Fillable Special Administrative Permit (SAP) TEMPORARY BUILDING DEPARTMENT OF (DeKalb County Government)

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Special Administrative Permit (SAP) TEMPORARY BUILDING DEPARTMENT OF (DeKalb County Government)

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The Special Administrative Permit (SAP) TEMPORARY BUILDING DEPARTMENT OF (DeKalb County Government) form is 2 pages long and contains:

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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)
TEMPORARY BUILDING
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: ______
(From) _____/_____/_____ (To) ____/____/_____ Total # Days: ______
(From) _____/_____/_____ (To) ____/____/_____ Total # Days: ______
Type of Temporary Building:
Caretaker’s residence in an industrial district.
Sales office for a subdivision currently under development.
Temporary building used in conjunction with construction work or pending completion of a permanent
building for a period concurrent with an approved land disturbance and building permit.
I, agree to abide by the requirements of Art.4.3.7 of the code.
___________________________________________ ___________________________
Applicant Signature Date
SECTION BELOW TO BE COMPLETED BY OFFICE
Zoning Classification: _____________________________________________
The proposed temporary building is allowed as per Section 27. 4.3.7_______________________.
Permit Duration: (From) / / (To) / / Total # Days:
(From) / / (To) / / Total # Days:
___________________________________________ ___________________________
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) TEMPORARY BUILDING DEPARTMENT OF (DeKalb County Government)

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Completed 17 July 2020

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