el...north 3d' : ~~r~ ::7. ·1 lrjin~te,. :9:1 se~;ond!!: we!'jt o

15
Gwinnett Co unty Planning Division Rezoning Application Last Updated 2/20 14 REZONING APPLICATION AN APPLICATION TO AMEND THE OFFICIAL ZONING MAP OF GWINNETT COUNTY, GA. APPLICANT INFORMATION OWNER INFORMATION* NAME: Shiv Sai Hospitality, LLC c/o Mahaffey Pickens Tucker, LLP NAME: Shiv Sai Hospitality, LLC ADDRESS: 1550 North Brown Road, Suite 125 ADDRESS: 7035 J immy Carter Blvd CITY: Lawrenceville CITY: Peachtree Corners sTATE: Georgia ZIP: 30043 sTATE: Georgia ZIP: 30092 PHONE: 770.232.0000 PHONE: 770.232.0000 CONTACT PERSON: Shane Lanham PHONE: 770.232.0000 CONTACT'S E-MAIL: [email protected] APPLICANT IS THE: DOWNER'S AGENT El PROPERTY OWNER D CONTRACT PURCHASER PRESENT ZONING DISTRICTS(S): RM REQUESTED ZONING DISTRICT: C-2 LAND DISTRICT(S): 7 LAND LOT(S): 007 ACREAGE: +/-1.65 ADDREss oF PROPERTY: 830 Legacy Park Dr PROPOSED DEVELOPMENT: Retail/ Commerc ial USeS in cluding a hotel RESIDENTIAL DEVELOPMENT NON-RESIDENTIAL DEVELOPMENT NA No. of Lots/Dwelling Units _____ _ No. of Buildings/Lots: _3 ______ _ NA Dwelling Unit Size (Sq. Ft.): _____ _ +/- 25 600 Total Building Sq. Ft. --- ' ---- G D . NA ross ens1ty: ________ _ D . +/- 3,020 square feet per acre ens1ty: ----------- N D . NA et ens1ty: ---------- PLEASE ATTACH A LETTER OF INTENT EXPLAINING WHAT IS PROPOSED [)-.'""' 2 i 7 n.f.v ·uJ J •.. R C V 2 P/anning&D velopmen

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Page 1: El...North 3D' : ~~r~ ::7. ·1 lrJin~te,. :9:1 Se~;ond!!: We!'Jt o

Gwinnett County Planning Division Rezoning Application Last Updated 2/20 14

REZONING APPLICATION AN APPLICATION TO AMEND THE OFFICIAL ZONING MAP OF GWINNETT COUNTY, GA.

APPLICANT INFORMATION OWNER INFORMATION*

NAME: Shiv Sai Hospital ity, LLC c/o Mahaffey Pickens Tucker, LLP NAME: Shiv Sai Hospitality, LLC

ADDRESS: 1550 North Brown Road, Suite 125 ADDRESS: 7035 Jimmy Carter Blvd

CITY: Lawrenceville CITY: Peachtree Corners

sTATE: Georgia ZIP: 30043 sTATE: Georgia ZIP: 30092

PHONE: 770.232.0000 PHONE: 770.232.0000

CONTACT PERSON: Shane Lanham PHONE: 770.232.0000

CONTACT'S E-MAIL: [email protected]

APPLICANT IS THE:

DOWNER'S AGENT El PROPERTY OWNER D CONTRACT PURCHASER

PRESENT ZONING DISTRICTS(S): RM REQUESTED ZONING DISTRICT: C-2

LAND DISTRICT(S): 7 LAND LOT(S): 007 ACREAGE: +/-1.65

ADDREss oF PROPERTY: 830 Legacy Park Dr

PROPOSED DEVELOPMENT: Reta il/Commercial USeS including a hotel

RESIDENTIAL DEVELOPMENT NON-RESIDENTIAL DEVELOPMENT

NA No. of Lots/Dwelling Units _____ _ No. of Buildings/Lots: _3 ______ _ NA Dwelling Unit Size (Sq. Ft.): _____ _ +/- 25 600

Total Building Sq. Ft. ---'----

G D . NA ross ens1ty: ________ _ D . +/- 3,020 square feet per acre

ens1ty: -----------

N D . NA

et ens1ty: ----------

PLEASE ATTACH A LETTER OF INTENT EXPLAINING WHAT IS PROPOSED

[)-.'""' 2 i 7 n.f.v ·uJ J •.. R C V

2

P/anning&D velopmen

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LEGAL DESCRIPTION

'Tn.·ct I AI thci: tract 'll r pnr¢61 ~af lar;id l)'in-Q cr.:! ocl 9 In Lrrtrl LJ)1 7 !Of tho 7ih D js;i r~t; l}winr: :'tt Co u r~. , G~u"y ltJ •:J fnl b ~ i11 ~ tn il r~ - Jltl ltl't:LJtiHi u e!:!t l l1~ ~ falt."il!:i!

