Fillable WIRELESS TELECOMMUNICATION FACILITY Special Administrative Permit (SAP) DEPARTMENT (DeKalb County Government)

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WIRELESS TELECOMMUNICATION FACILITY Special Administrative Permit (SAP) DEPARTMENT (DeKalb County Government)

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404.371.2155 (o)
404.371.4556 (f)
DeKalbCountyGa.gov
Clark Harrison Building
330 W. Ponce de Leon Ave
Decatur, GA 30030
Chief Executive Officer
Michael Thurmond
DEPARTMENT OF PLANNING & SUSTAINABILITY
Director
Andrew A. Baker, AICP
Special Administrative Permit (SAP)
WIRELESS TELECOMMUNICATION FACILITY
Address of Subject Property:
(If no address): District: Land Lot: Block: Parcel:
Applicant Name:
Daytime Telephone No.: E-mail:
Type of Facility:
Attached wireless telecommunication (ATW) facility
New support structure up to one-hundred fifty (199) feet
Applicant Signature Date
SECTION BELOW TO BE COMPLETED BY OFFICE
Zoning Classification:
The proposed wireless telecommunication facility is allowed as per Section 4.2.57 .
Special administrative permit application form signed by applicant.
Copy of lease or letter of authorization from property owner evidencing applicant’s authority to pursue zoning
application. Such submissions need not disclose financial lease terms.
Site plans detailing proposed improvements which comply with DeKalb County’s existing site plan requirements.
Drawings must depict improvements related to the requirements listed in this Ordinance, including property
boundaries, setbacks, landscaping, topography, elevation sketch, and dimensions of improvements.
In the case of a new Support Structure:
Statement documenting why collocation cannot meet the applicant's requirements. Such statement may include
justifications, including why collocation is either not reasonably available or technologically feasible as necessary
to document the reasons why collocation is not a viable option; and
The applicant shall provide a list of all the existing structures considered as alternatives to the proposed location.
The applicant shall provide a written explanation why the alternatives considered were either unavailable, or
technologically or reasonably infeasible.
Applications for new Support Structures with proposed Telecommunications Facilities shall be considered
together as one application requiring only a single application fee.
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404.371.2155 (o)
404.371.4556 (f)
DeKalbCountyGa.gov
Clark Harrison Building
330 W. Ponce de Leon Ave
Decatur, GA 30030
DEPARTMENT OF PLANNING & SUSTAINABILITY

A color propagation map demonstrating the existing coverage of all Telecommunications Facilities owned and
proposed by the applicant within the GSA.
Current and proposed coverage map for the proposed tower.
A structural integrity analysis of a tower shall be included where antennas and equipment will be attached to such
existing tower, or to establish the fall zone. Such certification and structural integrity analysis shall bear the
signature and seal of a professional engineer licensed in the State of Georgia.
A Special Administrative Permit application fee as listed in DeKalb County’s published fee schedule.
Staff Signature Date
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
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WIRELESS TELECOMMUNICATION FACILITY Special Administrative Permit (SAP) DEPARTMENT (DeKalb County Government)

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Completed 19 July 2020

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