12
Gwinnett County Planning Division Special Use Permit Application Last Updated 12/2015 SPECIAL USE PERMIT APPLICATION AN APPLICATION TO AMEND THE OFFICIAL ZONING MAP OF GWINNETT COUNTY, GA. APPLICANT INFORMATION PROPERTY OWNER INFORMATION* p \ k>c\5<) t L.{..-(!_., le,J\ V\ .)JY\ NAME: B \ ... .,-o , :5 f? Pr \ bsD NAME: LLC- ADDRESS: I d. S < ADDRESS: $uSC\ :5 .. YY\ j 't"\j e_Q., L \ ·' CITY: CITY: \\()( 0l.OSS STATE: Ges: ZIP: ms---\'6 STATE: Z IP: .juLCt PHONE: 'liG" PHONE: l ·1 'bOC( , 6 C!t I S:. CONTACT PERSON: SCl.rf\6\J\k PHONE: 1] o ·- ci CONTACT'S E-MAIL: cevv..._ *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: /- . :.'\ '-\-e.(\ .e (\_ -\-) D OWNER'S AGENT D PROPERTY OWNER [ZJ CONTRACT PURCHASER 0\¥ EXISTING/PROPOSED W>tLB UILDING/LEASED SQUARE FEET: QJ S<.. 1 PARCEL NUMBER(S):. R\o\ 9o - 1 AcREAGE: e_ =--- -----ll ADDREss oF PRoPERTY: Sosg :s, 'ffi(\'\ -- j C'CtA\t" 8:i ?J\..l'R3 SPECIAL USE REQUESTED: "} <A-\---\-tD ( \boclt:) N+ -€.- .b.J PLEASE ATTACH A LETTER OF INTENT EXPLAINING WHAT IS PROPOSED ECEIVED Y -p 2 201 Plan ing eve,opment 2

6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

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Page 1: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/2015

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

APPLICANT INFORMATION PROPERTY OWNER INFORMATION*

~p p \ k>c\5<) ~ t L.{..-(!_.,

le,J\ V\ .)JY\ NAME: .3o.roat\-\tv~. B \ ~1' ... .,-o , :5 f? Pr \ bsD NAME: LLC-

ADDRESS: I d. S S..\-o~~L no~ < ADDRESS: $uSC\ :5 .. YY\ j't"\j e_Q., L ~'-A ~ \ ·'

CITY: ~~~ C~~ CITY: \\()( 0l.OSS

STATE: Ges: ZIP: ms---\'6 STATE: (~ Z IP: .juLCt ~

PHONE: 'liG" ~/(o--L($5d PHONE: l ·1 J ~ 'bOC( , 6 C!t I S:.

CONTACT PERSON: SCl.rf\6\J\k ~·.~so PHONE: 1] o·- ~/(oA.fS"S ci

CONTACT'S E-MAIL: ~\9unso.s~Q ~~- cevv..._

*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: /- . :.'\ '-\-e.(\ .e (\_ -\-) D OWNER'S AGENT D PROPERTY OWNER [ZJ CONTRACT PURCHASER

0\¥ EXISTING/PROPOSED ZONING:~\c& W>tLBUILDING/LEASED SQUARE FEET: QJ S<..1

PARCEL NUMBER(S):. R\o\ 9o- 1 ~s AcREAGE: _._d_...::,~------=-n~c~( e_=--------ll

ADDREss oF PRoPERTY: Sosg :s,'ffi(\'\--j C'CtA\t" ~\Jc,\ f\.if(J~ 8:i ?J\..l'R3

SPECIAL USE REQUESTED: "} <A-\---\-tD ( \boclt:) N+ -€.-~k .b.J )b-.tl':ei~-\-

PLEASE ATTACH A LETTER OF INTENT EXPLAINING WHAT IS PROPOSED

ECEIVED Y

-p 2 201

Plan ing eve,opment 2

Page 2: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

EXIT:BIT "A"

ALL TI-IAT TRACT 0 1-<. PAI~CEL OF LAND LYING AND BEING IN LA.ND LOT 190 OF THE 6TH DISTRICT, GWINNETT COU.NTY, GEORGIA, BEING IVIORE PARTICULARLY DESCRIBED ON EXI-IIBIT "A" ATTACITED HERETO AND INCORPORATED HEREIN BY THIS REF'EI~ENCE .