T(i! fnd P. hl'l !~ fm1 m ~,~·rm1no, ~etrnmrmco ld1 ·!l 1/f' ~txl r Srit: ·m the ir;m, r,, _·,.iion• ·of thrl nnri:rnrl~ righti ~1 ~, ;l)f Geurgin ~ ~ Jte ~1 ·6., a.k.el. ULi~rsity iflcrki'l1}l. Lming i!) ~; mials-l e ng Lt m !iiO.V .• l:J't'J Uti!' '!iilab:fi}' r!iJht of '1«!-,' ·of Lo!ir•rmc .illl! Su!f.nmm RilOO. oo~·l ngJ o 1 ~· ·ri'ght ,nf !l!lJ)'l {f@rte prm::o d ·Dirmg: ~ h-e; right tt€ 1tr:ll qf '~1'9-iQ stat~· ~· "~ tij ._ith Q ~;,) QIJrfjinrjJ W ~ h . nl}ht: ~ii t;, •IHI ·l)f\C: lr: ru;ih, ,of 96 . ~6-',, wlfu a r.nrliu~ a ~5 -'n tuS:.ISH.~. !ft itft tf ·!:iherd btror1ng {If ~trl:h IS1 ![}eqrees -4- '1 Uinutss 4-5 Seconds Wns.t wifu, o ~hn Rl I .mgfu1 -of, ll:£6," w Q Crm r~ R1tft of 'Hrf)' ~·ofi'Ft rn .• m F~und ; thon. a ro rrtin · olor9 soid . r"'ittt of '~~ 11l Suuth 163 ~~ ~0 1\!irl.ih;:~ 1 S" Scr;cnd~ 'fl'e-:.rt ~;~ d i~ ct :28:Z.Bf ~Lt? .g 1"' ~r.n T ·P f:it~~ FetJrrrl crt th~ l nta~~r{) n (If illlirl f'lgltt m' w.rry art.! the ltt¥.1 U,.'l Un~ ·rl~w'ldlng, uDnd lflbl. 7 .~ .a l7ld b:rir~ ~ h e !!l~fn t f .. n ni'l-Di it • lon'lirr sold ri lfht ·uf ~o~ alrl rt'GII t~JIIhfj l.iafd L nd LG!t Une North 3D' :~~r~ ::7. ·1 lrJ in~ te,. :9:1 Se~;o nd !!: We!'Jt o <J;Jit~ nn:~e nf , 1 &.'3l tu Q 1/2"' C.:btr' S:e'l t:~ r'l ~ ne riifrt td K-f.li ,llf Leg a S ~t:ll'k Ori\le, l;arin ~ ll 'I 00 ' ri~'tt of r11tl)' 1 m cl D/ 2" f{e bar Set bEilliJ S 3{1 Degrees Z'l !',i in tf.~a 3rt S ccflffi. lj~J-1 . 09 ~ from. ·O 1 /2~ ·Ca pp: d Rtoor Falnl crt h lnt{lrnGdlon of L(J nd Lob 7, B, 33, Md j2; ttt~ Ql(lrt9 (;~i~ rfg i ¢f . o.~i SO!Jih ~6 ;_; .· .•. -~e .~ J5 W i nu te~ ~tJ · Seoondi5 ' ·e~ ·0 d.~~ lirt~~~ e,i 1 00.1 1' t a ·t ,n:'~ ~bor 3et~ b h t~nce 1\:13\! jn g~ :;a"lf.l right t tMJi ~d" 30 Oegrees 21 i!Ai n ut~:~< T-4 Sr:~ nrl s Em.t '!l diahrn rz m 7'Hi2D. ro a N /2~' Copf)OO R bar F!Dund ·on' "l:ru: right of A'-IT)' -of GGon;~ io stdte :Joir:.~ ~1 :6 ; fuen~ ~;¢-®n u l.!' ·olpng; :tJc rl gh! of rl~i w'ith () ~~:.n're· i;J.r rf~ ~g, -t,hei IW, 'ili~ h ¢ ii ol\t length of · Llil8.5'·. [jifu a r>lldiu9 e.f !i<"r2Q'. ~5a.~. • i1h r:~ chard bearing ,nf Ntll'th !fi6, :~ 5 · Winu:es 5J. ~nrl a E<~~\ . w,ittt ·IJ ~ho rrl If. cf 1 ttO.M' i.a- ·D 1"' Cpsn Top f1 ~M Foufi.dj ~hi e h. i5i f:hf) pofrl. ·Df P~~in r: iflg , tr.:r11in ~ : ·1111' 'i:1P~11 m 1H~7J . l3 ~ qp=. Pr:t!i". Ui51;1 Q~~, • . IJ:J sh" l>'liltl qfiLI ~tr'i beri Qn ~11t/P.:S¥S Su r~-ey. ~ G!!tm:;'a l1lnd ~u l'\~·in g: 'C · I b.e-mfl9. nlte· ·!Md llfld Ct! rti fi ib"Jti,~ a( JcBh L Lewis tJ. Georrg ic Pie-g i!Jf~ roo Lor:td Silri'" ~ r ~~l.i'. . 302-, d::rt.ed ~JJ ' &1 111. ~:117 .

