Chuck Wooley
Building Official
DRIVEWAY PERMIT
IAPPLICANT NFORMATION
NameApplicant :_____________________________________
Phone:________________________
Mailing
Address:__________________________________
City:_______________GA
Zip:________
Email:___________________________________________________________________________
APPLICATION
Type:
_________________
(metal,
concrete,
corrugated
plastic)
APPLICATION
IS
HEREBY
MADE
BY
THE
ABOVE
APPLICANT
FOR
PERMISSION
TO
CONSTRUCT
AN
ACCESS
DRIVEWAY
OR
DRIVEWAYS
ON
THE
COUNTY
RIGHT -OF-WAY .
THE
PROPOSED
DRIVEWAY
WILL
SERVE
A:
Residential
Dwelling
Commercial
Entity
Other
The
driveway
will
be
located
at:
_______________________________________________________
(county
road
and
parcel number)
on
property
owned
by:_______________________________________________________________
Permit
requested
this
_____
day
of
____________________,
__________
By:
_________________________________________________________
Title:
________________________________________________________
(If
agent
acting on behalf of
applicant)
OFFICE
USE
ONLY
Specifications:
Pipe
Diameter:
__________
(min.
15")
Length
of
Pipe
__________
NOTE:
When
corrugated
plastic
is
used,
depth
requirements
are
mandatory
as
required
by
the
Building
Inspections
Division.
Special
Conditions:
_________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
This
application
is
approved
/
disapproved
this
_____
day
of
____________________,
__________
By:
___________________________________________
NOTE: This permit is to be strictly construed and no work other than specifically authorized herein is allowed. This permit
must be renewed if the work described is not completed within six (6) months from the date the permit is issued.
FEE: $50.00
Greene County Building and Zoning Department
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1034 Silver Dr., Ste 103, Greensboro, GA 30642 Telephone - (706) 453-3333 - FAX (706) 453-2579
www.greenecountyga.gov/building