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

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Gwinnett County Planning Division Last Updated 12/20 15 SPECAL USE PERMT APPLCATON AN APPLCATON TO AMEND THE OFFCAL ZONNG MAP OF GWNNETT COUNTY, GA. APPLCANT NFORMATON PROPERTY OWNER NFORMATON* NAME: Alex Tsynman A Green mplementation Group, LLC, Read Norcross LLC N ME: ADDRESS: 300 E. Smoke Tree Terrace ADDRESS: 300 E. Smoke Tree Terrace CTY: Johns Creek CTY: Johns Creek STATE: GA ZP: 30005-6735 STATE: GA ZP: 30005-6735 PHONE: 678-458-4834 PHONE: 678-458-4834 contact PERsoN: Alex Tsynman PHONE: 678-458-4834 contact's E-MAL: alextsynman@gmail.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: D OWNER'S AGENT 111 PROPERTY OWNER D CONTRACT PURCHASER EXSTNG/PROPOSED ZONNG: M-1 BULDNG/LEASED SQUARE FEET: 86,002 PARCEL NUMBER(S): 6.184 266/6201 007 A ACREAGE: 1 0.19 (6.17 /4. 02) ADDREss of PROPERTY: 4227 Steve Reynolds Blvd SPECAL USE REQUESTED: Contractor Office, Heavy/Civil, Construction/Logging PLEASE ATTACH A LETTER OF NTENT EXPLANNG WHAT S PROPOSED RECEVED BY SUP '17 0 2

BK 12109 PGOOSB!!XfiiBT "A" L "Zo All that tract or parcel of land lyinq and baing in Land Lot 201 of the 6th District of Gwinnett county, Georgia, being more particularly described as follows: BEGNNNG at a point marked by an iron pin at the intersection common to Land Lots 200, 201, 184 and 185; run thence north 30 degrees 45 minutes oo seconds west a distance of 255.00 feet to a point marked by an iron pin sat1 run thence north 59 degrees 27 minutes 25 seconds east a distance of 525.99 teat to a point marked by an iron pin sat: run thence north 30 degrees 32 minutes 35 seconds west a distance of 34.78 feet to a point1 run thnece north 53 degrees 23 minutes 47 seconds east a distance of 547.58 feet to a point; run thence north 63 degrees 14 minutes 17 seconds east a distance of 125.28 feet to a point on the southwesterly riqht~of-way of Beaver Ruin Road (a 130 foot riqbt~of way); run thence alonq said right-of-way of Beaver Ruin Road, south 72 degrees 29 minutes 25 seconda east a distance of 40.0 feet to a point marked by an iron pin set; run thence south 69 degrees 39 minutes 10 seconds west a distance of 152.99 feet to a point marked by an iron pin set; run thence south 53 degrees 23 minutes 47 seconds west a distance of 440.29 feet to a point marked by an iron pin set; run thence south 33 degrees 19 ~inutes 25 seconds east a distance of 290.52 feet to a point marked by an iron pin set~ run thence south 59 degrees 27 minutes 25 seconds west a distance of 647.02 feet to the PONT OF BEGNNNG bereot, containinq 4.025, acres ~ore or less acoordinq to a plat of individual survey dated November 12, 1982 by Benchmark Engineerinq Corporation. RECE'JED BY SUP i17 0 6

