Fillable Special Administrative Permit (SAP) FARMERS MARKET (Not a (DeKalb County Government)

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Special Administrative Permit (SAP) FARMERS MARKET (Not a (DeKalb County Government)

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DEPARTMENT OF PLANNING & SUSTAINABILITY
404.371.2155 (o)
404.371.4556 (f)
DeKalbCountyGa.gov
Clark Harrison Building
330 W. Ponce de Leon Ave
Decatur, GA 30030
Special Administrative Permit (SAP)
FARMERS MARKET
(Not a temporary produce stand)
Address of Subject Property: ____________________________________________________________________
(If no address): District: ________ Land Lot: _________ Block: ________ Parcel: _________
Applicant Name: _____________________________________________________________________________
Daytime Telephone No.: __________________________ E-mail: _____________________________________
Permit Duration: (From) _____/_____/_____ (To) ____/____/_____ Total # Days: ______
(See Table 4.30 (From) _____/_____/_____ (To) ____/____/_____ Total # Days: ______
The application shall include:
Name and current address of the applicant.
A notarized letter signed by the property owner(s) or authorized property manager or agent, consenting to
the placement of the farmers market on the property.
A site plan/sketch drawn to-scale showing:
o Property lines, street curbs, street names, adjacent sidewalks as applicable.
o Plan layout and dimensions showing the on-site market area including the number, arrangement,
and size of the vending structures to be located in the market.
o Location of onsite and offsite parking spaces.
I, _____________________________________ agree to abide by the requirements of Art. 4.2.27 of the code.
___________________________________________ ___________________________
Applicant Signature Date
SECTION BELOW TO BE COMPLETED BY OFFICE
Zoning Classification: _____________________________________________
___________________________________________ ___________________________
Staff Signature Date
Chief Executive Officer
Michael Thurmond
Director
Andrew A. Baker, AICP
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DEPARTMENT OF PLANNING & SUSTAINABILITY
404.371.2155 (o)
404.371.4556 (f)
DeKalbCountyGa.gov
Clark Harrison Building
330 W. Ponce de Leon Ave
Decatur, GA 30030
AUTHORIZATION
The property owner should complete this form or a similar signed and notarized form if the individual
who will file the application with the County is not the property owner.
Date: ______________________
TO WHOM IT MAY CONCERN:
(I), (WE), _______________________________________________________________________________
Name of Owner(s)
being (owner) (owners) of the subject property described below or attached hereby delegate authority to
_____________________________________________________________________________________
Name of Applicant or Representative
to file an application on (my), (our) behalf.
_______________________________________ _____________________________________
Notary Public Owner
_______________________________________ _____________________________________
Notary Public Owner
_______________________________________ _____________________________________
Notary Public Owner
_______________________________________ _____________________________________
Notary Public Owner
1/20/2017
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Special Administrative Permit (SAP) FARMERS MARKET (Not a (DeKalb County Government)

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Completed 17 July 2020

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