feet to a point in the centerline of the Yellow River; THENCE South 72 Degrees 03 Minut.es 08 Seconds West, a distance of79.72 feet to a point in the centerline of the Yellow River; THENCE South 89 Degrees 01 Minutes 46 Seconds West, a distance of l07.12 feet to a point in the centerline of the Yellow River; THENC~ South 70 Degrees 07 Minutes 05 Seconds West, a distance of feet to a point in the centerline of the Yellow River; THENCE South 46 Degrees 42 Minutes 45 Seconds West, a distance of feet to a point in the centerline ofthe Yellow River; THENCE South 67 Degrees 01 Minutes 14 Seconds West, a distance of 4.25 feet.to a point in the centerline of the Yellow River; THENCE leaving said centerline of the Yellow River; North 13 Degrees 19 Minutes l2 Seconds East, a distance of 8.6&.78 feet to a point on said right of way of Calvin Davis Circle; THENCE continuing along said right~ of-way South 80 Degrees 22 Minutes 47 Seconds East, a distance of feet to a point; THENCE continuing along said right-of-way along the arc of a curve to the right an arc distance of feet; said curve having a radius of feet and being subtended by a chord bearing-of.south 68 Degrees 26 Minutes 0 Seconds East and a chord distance of feet to a point; THENCE continuing along said right-of-way South 56 Degrees 29 Minutes 34 Seconds East, a distance of feet to a point; THENCE continuing along said right-of-way &hard' along the arc of a curve to the left an arc distance of 182.2lfeet; said curve having a radius of feet and being subtended by a chord bearing of South 67 Degrees 07lvfinutes 55 Seconds distance of feet to a point; THENCE continuing along said right~of- S~utl@77~e~re~~ 46 lvfinutes 5 Seconds East, a distance of feet to the PONT OF B.. Said tract cont~ins ~cres. SUP '

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14 ATACHMENT 5A PAGE2 REVSED 07/91 STANDARDS GOVERNNG EXERCSE OF THE ZONNG POWER PURSUANT TO SECTON 1702 OF THE 1985 ZONNG RESOLUTON, THE BOARD OF COMMSSONERS FNDS THAT THE FOLLOWNG STANDARDS ARE RELEVANT N BALANCNG THE NTEREST N PROMOTNG THE PUBLC HEALTH, SAFETY, MORALTY, OR GENERAL WELFARE AGANST THE RGHT TO THE UNRESTRCTED USE OF PROPERTY AND SHALL GOVERN THE EXERCSE OF THE ZONNG POWER. PLt=A~ t:: Kt::~PUNU ru THE FOLLOWNG STANUARUS N rh::. S-'ACt:: 1-'KUVUEO OK USE AN ATACHMENT AS NECESSARY: (A) WHETHER A PROPOSED REZONNG WLL PERMT A USE THAT S SUTABLE N VEW OF THE USE AND DEVELOPMENT OF ADJACENT AND NEARBY PROPERTY: THE APPLCANT BELEVES THE PROPOSED USE S SUTABLE. (B) WHETHER A PROPOSED REZONNG WLL ADVERSELY AFFECT THE EXSTNG USE OR USABLTY OF ADJACENT OR NEARBY PROPERTY: THE PROPOSED USE WLL NOT ADVERSELY AFFECT THE USE OF THE SURROUNDNG PROPERTES. (C) WHETHER THE PROPERTY TO BE AFFECTED BY A PROPOSED REZONNG HAS A REASONABLE ECONOMC USE AS CURRENTLY ZONED: THE APPLCANT BELEVES THAT THE SUBJECT PROPERTY DOES NOT HAVE A REASONABLE ECONOMC USE WTHOUT THE SPECAL USE PERMT. (D) WHETHER THE PROPOSED REZONNG WLL RESULT N A USE WHCH WLL OR COULD CAUSE AN EXCESSVE OR BURDENSOME USE OF EXSTNG STREET, TRANSPORTATON FACLTES, UTLTES OR SCHOOLS: THE PROPOSED USE WLL NOT PRODUCE AN ADVERSE AFFECT ON THE EXSTNG NFRASTRUCTURE. (E) WHETHER THE PROPOSED REZONNG S N CONFORMTY WTH THE POLCY AND NTENT OF THE LAND USE PLAN: THE SUBJECT PROPERTY S DESGNATED AS EXSTNG/EMERGNG SURBURBAN. (F) WHETHER THERE ARE OTHER EXSTNG OR CHANGNG CONDTONS AFFECTNG THE USE AND DEVELOPMENT OF THE PROPERTY WHCH GVE SUPPORTNG GROUNDS FOR ETHER APPROVAL OR DSAPPROVAL OF THE PROPOSED REZONNG: SEE LETTER OF NTENT. CASE NUMBER PLANNNG DVSON USE ONLY RECE ~EO. a..'in~ "---- REGt:\V t:u 1 SUP '17 025