c v 0 y A: tJ& u ;) 2018

Planning Dev \opm nt

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ALTA/NSPS SURVEY

Tract I Area Tract II Area 71873.4 so. FT. 297461.1 so. FT.

1.650 ACRES 6.829 ACRES

Tract II

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O'bNER IPEVEI pPER· SHIV SA! HOSP!TAUTY, llC. 7035 JMMY CARTER BLVD. NORCROSS, GA 30092

CONTACT: DHIREN PATEL (676) 776-5836

~ HAYES. JAMES. AND ASSOC., INC. 4145 SHACKLEFORD ROAD SUITE 3000 NORCROSS, GA 30093

CONTACT: MICHAEL BENTLEY (770) 923-1600

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SITE NOTES

TOTAL SITE AREA - 6.476 AC ZONED C-2 and RM (PROPOSED C-2 ONLY) USE - HOTEL and RESTAURANT/OFFICE

HOTEL - 60 UNITS PARKING REQUIRED MINIMUM 1 SP /UNIT = BO MAXIMUM 2 SP /UNIT = 160 PARKING SHO'bN = 135

RESTURANT /OFFlCE - 13,000SF PARKING REQUIRED MINIMUM 1SP /500SF - 26 MAXIMUM 1 SP /200SF = 65 PARKING SHO'bN - 65

FRONT SETBACK = 1 5' SIDE SETBACK = 1 0' REAR SETBACK - 30' NO COMMON AREA REQUIRED MAXIMUM HEIGHT - 45'

EXISTING BUFFER BEIWEEN RM ZONING -50' UNDISTURBED PLUS 25' VEGETATED BUFFER 75' AGAINST HOTEL USE PLUS 25' BUFFER

PROPOSED BUFFER BE1WEEN RM ZONING AND COMBINED = 25' REVEGETATED BUFFER PLUS 5' IMPERVIOUS SETBACK.

NOTES:

PARCEL 7007 030 AND PARCEL 7006 039 ARE UNDER THE SAME OWNERSHIP.

BOUNDARY INFORMATION TAKEN FROM "ALTA/NSPS LAND TITLE SURVEY FOR 630 LEGACY PARK DRIVE, LAWRENCEVILLE, GA, SHIV SA! HOSP!TAUTY, LLC." PREPARED BY GEORGIA LAND SURVEY1NG CO. DATED: AUGUST 11, 2017

lj Hayes I James

4145 SHACKLEFORD ROAD SUITE 300

NORCROSS, GEORGIA 30093 TEL: (770) 923-1600 FAX: (770) 923-4202

DHIREN PATEL 7035 JIMMY CARTER BLVD.

NORCROSS, GA 30092 PHONE: (nO) 409..{1004

FAX: (770)409·1495

CONTACT: DHIREN PATEL (678}778-5838

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TOPOGRAPHY FROM GWINNETT COUNTY GIS. , , ~

PARCEL 7007 03D WITH AN EXISTING ZONING OF RM HAS A NET AREA OF 1.650 ACRES AND A GROSS AREA OF 1.650 ACRES

GRAPIDC SCALE

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Project Title

LEGACY PARK COMMERCIAL CENTER

Projcctlocntlon

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REZONING EXHIBIT

1 OF 1

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Gwinnett County Planning Division Rezoning Application Last Updated 2/20 14

REZONI NG APPLICANT'S RESPONSE STANDARDS GOVERNING THE EXERCISE OF THE ZONING POWER

PURSUANT TO REQUIREMENTS OF THE UNIFIED DEVELOPMENT ORDINANCE, THE BOARD OF COMMISSIONERS FINDS THAT THE FOLLOWING STANDARDS ARE RELEVANT IN BALANCING THE INTEREST IN PROMOTING THE PUBLIC HEALTH, SAFETY, MORALITY OR GENERAL WELFARE AGAINST THE RIGHT TO THE UNRESTRICTED USE OF PROPERTY AND SHALL GOVERN THE EXERCISE OF THE ZONING POWER.