. -\LL TH . .\ T TRA. CT C R PA. H.CEL OF L.-\ 1\D LYING AND l3EING IN LAND LOT 190 OF THE 6m DISTRICT, G\VI:X~ETI C01 -~TY, GEORGIA., :\S SHO,VN ON A SURVEY FOR RAINER D. SCOTT PREP . RED BY CHARLE S E. RlJPPE, G.R.L.S., DATED NOVEMBER 4, 1992, SAID TRJ-\CT BEING MORE PARTICULARLY DESCRIBED ACCORDING TO SAID SUl{VEY AS FOLLO\VS:

BEGINNING AT AN IRON PIN ON THE :·~ORTI-IE1\STERLY SIDE OF JIMMY CARTER BOULEVARD 188.47 FEET NORTHWESTERLY FROlVl TI-IE INTERSECTION OF THE NORTHEASTERLY SIDE OF Jll\'IIVN CAH.TER BOULEVARD WITH THE NORTHWESTERLY SIDE OF ROCKBRIDGE SCHOOL ROAD, RUN THENCE NORTH 61 DEGREES 03 MINUTES 06 SECONDS WEST ALONG THE NORTI-IEASTERLY SIDE OF JIMMY CARTER BOULEY ARD A DISTANCE OF60.28 FEET TO AN IROl\ PIN; RUN TI-IENCE NORTH 53 DEGREES 02 MINUTES 34 SECONDS EAST A DISTA .. '~CE OF 59.92 FEET TO AN IRON PIN; RUN THENCE SOUTH 53 DEGREES 02 MINUTES 34 SECONDS \VEST A DISTANCE OF 164.09 FEET TO AN IRON PIN LOCATED 1\ T THE POINT OF BEGINNING.

1. EASEMENT FROivi J.L. GRAVES~ SH .. TO GEORGIA POWER COMPANY

2.

D.4.TED . .\l" GC~T 1. 1965 R E COR DED I:\ DE ED BOO!( 238, PAGE 334, . - .... co

DATED APRIL 15, 1968, RECO AFORESAID RECORDS.

3. EASEMENT CONTAINED IN \V/' .. RIMNTY DEED FROM J.L. GRAVES TO STANDARD OIL COMPANY DATED OCTOBER 12, 1970, RECORDED IN DEEr BOOI{365, PAGE 382, AFORES/ ID RECORDS.

4. RIGHT OF WAY DEED FROM E & C ENTERPRISES, INC. TO DEPARTMENT OF TRANSPORTATION DATED MARCH 27,1991, RECORDED IN DEED B001(6455, PAGE 107, AFORESAID RECORDS.

Being that parcel of land conveyed to LEVINSON, LLC from RAINER D. SCOTT by that deed dated 08/20/1999 and recorded 08/23/1999 in deed book 19040, at page 257 of the GWINNETT County, GA Public Registry. R ~~~ ··-·---· -

SEP 2 2016 SUP '16 061

lan ing evelopment

Page 3: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

OL NL IPS IPF CMF OlP BM TBM ClP MT DH LLL

~L ~ R/W S.S.E. O.E. C&G BDC TOC GMD PB/PG DB/PG POB lPOB ELEV IE F'FE EOP CMP RCP DIP PVC VCP

(> LP 'tLPP @MH

'="7CB .,., vHW • DI/GI iii CI

~~ I!<IWM l><l GV +941.2 ErnUl --910---910-~P­

-UP--T---lJT--G--CN--ucrv-- s-- w­~--

~ STA ;