49420 00314 EXHBT "A" LEGAL DESCRPTON ALL THAT TRACTor parcel of land lying and being rn Land Lots 184 and 185, stn District, Gwinnett county, Georgia, and being more particularly described as follows: Beginning at an ron pin set at the common ntersection of Land Lots 184, 185, 200 and 201 and thence proceeding north 58 degrees 59 minutes 00 seconds east a distance of 881.63 feet to an ron pin set; thence proceeding south 20 degrees 28 minutes 20 seconds west a distance of 317.89 feet to an ron pin set; thence proceeding south 69 degrees 21 minutes 59 seconds east a distance of 30.47 feet to an iron pin set; south 20 degrees 36 minutes 00 seconds west a distance of 121.12 feet to an iron pin set; thence proceecung north 68 degrees 57 minutes 45 seconds east a distance of 233.84 feet to an iron pin set; thence proceeding north 49 degrees 11 minutes so seconds east a distance of 68.01 feet to an iron pin set; thence proceeding north 68 degrees 57 minutes 45 seconds east a distance of 56.10 feet to an iron pin set on the westerly right of way of steve Reynolds Boulevard (a 100 foot rlght of-wavl; thence proceeding southerly along said westerly right-of-way of steve Reynolds Boulevard along an arc of a curve to the left an arc distance of 44.67 feet to an iron pin set, which arc is subtended by the cnord bearing south os degrees 22 minutes 40 seconds west a distance of 44.66 feet; thence proceeding south 68 degrees 57 minutes 45 seconds west a distance of 437.76 feet to an iron pin set; thence proceeding south 06 degrees 30 minutes 53 seconds west a distance of 163.00 feet to an iron pin set; thence proceeding south 68 degrees 53 minutes 13 seconds west a distance of 382.30 feet to an ron pin found; thence proceeding north 27 degrees 10 minutes 37 seconds west a distance of 360.13 feet to an ron pin set at the common ntersection of Land Lots 184, 185, 200 and 201 and the true point of begjnning, being improved property and containing 6.17 acres, more or less, all as shown as Tract e on that survey for Arcadia, nc., southtrust sank and Lawvers Title nsurance corporation, dated August 3, 2000, last revised October 25, 2000, by seaton G. Shepherd, Jr.; G.R. L.S. No. 2136, of Grant Shepherd & Associates. RECE\VED BY NOV 2 3 2.016 SUP '17 0 o

