Fillable Administrative-permit City of Johns Creek Administrative Permit

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Administrative-permit City of Johns Creek Administrative Permit

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BROWSE CITY OF JOHNS CREEK (GA) FORMS

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www.JohnsCreekGA.gov
678-512-3200
11360 Lakefield Drive, Johns Creek, GA 30097
1 December 2017
ADMINISTRATIVE PERMIT APPLICATION
Under the provision of Article XIX of the Zoning Ordinance, application is hereby made to obtain an Administrative
Permit as follows:
Location of Proposed Use (address, tax parcel I.D.):
____________________________________________________________________________________________________________
Use Description: ____________________________________________________________________________________________
_____________________________________________________________________________________________________________
Beginning Date:_________________________________ End Date:______________________________________________
OWNER’S CONTACT INFORMATION:
Name:_________________________________________ Business Name (If Applicable):__________________________
Telephone #:____________________________________ Email:_______________________________________________
Address:_____________________________________________________________________________________________________
Signature:___________________________________________________________ Date: __________________________________
APPLICANT’S INFORMATION:
Name:_________________________________________ Business Name (If Applicable):__________________________
Telephone #:____________________________________ Email:_______________________________________________
Address:_____________________________________________________________________________________________________
Applicant’s Certification, Affidavit, and Signature
Proposed Use:_______________________________________________________________________________________________
Description of Proposed Use: __________________________________________________________________________________
I hereby certify that the site described herein will be constructed and/or used in accordance with all applicable zoning ordinances and
laws governing the Department of Community Development. Further, Applicant states, understands that, should a complaint be filed
against the Applicant for violation any regulation associated with this Application for Administrative Permit, the permit issued for the
subject event/use will immediately become void and will not be reissued for the same location.
Applicants Signature:_________________________________________________________________________________________
Sworn and Attested before me on this________day of___________________20______.
Signature of Notary:_________________________________________________________
(affix seal here)
2
Additional Required Exhibits:
A Site Plan to scale showing the street address of the property upon which the proposed use is to
be located, the proposed location of use on property and the distance of the use from the subject
property’s boundaries, the subject property’s setbacks and buffers and all existing structures or
buildings on the subject property. See section 19.3, of the Johns Creek Zoning Ordinance, for
other applicable requirements.
The proposed location of any tent(s) erected for use during an event/use, and the distance from the
tent to adjacent residential structure(s) shall be shown on the Site Plan. All tents that are 400 square
feet in size or greater, the applicant must provide a valid copy of the Fire Resistant Certificate with
the completed application.
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Administrative-permit City of Johns Creek Administrative Permit

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Completed 13 July 2020

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