LEGE D ON UNE NAIL FOUN IRON PIN S T (1/2~ REBAR) IRON PIN F UNO CONCRETE ONU~ENT FOUND OPEN TOP IPE BENCH MAR TEMPORARY BENCHMARK CRIMP TOP IPE MARKED E DRILL HOLE LAND LOT NE LAND LOT PROPERTY NE CENTERLINE BUILDING L1 E RIGHT- OF- AY SANITARY S WER EASEMENT DRAINAGE SEMENT CURB & GU R BACK OF C RB TOP OF CU B GEORGIA Ml ITIA DISTRICT PLAT BOOK / PAGE DEED BOOK / PAGE POINT OF 8 GINNING TRUE POINT OF BEGINNING ELEVATION INVERT ELE TlON FlNISHED FL OR ELEVATlON EDGE OF P MENT CORRUGATE METAL PIPE REINFORCED CONCRETE PIPE DUCTILE IRQ PIPE POL 'i"VINYLC LORIDE PIPE VITRIFIED C 'I' PIPE LIGHT POLE POYirn PO OR UTILITY POLE MANHOLE CATCH BASI JUNCTION 8 X HEADWALL DROP INLET GRATE INLET GRATE INL fiRE HYDRA T WATER VAL WATER METE GAS VALVE EXISTING GR UNO ELEVATION PROPOSED OUND ELEVATION EXISTING CO TOUR ELEVATION PROPOSED NTOUR ELEVATION POWERUNE UNDERGROU POWER TELEPHONE INE UNDERGROU TilEPHONE UNE GAS UNE CASLE T.V. NE UNDERGROU CABLE T.V. LINE SANITARY S R LINE STORM SEWE PIPE WATER UNE PIPE FENCE LINE BRANCH I C EEK / STREAM CENTERLINE } DITCH I OR N CENTERLINE FLOOD HAZA 0 ZONE LIMITS TREE LIMITED ACC S STATION / NOW OR FOR ERL 'I'

/}, BENCH MARK y CONTROL POl T

L_____..__J____----1--___...j .

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VICINITY MAP N.T.S.

·---

- - ·

PARKING SUMMARY: PARKING REO'P:

RETA IL/OFFICE SPACE- 2,250 SF MINIMUM 1 SP. PER 500 SQ. FT. MAXIMUM 1 SP. PER 225 SQ. FT.

TOTAL REO. = 4-.5 SPACES TOTAL REQ'D = 5 SPACES

EXISllNG PARKING PROVIDED: 12 SPACES

/ /

.----- -- - --

/

/

RECEIVED BY

FEB 0 3 2014

GEIERAL NOTES: 1. TOTAL ACREAGE = 0.21 ACRES / 9,052 SO FT 2. EXISTING ZONING = C- 2;

GROSS ACREAGE - 0 .21 ACRES NET ACREAGE - 0.21 ACRES

Planning & Development

3. TOPOGRAPHIC INFORM A llON BASED ON MEAN SEA LEVEL TAK EN FROM GWINNETT COUNTY G.I.S.

4. THERE IS NO FLOOD PLAIN ON THIS SITE PER FIRM PANEL N0.13135C0111F DATED SEPTEMBER 29 , 2006 .

5. PROPERTY DATA PROVIDED BY SURVEY PREPARED BY GRESHAM AND MARMELSTEIN AND GEORGIA DEPARTMENT OF TRANSPORTATION RIGHT OF WA Y DEEDS. 6. THI S PLAN IS FOR ZONING PURPOSES ONLY

GRAPHIC SCALE 10 0 5 10 20 40

~'~--g• iiiliiliil~liiiiiiilllliiiil~~~l ( IN FEET )

I inch ~ 10 fl

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NO. 28409 PROFESSIONAL

STAMP

KHH DRAWN BY

1/5/14

DATE

14-001

JOB NUMBER

REZONING

EXHIBIT

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SHEET NUMBER

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SUP2016-00061 Received September 2, 2016 Planning & Development
Page 4: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

Photo Gallery 12 5696164 Rental 5059 Jimmy Carter Boulevard $3,600

The accuracy of all information, regardless of source, including but not limited to square footage, is deemed reliable but not guaranteed and should be verified through personal inspection by and/or with the appropriate professionals. Copyright 2016 FMLS

CEIVED BY

SEP 0 2 2016 SUP '16061

Planning & Development

Page 5: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/20 IS

SPECIAL U SE PERMIT A PPLICANT'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:

'ItS . ~~ ~~cLo LJ,\\ bL ~.\t..JrL-<ll"' 0\. P<w(\ ~ · r0.. Cl.LL\u ~0'\Q.r\.;L . C\ \\ b..L~I•'I.(_S:0e>S CO.r"'l ~MA ~ t.c:AC.-V\ a~·

