'.,,. '--. '. ADDRESS: CITY: e+ta""-blit..~ STATE: PHONE: 1-t04--lf SS-~ b '+
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1 Last Updated 12/2015 SPECIAL USE PERMIT APPLICATION AN APPLICATION TO AM END TH E OFFICIAL ZONING MAP OF GWINN ETT COUNTY, GA. '.,,.. APPLICANT. INFORMATION PROPERTY OWNER INFORMATION*. ' '--. '. NAME: Ill t- STttFA j\lla-~a M\...<.n NAME: M054-AFA K M-A HAMUD ADDRESS: CITY: '"" LAVf:Jv f-v.a_ 2 l>r ADDRESS:,--...r"' (! H--A VV' B l- c t- STATE: Gnl' ZIP: ~0~~4-1 CITY: e+ta""-blit..~ 52<7 L~vEN+u~ DR GA- STATE: &A ZIP: -:30341 PHONE: 40\..t oc=, b~ PHON E:Lf04-4SS 0 9'=>lf-!VtOS+AFA- CONTACT PERSON : ~QY.- ~?'5.. 00, b~ CONTACT'S ' e \- h 'NFi-l-Wmfle ~-A-' L- eom C i ki~ ~ t \t.. MO PHONE: 1-t04--lf SS-~ b '+ *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: DowNER'S AGENT ~ ROPERTY owner D contract PURCHASER EXISTING/PRoPosED zoning: R1 s BUILDING/LEASED square FEET: 3 oo o ~c..... t--t Fr A-ND b oc:;o... [-e~--- PARCEL NUMBER(S): C:,'2'2..,0D l ~ ACREAGE:_ '!> C., 1 ADDRESS OF PROPERTY: -33 b~ L.I\URtl. 0'-\:=.. CT, DcRAIIi LL'E, W-30D<t t> /.) "M(YH..lNI~'-~ ee~.d- (?(.2 ~ ~.fl,j_ tu A-1- SPECIAL USE REQUESTED: -~-----''_' Ftf' c: r --r-1 Li e-s: PLEASE ATTACH A LETTER OF INTENT EXPLAINING WHAT IS PROPOSED 2 RECE,VED ~ SUP ' NUV Planning&Development
2 LEGAL DESCRIPTION: EXHIBIT "A" All that tract or parcel of iand lying and being in Land Lot 220 of the 6th District, Gwinnett County, Georgia, being known as Club Site, Block Q, Oakcliff Estates Subdivision, Portion of Section Three, Unit Two, as per plat recorded in Fiat Book K, Page 76, Gwinnett County, Georgia Records, which plat is incorporated herein by reference and made a part of this description. Tax ID#: R Subject to any Ec:sements or Restrictions of Record This document is for pre-title clearance purposes only and is not a commitment for title or legally binding for title commitment, policy purposes and/or any insurance related purposes. Furthermore, this document shall not be relied upon for the purchase, sale, and/or refinance of real estate or any other transactions. Th is document cannot be relied upon and wili not insure against loss or damage resulting from the terms and provisions of any lease or easement and will include. REG IVEDBY 1\u v' 0 2 t:.uid P/anning&Development
3 i..ot 29, BLOCK Q OAKCL I FF ESTATE S S E C TION 3 ; ONIT. l'. I LOT cs. e.... oc..&.< Q OAKCLIFF ESrAT ES SECTION 3, UN IT?. \ I I \ I I 1 CERr F"V TH.O.r THIS PlAT I~ q UJlC:C'r ANO 1:0 A l"ltue REPRE.S&:Nl"ION Of 'I"Hi -""(?" ~, C. E. RUPPE E: t.j G IN e: E R, GEORGIA LAND LOT 220 G TH OISTR ICT S U R V E Y FOR : GWI NNETT COUNTY, GEORGIA OAKS COUNTRY CLUB, INC. SCALE 1'~4-0 ' JULY 2.1, 1905 RECEIVED BY P/anniog&Development SUP '
4 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 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: (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:.._lt~4 (B) WHETHER A PROPOSED SPECIAL USE PERMIT WILL ADVERSELY AFFECT THE EXISTING USE OR USABILITY OF ADJACENT OR NEARBY PROPERTY: (C) (D) (E) WHETHER THE PROPERTY TO BE AFFECTED BY A PROPOSED SPECIAL USE PERMIT HAS REASONABLE ECONOMIC USE AS CURRENTLY ZONED: AID WHETHER THE PROPOSED SPECIAL USE PERMIT WILL RESULT IN A USE WHICH WILL OR COULD CAUSE AN EXCESSIVE OR BURDENSOME USE OF EXISTING STRE,ETS, TRANSPORTATION FACILITIES, UTILITIES, OR SCHOOLS: NO WHETHER THE PROPOSED SPECIAL USE PERMIT IS IN CONFORMITY WITH THE POLICY AND INTENT OF THE LAND USE PLAN: (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: ND SUP ' ~uv o 2 i01b P/anning&Development