"' ~ ~~ ~fil i~~~ 0/#DiS ACKNOLErJGMFNT AND OFCAR.A 7/011: FlNAL SlM1'1 1'm'S" CCNTTRCA 7E: - (<;T.A TF" or T" S HEfl'fBY CU<TF/ED 1HA T fflis Pr.A T S TRUC AND Ct:RRe:T AS ril THE: ~TY GFfRGA) UNF5 Alf1J AU 11/PfKJVEKNTS SHOWN THfflf"ON. AND 'S Pfi P/4REJJ froill AN J1CT'AL {CO!/l>fTY Of (;/WANETT).5VP Y OF 7lfC FftOPfRTY UAO B'r" JK OR N!lEf? M'r SUPER~ THAT AiJ. MON!JMCNTS SHoWN ~ ACT1JAU 'r" D7ST. ANO mt:jn LGCA 'fion. SZC. 71'F AHD 71fE DtiNER or THE LAND SHOiiN ON THS Pr.A T AND 'MiOSE NAME S SJSSC?8 0 NA7 RAL Me r:orr Cn.Y Sl'fOHH. 7Hf: F7t:llJ DATA UPON 'tfi(ch 111/S PLAT S BASCO TH Rf:TO. AND N P RSON OR TROJGH.A DULY AU7HORJZCD AGENT. ACKO'l LJGE5 HAS A Ci.QSURC Pn<C/SON or ONE FOOT N.5..\016 FEET.J.NO AN ANC.Jf..AR ERROR or rha T THS PLAT WAS AOE rrom AN "' CT1J.AL S[;'!.("Y, ANO 0 0/CA 7CJ BY THS OECi.ARAnON TO THE USE or THE PJ6LC FORH R AU S1R 1!i,. SEER CO.LECTORS, ~~~s:= r!j:aflr;j ~(.y_~~~f~ ~:~R~-= ~T UFT STA 7/0NS, JRA6>1S. EASEMOT!;. AND OTHER PUBtiC facutcs AND RJof ltv 1.000.000:1: ffft. A/olD CO/TA/rVS A TOTAl ft 8..!il4 A~.S:. 7lfC EC!lA"WWENT APP/RTFNA/C S 7HEREON SHOWN, ANO TRANS!E?S ONCR'SHP or ALL PUBUC lise lfsco ro OBTAN THf: l.we:ar Al\00 ANGULAR fiie:asurfwns HPiE1N!CS A T0PC0N A/ff.AS N 1 SUPiE tjt 0< 0, FaR /'}{ P!RPOSES THER 1N lyp11f:ssed. GS-:JOJ 1'!:1TAl STA 1CN.. 7/\.wooMom: ~~ - ar.nm: ~~ - - - OArr--LP-!~. k t:jc?_ SY. R l~~afjj!/);jj~l ftjr Na 21J& -------- OltNElr. JtPRAOON DATr: 4- /..!.D/3-~ OAT - 1/-/D (>C N/1'" WAL ~R L. OR W DB. 12109 PG. 86 ZON [) u-r OAT' : rr----;-rv _..... tr.:\ ~!? ~,lr, ~~~ ~ PS U\ ~ ~~ li ~ lp~ LEGEND - - - rrnc ----4-- S(W(R LNE..,-y.- WATtlf line <'>' PO!ER POLE o UGf<T POLE ~ WATER VALliE W~TER WETER ~ GAS VALliE! GAS ETER ):;C nile ffflrant 1--- -~~~l~n 'X~e'l.3 1((9213) 0 ~ Pf 0 err orr F".<lSTl~C SPOT ~ lo.va fion PROPOSED SPOT EU::VA)10N ~w SE\ER AAN~OLE ~TARY SE~ loianho...f RCY\1 PN SH - 1/2" RB ~~~ PN FOUND lron P~ round/set CRMP TOP PPE OPEN TOP PPE REJNHJRONG BAR LOT.7 T 8 >.~'J,q 9.26/J.71 A.K.A. "':!: ~.,..... n: ON ":rr_, ""Ewe~ 6.17 ACRE.SNO 6-184-266.t_$?_;el v,qre- MAP R F.. ~~TOY t'<; '- - - - "... ', C.A "----'-... ---------:..:... ~---- rf>/ -- _/ --------- LDC SCA~../ k.-..j i. i -J --- - ( N FEE'!') llnch O!\..l'/ TRACT A: 1>1---T NO CONDTONS TRACT B: J-J NO CfJDntWS (/?Z-41-77 lth s;,.>uj.ato!s) F/fW.L /'LA T APfWOVAlc THE ~CrrJR or THE DEPAR~T OF Pi..1o11NNC AND D \nca NT or t;wnnett CQJNTY, G 0RCtA. CCNT'ES THA 7 11S Pr.A r cr:jpucs TH THE GWNNE"TT C()(JNT'r Z'UNNC APFWOVAL AND 1'1 GJNNETT CQMT'f' OEEJ._r:JPKNT NEGV..A TONS AS.M9riDH1. AND HAS BEEN.APPiiOVTJ BT.ALL OTHER' AfFf_CTUJ crjjnty OEPAfiTMf:NTS. AS A~ lt. THE Dlfi'CC10R HCRal'r Aca:PT!i ON BENAlF a' G-TT COUNTY THE OCDCA 110/V QF AU PUBUC fllfiht-of-ria r ND ESEJCNTS. AND PUBLC WA llr Sf'llf7i', Sra111f G t...-~ NtO OTHEN PBUC f"t'.cutia MD Af'f'tmTCN4NCEY SlfOW ~ON. SVB. CT m RATliJC,J.TON BY 71 80ARO or CO/,JSSJONt:RS OF (;tlfmjctt C()UNTY. THS Pl.A T S APP!i'O&el, ~T 7'!J 7f.E. PROVSKJNS AND REOU/RniENT!i or THE: OflflOPJENT Pi!RJ'"ORUANC AND 1/ANTCNANC ACRfDLNT DtB:/lFlJ TJfl' THS ~CT BCTC N 11 0//NO? AND C-.NNCTT COUNrY. N/P TffOMAS 8 A 'ff:rs DB. 3026 PG. 506 ZON 0 Al-1 ~ 2D'81J1l.ONG~ r.'l-f. N/F HAl PH 8/{ANNON DB. 6667 PC. 269 DB. 8777 PC. 7J.?ON D Al-l AKAS TRACT' 8 TRACT" A ~ 7f# SQ n; Q.lfH5 SQ n; 6.17.4alES J!..J7 AC1i S ~1\YAM::!:S GRANTED. REJJC~ OF SD B.L ON TRACT.A l1fo 15' ro 5 ' ~ NO. ZR::NJJ0-(}(){)150 2. N 1)VCn0N OF KA!i H-J. ON 7!MCT A FHO! ;o ro fd' CASE NO. Z#QOOO-(}(){)t!Jt. RCTJUC110N OF_,_ LOT WVTH ()N TRACT B moll 100' ro U ' CASE" NO. Z161~1!5.2 OfiNCH./SuBDWJER W'L 1 R L. _. EJ/.. EN E. DHEW 12~ Ut/( 'fr W f?o../) GRio YS0N. GA :JOOT 7 17V-979-6J98 LOT A.K.A. TRACT A, ().l fh5 Sf). FT. 2.37 ACRES AP REF. NO. 6-TU-076 &.'), ')," /. 71fE ffla'o?ty OEP/CTErJ - REON ()( 5 NOT UE TffiN A flooo HAZARD.A'f"A A rx::orljng ro the fl 000 NSVR'.ANC RArE: MAP PAVCL TJOJZ2 (J"TJ C. OATErJ ll.o!t 4, 19!}2. 2. ~ U71UT 5 AS SHOWN BY 1HJS S[;'Ct' ARE APPf10X11ti.J.1C AMJ SHOJli) 8C FELD l8ltfte1j OR ~ ANY CDNSrRUCT/0/11. :J. 71<C LOT!i SH01N CREON ~A 'r" NOT BE fi/esjbt:twded D«:EPT 7ROtJCH THE: SlJfJDMSON ~SS.AS Pfi'O~ fly THE Cf/Nfiii:TT cajnty {J 1ELOP N7 RECJJ.A T10NS J UFTCT A T THA r 711 -f. llfnu LrJT SUC S 1 AO'ilf:.S. lt'aml _. SAMrART SEWER PffODE1J BY GWfNNUT COUNTY DEP.ARTJENT or PUJL!C UTJOCS.! _J' '~ ~ filed & RECORDED ClERK SUPEROR GV(/NNt:TTCOUNTYG DTE~TME c;1. PLAT BOOK f1_ PAGE ---/-j... TOM lawler, CLERK 6qL/~ 7, (pfj REC~ \/ED BY u~ "'. ~nn1ng LNE DATA L-1-56B"57"-f5'"w 56.10' L-2= N69"21'59"W.J0.4Y ctmye DATA CURl ARC HAD. CHD. BEARNG C-2 1T6.8.f:' 1022.06' 116.77' S09"5.f:'17"W C-1 44.67 1022.ot;' 44.66' S05"22'40'"W NOTES: 6. NO CO'KNANTS - GfltNNETT C(}UNT'r fxjes NOT ENFORCE Pfi'OlECT C()'oDANTS. ris rife ~BlUrT or THE: HONEOitNERS ro ENSURE CDNPUA(CC 'A rh 11ft PROTECTC WVO.ANTS. T. P 1? Afi'TCL ( SECTON 8.2.15.b OF 'fi-c {) ) L(/F'f,V/T COUNTY 0 P.ARTENT or f'ueuc UrT.JT 5. B. C~7T COUNrY ASSU 5 /() Rf:SPONSB!.JrT FOH O~OW OR E"ROS10N OF A l'la?al OR AR1/F7CAL DRANS 8El'oNo THE Dl"fENT or THE: Sm CT!TCHT-OF-WAY. ()(? FOR 111 EX1CNSJON OF all ~ 15!l )011) 7H PONT SHOW ON 711 APPf?Ot D ANO REr:oRD D SllfJDfSON PLAT. $1. 7llTAL LOTS - 2. SHEEr 1 OF 1 C1'ehtQ2000\Q-'"'"' t"t\odc1'jqopld.t.c:fwg l\/10/00 12t39l31 ~ PM EST Development SUP 7 17 0 N 11Y OPNON. 1HS PLAT S A CORRECT RE'RE:SEHTA"lON OF l!e LAND PLATTED AND HAS Btttl PREPNlED N CONFORMilY \lllfh ""'J:JXE!i li-e!anwuu STANCAA!lS LAW. G4. R.L.S. Nd.2f~ LOCA ~D N REV. DESCRPTON PARCEL 71S rt/10/110 COUNTY cainents LAND LOT 184 8TH OST'RfCT GNNN TT COUNTY. GEORG tao DATC: OCTOBER 26. 2000 SCAL 1 w= BO' JOB NO.: 00-07980 ANAL Pl.A T FOR WALTER L. & ALEEN DREW GRANT SHEPHERD & ASSOCATES SURVEYNG PLANNNG :!741 rkft7't1b Dl'.. sum :Do cnt11fn1:ft ~ BriS1lfE8S P.ARK DVU1'l'11, G.i.DX '710--418---Me:l