15 Based upon the above reasons, the applicant feels that this is a reasonable request and that action contradictory to the rezoning will constitute a taking of property in violation of the Just Compensation Clause of the Fifth Amendment and the Due Process Clause of the Fourteenth Amendment to the Constitution of the United States, and Article P, Section 1, Paragraph 1, and Article 1, Section 3, Paragraph 1 of the Constitution of Georgia, denying the owner viable use of its land. APR 0 6 ZUl/ SUP '

16 Letter of ntent The applicant and owner New Bridge Church requests a special use permit to allow a Daycare, a Primary and Secondary school at their campus located at 1446 Calvin Davis Circle. The church is located on acres with a total of 3 buildings and 550 parking spaces. The school, Hope Academy, will be serving the primary and secondary grades. They are partnering with New Bridge who has offered their campus as they have a large facility and it is currently only used about 2 days a week. The school plans to offer a 3 and a 5 day per week program for the students with ratios of students to 1 teacher. The hours of operation will be from Bam to 3pm and the school currently has a total of 41 students. No new construction is planned as the buildings are large enough and are already set up for classes and auditorium space. The daycare will be mostly for parents involved with the school and church and will act as a feeder for the school as well as a mothers morning out. RECErVEO BY SUP '17 025

17 Gwinnett County Planning Division Special Use Permit Application Last Updated SPECAL USE PERMT APPLCANT'S CERTFCATON THE UNDERSGNED BELOW S AUTHORZED TO MAKE THS APPLCATON. THE UNDERSGNED S AWARE THAT NO APPLCATON OR REAPPLCATON AFFECTNG THE SAME LAND SHALL BE ACTED UPON WTHN 12 MONTHS FROM THE DATE OF LAST ACTON BY THE BOARD OF COMMSSONERS UNLESS WAVED BY THE BOARD OF COMMSSONERS. N NO CASE SHALL AN APPLCATON OR REAPPLCATON BE ACTED UPON N LESS THAN SX (6) MONTHS FROM THE DATE OF LAST ACTON BY THE BOARD OF COMMSSONERS. Date 4 SUP '17 025

18 Gwinnett County Planning Division Special Use Permit Application Last Updated SPECAL USE PERMT PROPERTY OWNER'S CERTFCATON THE UNDERSGNED BELOW, OR AS ATTACHED, S THE OWNER OF THE PROPERTY CONSDERED N THS APPLCATON. THE UNDERSGNED S AWARE THAT NO APPLCATON OR REAPPLCATON AFFECTNG THE SAME LAND SHALL BE ACTED UPON WTHN 12 MONTHS FROM THE DATE OF LAST ACTON BY THE BOARD OF COMMSSONERS UNLESS WAVED BY THE BOARD OF COMMSSONERS. N NO CASE SHALL AN APPLCATON OR REAPPLCATON BE ACTED UPON N LESS THAN SX (6) MONTHS FROM THE DATE OF LAST ACTON BY THE BOARD OF COMMSSONERS. Type or Print Name an Title Date SUP '17025

19 Gwinnett County Planning Division Special Use Permit Application Last Updated CONFLCT OF NTEREST CERTFCATON FOR SPECAL USE PERMT The undersigned below, making application for a Special Use Permit, has complied with the Official Code of Georgia Section A-, et. seq, Conflict of nterest in Zoning Actions. and has submitted or attached the required information on the forms provided. SGNATURE OF APPLCANT'S DATE ATTORNEY OR REPRESENTATVE ~.~~]3}(," SGN URE OF NOTARY PUBLC DATE TYPE OR PRNT NAME AND TTLE f the answer is yes, please complete the following section: NAME AND OFFCAL POSTON OF GOVERNMENT OFFCAL CONTRBUTONS (List all which aggregate to $250 or More) DATE CONTRBUTON WAS MADE (Within last two years) Attach additional sheets if necessary to disclose or describe all contributions. 7 APR SUP 'J7 D25

20 Gwinnett County Planning Division Special Use Permit Application Lase Updated VERFCATON OF CURRENT PAD PROPERTY TAXES FOR SPECAL USE PERMT THE UNDERSGNED BELOW S AUTHORZED TO MAKE THS APPLCATON. THE UNDERSGNED CERTFES THAT ALL GWNNETT COUNTY PROPERTY TAXES BLLED TO DATE FOR THE PARCEL LSTED BELOW HAVE BEEN PAD N FULL TO THE TAX COMMSSONER OF GWNNETT COUNTY, GEORGA N NO CASE SHALL AN APPLCATON OR REAPPLCATON FOR REZONNG BE PROCESSED WTHOUT SUCH PROPERTY VERFCATON. *Note: A SEPARATE VERFCATON FORM MUST BE COMPLETED FOR EACH TAX PARCEL NCLUDED N THE SPECAL USE PERMT REQUEST. PARCEL 1.0. NUMBER: (Map Reference Number) 7. {))-/...:.. District Land Lot Parcel TAX COMMSSONERS USE ONLY -n=- (PAYMENT OF ALL PROPERTY TAXES BLLED TO DATE FOR THE ABOVE REFERENCED PARCEL HAVE BEEN VERFED AS PAD CURRENT AND CONFRMED BY THE SGN[ RE BELOW) --.. rt ~ NAME \ ~ft TTLE ll-- (p._ l] DATE 8 SUP '17fJ25