Planning & Development 881 Senoia Road Tyrone GA, (770) Tax Map Number: Date. Date Annexation will become effective and official:

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TOWN OF TYRONE Planning & Development 881 Senoia Road Tyrone GA, 30290 (770) 487-4038 Tax Map Number: Date Date Annexation will become effective and official: Address of subject property: Owner of Property: Owner s Address: Telephone Number: Housing Units: Other Buildings: A. If the owner and the applicant are not the same, please complete Attachment 1. B. Site Plan Showing the location of existing buildings and other improvements. C. Property Description A legal description and plat. D. Meeting Dates and Process of Applications.- See Attachment 2 E. Fee- No fees required. F. Authorization to Inspect Premises I hereby authorize the Town of Tyrone Council, the Planning Commission and their staff to inspect the premises which is the subject of this annexation application G. Petition Requesting Annexation Owner must complete Attachment 3. Signature Signature

PETITION REQUESTING ANNEXATION TOWN OF TYRONE, GEORGIA DATE TO THE HONORABLE TOWN COUNCIL OF THE TOWN OF TYRONE, GEORGIA 1. The undersigned, as owner of all real property of the territory described herein, respectfully request that the Town of Tyrone Council annex this territory to the Town of Tyrone, Georgia and extend the City boundaries to include the same. 2. The territory to be annexed abuts the existing boundary of Tyrone, Georgia and the description of such territory area is as follows: Address/Location of Property: Tax Map Number: 3. It is requested that this territory to be annexed shall be zoned: For the following reasons: WHEREFORE, the Petitioners pray that the Town Council of the Town of Tyrone, Georgia pursuant to the provision of the Acts of the General Assembly of the State of Georgia, Georgia Laws, 1946, do by proper ordinance annex said property to the Town Limits of Tyrone, Georgia. Respectfully Submitted, Owners ATTACHMENT 2

AUTHORIZATION BY PROPERTY OWNER I Swear That I Am The Owner Of The Property Which Is The Subject Matter Of The Attached Application, As Is Shown In The Records Of Fayette County, Georgia. I Authorize The Person Named Below To Act As Applicant In The Pursuit Of An Annexation Request Of This Property. Name of Applicant Address City State Zip Code Telephone Number Signature of Owner ATTACHMENT 3

APPLICATION FOR ANNEXATION One (1) original and 10 copies of application and all other required items must be submitted to the Zoning Department. All information to be presented to the Planning Commission and Town Council should be assembled. This application will not be processed any items are missing or tif the appropriate fee does not accompany it. Application Type 100% 60% Completed application forms signed by 100% of the land owners and/or electors (in the case of existing residential property owners) residing in the area to be annexed and by owners of not less than 100% of the total land area, by acreage. The application contains a Contiguity Statement which must be signed by an engineer or surveyor of the month. Current land survey by a registered surveyor that includes a legal description and lists acreage to be annexed. Utility Availability Letters A letter from the following service providers must be obtained: Georgia Power, Atlanta Gas Light, Bell South, Fayette County (water and sewer availability) and Fayette County Board of Education (discussing impact the development will have on schools in the area). Attach names and addresses of owners of all property within 250 feet of the subject property (from County Tax Assessors Office). Once an application has been accepted for presentation the applicant must also demonstrate that all property owners within 250 feet of the subject property have been notified of the Public Hearings (see sample letter). Application Fee of $350.00 - If advertising fee exceeds the $350.00, you will be billed any additional amount spent on advertising. It is necessary for this fee to be paid prior to any meeting dates. Petitioner will be notified by Certified Mail of the scheduled Public Petitioner will be notified by Certified Mail of the scheduled Public Hearing for which his/her application will be considered.

We, the undersigned, all of the owners of all real property of the territory described herein respectfully request that the Town Council annex this territory to the Town of Tyrone, Georgia, and extend the town boundaries to include the same. Name (Print) Address Signature Date ( Print) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

CONTIGUITY STATEMENT Contiguous areas means at the time the annexation procedures are initiated, any area that meets the following conditions: (1) At least one-eighth of the aggregate external boundary either abuts directly on the municipal boundary or would directly abut on the municipal boundary or would directly abut the municipal boundary if it were not otherwise separated, in whole or in part, from the municipal boundary by lands owned by the municipal corporation or some other political subdivision, by lands owned by this state or by the definite width of (A) any street or street right-of-way, (B) any creek or river, or (C) any right-ofway of a railroad or other public service corporation which divides the municipal boundary and any area proposed to be annexed; (2) The entire parcel or parcels of real property owned by the person seeking annexation is being annexed; provided, however, that lots shall not be subdivided in an effort to evade the requirements of this paragraph; and (3) The private property annexed, excluding any right of way of a railroad or other public service corporation, complies with the annexing municipality's minimum size requirements, if any, to construct a building or structure occupiable by persons or property under the policies or regulations of the municipal development, zoning, or subdivision ordinances. I,, a registered Surveyor in the State of Georgia, hereby certify that the parcel requested to be annexed into the Town of Tyrone lying in land lot(s) of the district Fayette County, has a contiguous boundary of feet with the existing Town limits of the Town of Tyrone which is at least one-eighth aggregate of the total property to be annexed. This the day of, Signature Georgia Registered Surveyor #

Pursuant to O.C.G.A 36-36-111 Town of Tyrone will give official notice to Fayette County of your intent to annex. The County Commission must vote in an open meeting whether or not to object to the annexation and provide written notice of the vote by certified mail or statutory overnight delivery not later than the end of the 30th day following receipt of the notice of annexation. The county s objection must be substantiated with evidence of financial impact forming the basis of the objection AND the objection must be based on a material increase in burden upon the county directly related to: (1) The proposed change in zoning or land use; (2) Proposed increase in density; or (3) Infrastructure demand related to the proposed change in zoning or land use. Additionally, for an objection to be valid, the proposed change in zoning or land use must differ substantially from the uses of the property suggested by the county s comprehensive land use plan or permitted for the property by the county s zoning ordinance AND must result in: (1) A substantial change in the intensity of the allowable use of the property or a change to a significantly different allowable use; OR (2) A use which significantly increases the net cost of infrastructure or significantly diminishes the value or useful life of a capital outlay project furnished by the county to the area to be annexed. (2) A use which significantly increases the net cost of infrastructure or significantly diminishes the values or useful life of a capital outlay project furnished by the county to the area to be annexed.

Property Owner s Authorization The Undersigned below, or as attached, is the owner of the property which is the subject of this application. The undersigned does duly authorize the applicant named below to act as applicant in the pursuit of a rezoning of the property. Name of Applicant Telephone Number Address of Subject Property I swear that I am the owner of the property which is the subject matter of the attached application, as it is shown in the records of Fayette County, Georgia. Signature of Owner Personally appeared before me Who swears the information contained in this authorization is true and correct to the best of his/her knowledge and belief. Notary Public Date (Affix Raised Seal Here)