5 3363 LAUREL OAK CT, DORAVILLE, GA INTEND LETTER: THIS EXISTING PROPERTY WAS USED FOR CLUB HOUSE AND RECREATION. THAT IS THE REASON WE BOUGHT IT FOR SAME PURPOSE. WE HAVE A NON PROFIT ORGANISATION CALLED BANGLADESH ASSOCIATION OF GEORGIA. WE WANT TO USE THIS PLACE FOR OUR ORGANISATION TO HELD OUR MEETING, CONFERENCE AND CULTURAL EVENTS. P/aoning&Development
6 Last Updated 12/201 5 SPECIAL USE PERMIT 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. Signature of Applicant Date Type or Print Name and Title Notary Seal RECEIVED BY f\u v o 2 ~018 P/anning&Development 4 SUP '19 00 :> SWORN TO AND SUBSCRIBED BEFORE ME THIS DATE OCT 3 0 Z018 IMTIAZ HANNAN CHOUDHURY NOTARY PUBLIC Gwinnett County, State of Georgia My Comm iss ion Expire s 3/12/20-19
7 Last Updated 12/2015 SPECIAL USE PERMIT 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. Signature of Property Owner Date Type or Print Name and Title Notary Seal RECE\\IEDB suo ' Nu V 0 2 Z0'\8 Pla\l\li\lg&Oe1Je\opmet\t 5 SWORN TO AND SUBSCRIBED BEFORE ME THIS DATE OCT llv1tiaz HANNAN CHOUDHURY NOTARY PUBLIC Gwlnnett County, Sta te of Georgia My Commiss ion E>: ;!3S 3/12/20:1
8 Last Updated 12/201 5 SPECIAL USE PERM IT IN A RESIDENTIAL DISTRICT (Only submit with for a use within a residence) 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 business which operates the special use is sold, transferred, otherwise conveyed or discontinued. Signature of Applicant Type or Print Name Notary Seal RECE\VEDBY NU 'J 0 2 ZUlJ P/aoning&Development SUP '19 0. ~ 6 SWORN TO AND SUBSCRIBED BEFORE ME THIS DATE ~'JCT ilv, 1 ' "" HA NNAN CHOUDHUR Y NOTAR Y PUBLIC Gwlnn ett County, State of Georg ia My Co mm iss ion t': i res 3/12/2o 19
9 Gwinnett County Planning D ivision Last Updated 12/20 IS 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 submitted or attached the required information on the forms provided. ~"'5-: ~ Jo/3cjze'/f5 1 (J1r~l.f1f::/l /ll;jl#fjj1 11 ~ f~ SIGNATURE OF APPLICANT DATE TYPE OR PRINT NAME AND TITLE SIGNATURE OF APPLICANT'S DATE TYPE OR PRINT NAME AND TITLE ATTORNEY OR REPRES ATIVE NOTARY PUBLIC JMc>O ) ~JtJ~ls' NOTARY SEAL DISCLOSURE OF CAMPAIGN CONTRIBUTIONS SWORN TO AND SUBSCRIBED BEFORE ME THIS DATE Have you, within the two years immediately preceding the filing of this application, majjct 3 0 Z018 campaign contributions aggregatiog $ or more to a member of the Board of 1 MTIAZ HANNAN CHOUDHURY C.. b f h G. tt c pi. c..? NOT A RY p u 8 Ll ommissioners or a mem er o t e wmne ounty annmg ommission. c Gwlnn ett county, state of Georgia My Commission Exp ires 3/12/2tr19 DYES IXJNo YOUR NAME If the answer is yes, please complete the following section: NAME AND OFFICAL CONTRIBUTIONS DATE CONTRIBUTION.. :POSITION OF '' (List all which aggregate to WAS:MADE GOVERNMENT OFFICIAL... $250 or More) (Within last two, yea~s). Attach additional sheets if necessary to disclose or describe all contributions. 7 RECEIVED y r, :_; v o 2 z a ; o P/anning&Development
10 Last Updated 12/201 5 VERIFICATION OF CURRENT PAID PROPERTY TAXES FOR SPECIAL USE PERMIT THE UNDERSIGNED BELOW IS AUTHORIZED TO MAKE THIS APPLICATION. TH E 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 I.D. NUMBER: (Map Reference Number) District Land Lot ~0 1 s Parcel Signature of Applicant Date Type or Print Name and Title ***PLEASE TAKE THIS FORM TO THE TAX COMMISSIONERS OFFICE AT THE GWINNETT JUSTICE AND ADMINISTRATION CENTER, 75 LANGLEY DRIVE, FOR THEIR APPROVALBELOW.H* 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) DA ~ ~~~""- dc'-x -- e( u\ ~ q.~,j cg,q k NAME TITLE N \)J~ )... )..~\ ~ DATE SUP ' RECEIVEB R'u' r~u v o 2 zo i8 Planning &Development
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