Fillable Special Administrative Permit (SAP) URBAN GARDEN DEPARTMENT OF (DeKalb County Government)

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Special Administrative Permit (SAP) URBAN GARDEN DEPARTMENT OF (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)
URBAN GARDEN
Address of Subject Property: ____________________________________________________________
Acreage: ___________________________________
Applicant Name: ______________________________________________________________________
Applicant Address: ____________________________________________________________________
Daytime Telephone No.: __________________________ E-mail: ______________________________
Permit Duration (24 months): (From) _____/_____/_____ (To) ____/____/_____
Provide a site plan depicting:
(a) Property lines, street curbs, street names and adjacent sidewalks as applicable.
(b) Plan layout and dimensions showing plot layout, structures and compost areas.
(c) Source of water, including any rain barrel locations.
I, _____________________________________ agree to abide by the requirements of Art. 4.2.55 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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signature
click to edit
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
1/20/17
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Special Administrative Permit (SAP) URBAN GARDEN DEPARTMENT OF (DeKalb County Government)

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Completed 17 July 2020

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