"-._ p '~ 1/'-1:>~:1!:, N 63"14'17" 125.28' - ~-~- ~--~ 5::~---- '-"-,' =~,' "" ~--~-- ~--~--.,..:;;;;y -- ~oo '-..,,,,_,_::.>?-/::::.::;;c- ~--,~,. - ~~-~~:.-- ~~- 5 -sfii41 w 44D -~~- -~~- "-, '" ~~-~~ -~~-~~ RECE\\JED BY N/F RE:Ail NORCROSS, U.C ZONED: lrd-1 NDV 2 3 20i6 AREA FOR PROPOSED SPECAL USE PERMT EXST. 6'H WOOO \ SLAT FENCE N/F SRB PARTNERS ZONED: M- 1 Plat1n\ng & Oeve\opment SUP,17 06 N/F VULCAN MATERALS ZONED: M-1 lcravel STORAGE & PARKNG AR/ ~SJE S'H CHANUNK / N/F VULCAN ""'TERALS ZONED: M-1 N/F / REEN MPLEMENTATON GROUP, LLC \ ~~N~~\~~~~~(. SUP AREA: 0.86 ceres v /68'57'.(.5" ; 56. --- ~.../ 10' # 4 ~~~ (,., N/F JOHN MON, JR ZONED: M-1 STE PLAN SCALE: 1M - 50' H..r- t... ~r SCALE N FEET Special Permit Application STE PLAN 4227 STEVE REYNOLDS BLVD Green mplementation Group, LLC