(B) WHETHER A PROPOSED SPECIAL USE PERMIT WILL ADVERSELY AFFECT THE EXISTING USE OR USABILITY OF ADJACENT OR NEARBY PROPERTY: Y\ . \A...\C {_(L -\ · '- o.._ \ l ')V\ -' '- ltv'-<-'\ &-( C\l e, ~c\ -\ hct-\ ' 0"'- lJ tJ-.r

f - L~ J.. l v'~ -\ bu~~NS5eS, 0 ... (\£..;\ 0\.R.(-L~ C\. Sjr'l\0; D \~L v'IQ,C:._ -h'U"S ""~ ~-- c L(.

(C) WHETHER THE PROPERTY TO BE AFFECTED BY A PROPOSED SPECIAL USE PERMIT HAS REASONABLE ECONOMIC USE AS CURRENTLY ZONED: \16 .. 1\ sh\0 ~ y}Q__ u)\\\ Q(\•C~ (J...t )\o~V, . ~ .<A.Q.G

-\vv.uk c..Juu.-\A tw=~ <S v\lW) 9b N_<sn=C\\~ b-u.-.5\"NSScS c

(D)

(E)

(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:

ao 1 ·r fuf\(\o.\ £.U et,{\~ .e.Ks \\ v~---e3 ot c""'-0%l~ Cu%~\-..:Jf\\ ---

R CEIVED BY

SEP 0 2 2016 3 SUP '16061

PI nning & Development

Page 6: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

J P Alfonso Art, LLC

125 Stonecreek Drive

Hoschton, GA 30548

September 15\ 2016

Department of Planning and Development

Gwinnett County Planning Division

446 West Crogan Street, Suite 250

Lawrenceville, GA 30046

Letter of Intent

To whom it may concern:

RE: Tattoo and Body Art Studio

5059 Jimmy Carter Blvd

Norcross, GA 30093

We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the

above mentioned address. I have permission and support from the landlord and neighboring businesses,

and have signed a 5 year lease agreement.

My husband's story is one of real American dreams. He comes from Havana, Cuba, where dreams don't

mean anything. From a young age, he knew that tattoo art was his passion, and would do anything to

pursue it. Tattooing in Cuba, at that time, was highly illegal, so he knew he would have to leave in order

to follow his dream. In 2006, he left behind his entire family and came over without knowing any English

or having a dollar to his name. Over the first two years in America, the road was tough for him. He lived

in his car and bathed in gas station bathrooms. With hard work and a singular focus, he learned English,

became a legal permanent resident and began his journey to a career as a tattoo artist, here in the US.

He's never accepted any government help and has built his business and reputation completely on his

terms.

Now, just ten years later, my husband's artwork brings high paying clients from, not only from Georgia,

but all over the US, Canada, England, Australia and Germany, just to name a few. He has been tattooing

R EIVED

SEP 0 2 201 SUP '16 0 61

lan ing Development

Page 7: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

over 20 years and has won over 60 awards for his work. His artwork has been published in magazines

and can be found on, internationally recognized, industry YouTube channels and social media pages with

hundreds of thousands of followers. He is sponsored by 4 industry leading companies, which fly him all

over the country to represent them at various conventions and gatherings.

We will be located next to a high end pawn shop and car dealership, that will both benefit from the type

of clientele we attract, and vice versa. We will operate during normal business hours, mostly by

appointment, from lOam until 8pm. We will not tolerate misconduct, either inside the studio or on the

premises at any time. 24 hour video surveillance will be in place with appropriate signage posted. All

artists will be licensed through the Gwinnett County Board of Health, and our studio will adhere to the

guidelines and regulations set forth by the county.

We are aware that the board has recently approved, Valley Boyz Ink, LLC, in the Stonebridge Shopping

Center. We feel that we will be an asset to the community and surrounding businesses, and hope to be

granted this Special Use Permit, so we may proceed with obtaining building permits and health and fire

inspections. The tattoo industry, nationally, is a growing 2 billion dollar a year business, with

international numbers exceeding that. We look forward to joining the many great businesses in

Gwinnett County, and changing the misconceptions about body art collectors and enthusiasts.