RECE\/ED BY Planning & 0 ~@ SUP '17 06 Gwinnett County Planning Division Last Updated 12/20 15 ' t USE PERMT APPLCANT'S RESPONSE STANDARDS GOVERNNG THE EXERCSE OF THE ZONNG POWER PURSUANT TO REQUREMENT OF THE UNFED DEVELOPMENT ORDNANCE, 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. PLEASE RESPOND TO THE FOLLOWNG STANDARDS N THE SPACE PROVDED OR USE AN ATTACHMENT AS NECESSARY: (A) WHETHER A PROPOSED SPECAL USE PERMT WLL PERMT A USE THAT S SUTABLE N VEW OF THE USE AND DEVELOPMENT OF ADJACENT AND NEARBY PROPERTY: Yes- Rock Quarry to rear, Metal Recycling & Woods on side lot lines (B) WHETHER A PROPOSED SPECAL USE PERMT WLL ADVERSELY AFFECT THE EXSTNG USE OR USABLTY OF ADJACENT OR NEARBY PROPERTY: No- the area is well naturally well screened and separated from adjacent properties (C) WHETHER THE PROPERTY TO BE AFFECTED BY A PROPOSED SPECAL USE PERMT HAS REASONABLE ECONOMC USE AS CURRENTLY ZONED: Yes-The property is already being utilized to economically benefit the owner & county as currently zoned. The extreme rear of the property is the subject of the Special Use Permit, and if approved will provide economical benefit to the Owner to support his other construction business and subcontractors. (D) WHETHER THE PROPOSED SPECAL USE PERMT WLL RESULT N A USE WHCH WLL OR COULD CAUSE AN EXCESSVE OR BURDENSOME USE OF EXSTNG STREETS, TRANSPORTATON FACLTES, UTLTES, OR SCHOOLS: No-The Owner desires to temporarily store heavy equipment and item that support the construction projects or stage equipment and materials, tractors, dump trucks concrete trucks, concrete forms, dumpsters, etc. There will be no utilities, no school requirements and limited ingress/egress therefore minimal burden on traffic (E) WHETHER THE PROPOSED SPECAL USE PERMT S N CONFORMTY WTH THE POLCY AND NTENT OF THE LAND USE PLAN: Yes- this is allowed to be considered in M-1 (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 SPECAL USE PERMT: Yes, approval, the owner of the property desires to utilize the rear portion of the property to benefit his other business. 3

November 7, 2016 Gwinnett County Board of Commissioners 446 W Crogan Street, Suite 150 Lawrenceville, GA 30046 RECEVED BY Ref: Letter of ntent Green tnpletnentation Group, LLC & Read Norcross, LLC PN: 6184 266, 6201 007A Special Use Permit Request SUP,17 0 6 To whom it may concern; Green tnplementation Group, LLC & Read Norcross, LLC are requesting a Special Use Permit for the rear portion of the subject properties. These entities are wholly owned by the same individual. The subject properties are currently zoned M-1, Light ndustry. The property is generally at the southwestern quadrant of the intersection of Steve Reynolds Boulevard and Beaver Ruin Road. Parcel D 6184 266 with a total area of 6.17 acres and a proposed SUP area of0.86 acres is seeing a special use permit as a gravel parking/storage lot including accessory buildings for heavy machinery and construction related equipment, tools and operation support. This area of the property is open, contained and naturally screened. Parcel D 6201 007 A with a total area of 4.02 acres and a proposed SUP area of2.39 acres is seeking a special use permit as a gravel parking/storage lot including accessory buildings for heavy machinery and construction related equipment, tools and operation support. This area of the property is open, contained and naturally screened. The Owner utilizes numerous pieces of large machinery and apprudences for the development, maintenance and operation of our portfolio of properties in Gwinnett and surrounding counties. There are occasions that this property facilitates our temporary storage, and transfer of the machinery. The property has also allowed the parking of equipment operator's personal vehicles (10 or less) while operating the dump trucks, putnp trucks or other machinery. Large New Dumpsters are also stored on the property prior to being placed in service. The tnaneuvering of any of these items will permanently dmnage asphalt pavement and gravel has proven to be the best wearing surface of this area. The purpose of the proposed Special Use Permit is in response to a complaint received and effort to be in full compliance with Gwinnett County Zoning Documents. Please find attached a summary of the proposal we are seeking. We appreciate your consideration on this project. Respectfully, Green tnpletnentation Group, LLC Alex Tsynman Manager

Gwinnett County Planning Division Last Updated 12/20 15 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. Signature of Applicant 11/7/2016 Date Alex Tsynman, Manager Type or Print Name and Title Signature of Notary Public Date SMONA VASVA-G No tar y Public Gw inn ctt Coun ty State of Georgia My Commission Expires Jun 5, 201 8..,...,...-.~ ~ ' ---,...,.. Notary Seal RECEVED BY SUP '17 0 6 4

Gwinnett County Planning Division Last Updated 12/2015 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. 11/7/2016 Signature of Property Owner Date Alex Tsynman, Manager Type or Print Name and Title Signature of Notary Public J JT- /~ Date Notary Seal RECEVED BY SUP '17 0 5

Gwinnett County Plann ing Division Last Updated 12/20 15 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 36-67 A-, et. seq, Conflict of nterest in Zoning Actions, and has submitted or attached the required information on the forms provided. 11 /7/2016 Alex Tsynman, Manager DATE TYPE OR PRNT NAME AND TTLE SGNATURE OF APPLCANT'S DATE TYPE OR PRNT NAME AND TTLE ATTORNEY OR REPRESENTATVE (~{) h?/ tjj / t + /d-ij G SGNATURE OF NOTARY PUBLC DATE DSCLOSURE OF CAMPAGN CONTRBUTONS 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? 0 YEs [j] No Alex Tsynman YOUR NAME 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. RECE\/ED BY SUP '17 0 6 7

RECE\JED BY SUP '17 0 6 Gwinnett County Planning Division Last Updated 12/20 S 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) 6th District 184 6184 266 Land Lot Parcel Signature of Ap~ Alex Tsynman, Manager Type or Print Name and Title 11/7/2016 Date ***PLEASE TAKE THS FORM TO THE TAX COMMSSONERS OFFCE AT THE GWNNETT JUSTCE AND ADMNSTRATON CENTER, 75 LANGLEY DRVE, FOR THER APPROVAL BELOW.*** 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 SGNATURE BELOW) K~ ~~~t; r_s_fr_l ---'- "-- 1 --=- 7... NAME TTLE This is a true and correct copy of a - J:...;u;;..._. Gwinnett County _._Pr... c.._. e~.r f..._; _ yc "-ii ')'-- for the year of... :2... C>.-.. )~.+ DATE x --------... 8 Richard Steele Tax Commissioner Date - 1-- 1 ~

RECE\/ED BY SUP '17 0 6 p~nning & Development Gwinnett County Planning Division Last Updated 12/20 S 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).~- Signature o~ ---=(p - J 6 \ - &._9() 00 l-a- R (#G DO A District Land Lot Parcel Date Type or Print Name aneatitle ; ***PLEASE TAKE THS FORM TO THE TAX COMMSSONERS OFFCE AT THE GWNNETT JUSTCE AND ADMNSTRATON CENTER, 75 LANGLEY DRVE, FOR THER APPROVAL BELOW.*** 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 SGNATURE BELOW) NAME /Sit/ TTLE._11; - _;.. 1-_- _1 u=-------------+1this is a true and correct copy of a Gwinnett County _..r.p!!: ro~w~, DATE.2 ~ ;.t:tv {....1.:. ro..~------ 8 1ichard Steele ~ ax Commissioner?tA - -=f-/ ~