Respectfully,

Samantha Alfonso I Owner

R CEIVED Y

SEP 0 2 2016 SUP '16 0 6 1

Planning & Development

Page 8: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

Levinson, LLC 5075 Jimmy Carter Blvd. Norcross, Georgia 30093

September 1, 2016

Gwinnett County

Department of Planning & Development

446 West Crogan Street, Suite 250

Lawrenceville, GA. 30046

RE: J.P. Alphonso

5059 Jimmy Carter Blvd.

Norcross, GA. 30093

To whom it may concern:

The purpose of this letter is to acknowledge our tenant's use at the above stated address. The leased

premises is for a tattoo studio only and for no other purpose according to the lease dated September 1,

2016. Thank you.

Sincerely,

Ben Levinson

Managing Member

RECEIVE

SEP 0 2 2016

Planning & Development SUP '16 0 61

Page 9: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/2015

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

Type or Print Name and Title

Signat e of Notary Publ1c

R CEIVED Y

.~r:p 0 2 2016

Planning & Development

Date

Date

4

SUP '16 0 61

Page 10: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

ben.jpg

CE\VE

Page 1 of 1

Gwinnett County Planning Division Specia] Use Permit Application

Last Updated 12120 15

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

LEV I AiSO A) I L L (_

Type or Print Name and Title Ill ry}EJ?1/3Ff2

5

·I

,,. ) C) 201 . r £<

P\an ing

https://mail.google.com/ _/scs/mail-static/ _/js/k=gmail.main.en.Z6b2Pu3s0... 8/30/2016

Page 11: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

Gwinnett County Planning Division Special Use Permit Application

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 36-67 A-I, et. seq, Conflict of Interest in Zoning Actions, and has submitted or attached the required information on the forms provided.

~ Cl..f;j A--A-~E OF APPLICANT

t1J~ ~(v DATE

~ OLVYVl ~A Q \ ~ 0l 0 0Lv\f\-M_ TYPE OR PRINT NAME AND TITLE

SIGNATURE OF APPLICANT'S DATE TYPE OR PRINT NAME AND TITLE ATTORNEY OR REPRESENTATIVE

---'''"''"'" -- oO NAt.. ·'-

- -I ·····•• O.n •• ~ 1 I f' «::«:;~··. • ····~ 0 • •

.4 . I u ---1 ;-- -_;_ ·I f£, : yt/~o' A 'Y r ···1 #~ OF NOTARY PUBLIC DATE ! f Nffi"~Y ! EAi

~ ~ ~,oUB\...~ ~ ]<~.:~ ';V\~ '1-<::)/(:}t ;~~~/ '\1 ' ···~""'

DISCLOSURE OF CAMPAIGN CONTRIBtJ._!~O'NX •• ·\)~" ..f' -,, Nco :.--

\\'""''''..., 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?

YOUR NAME

If the answer is yes, please complete the following section:

NAME AND OFFICAL CONTRIBUTIONS DATE CONTRIBUTION

POSITION OF (List all which aggregate WAS MADE

GOVERNMENT OFFICIAL

to $250 or More) (Wit hin last t wo years)

Attach additional sheets if necessary to disclose or describe all contributions.

7

Planning Development

Page 12: 6 · 5059 Jimmy Carter Blvd Norcross, GA 30093 We are asking for a Special Use Permit to open a custom tattoo and body piercing studio at the above mentioned address. I have permission

Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/20 IS

VERIFICATION OF CURRENT PAID PROPERTY TAXES FOR SPECIAL USE PERMIT

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 SPECIAL USE PERMIT REQUEST.

PARCEL I.D. NUMBER: (Map Reference Number)

Type or Print Name and Title

District

\ C\ o _ fZ(o \ ~o - \ RS Land Lot Parcel

~ \ ~\ /0 Date

***PLEASE TAKE THIS FORM TO THE TAX COMMISSIONERS OFFICE AT THE GWINNETT JUSTICE AND ADMINISTRATION CENTER, 75 LANGLEY DRIVE, FOR THEIR APPROVAL BELOW.***

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)

T:SA I

TITLE

DATE

"'1- p 0 2 2016 8 SUP '16 0 6 1

l~nninq evelopment