PLEASE RESPOND TO THE FOLLOWING STANDARDS IN THE SPACE PROVIDED OR USE AN ATTACHMENT AS NECESSARY:

(A) WHETHER A PROPOSED REZONING WILL PERMIT A USE THAT IS SUITABLE IN VIEW OF THE USE AND DEVELOPMENT OF ADJACENT AND NEARBY PROPERTY:

Please see attached

(B) WHETHER A PROPOSED REZONING WILL ADVERSELY AFFECT THE EXISTING USE OR USABILITY OF ADJACENT OR NEARBY PROPERTY: Please see attached

(C) WHETHER THE PROPERTY TO BE AFFECTED BY A PROPOSED REZONING HAS REASONABLE ECONOMIC USE AS CURRENTLY ZONED: Please see attached

(D) WHETHER THE PROPOSED REZONING WILL RESULT IN A USE WHICH WILL OR COULD CAUSE AN EXCESSIVE OR BURDENSOME USE OF EXISTING STREETS, TRANSPORTATION FACILITIES, UTILITIES, OR SCHOOLS: Please see attached

(E) WHETHER THE PROPOSED REZONING IS IN CONFORMITY WITH THE POLICY AND INTENT OF THE LAND USE PLAN: Please see attached

(F) WHETHER THERE ARE OTHER EXISTING OR CHANGING CONDITIONS AFFECTING THE USE AND DEVELOPMENT OF THE PROPERTY WHICH GIVE SUPPORTING GROUNDS FOR EITHER APPROVAL OR DISAPPROVAL OF THE PROPOSED f'D~I('b

1 0 .. l __

REZONING: U ~JLt.JI 1 fj - /

Please see attached

AUG 3

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APPLICANT'S RESPONSE STANDARDS GOVERNING THE EXERCISE OF THE ZONING POWER

(A) Yes, the proposed development will provide a use that is suitable in view of the use and development of adjacent and nearby property. Property across Legacy Park Drive and Lawrenceville-Suwanee Road is zoned C-2 .

(B) No, the proposed development will not adversely affect the existing use or usability of any of the nearby properties. Rather, the proposed development would complement existing residential , commercial, and employment centers.

(C) In light of the size, location, layout, topography, and natural features of the property and in conjunction with the nature of surrounding development, the Applicant submits that the subject Property does not have reasonable economic use as currently zoned.

(D) No, the proposed development will not result in an excessive or burdensome use of the infrastructure systems.

(E) Yes, the proposed Rezoning Application is in conformity with the policy and intent of the Gwinnett County 2030 Unified Plan. For a variety of reasons, the subject propetiy is not suitable for multi-fmnily residential or office uses.

(F) Applicant submits that the zoning classifications and character of surrounding properties as well as the fact that the subject properiy is adjacent to Interstate 316 provide additional supporting grounds for approval of the proposed development.

tfZC '18 0 :1 7

A ; ·) ;i 2018

t

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Mahaffey Pickens Tucker, LLP

AITORNEYS AT LAW

Matthew P. Benson Gerald Davidson, J r.* BrianT. Easley Kelly 0. Faber Christopher D. Holbrook N icholas N. Kemper Shane M. Lanham Austen T. Mabe

Jeffrey R. Mahaffey David G . McGee Steven A. Pickens Catherine V. Schutz Thomas A. Simpson Andrew D. Stancil

LETTER OF INTENT FOR

R. Lee Tucker, Jr. *Of Counsel

REZONING APPLICATION OF SHIV SAl HOSPITALITY, LLC

Mahaffey Pickens Tucker, LLP submits this Letter of Intent on behalf the Property

Owner, Shiv Sai Hospitality, LLC (the "Applicant"), for the purpose of requesting a rezoning of

an approximately 1.65-acre tract of land (the "RM Tract") adjacent to University Parkway (State

Route 316) with additional road frontage on Legacy Park Drive just south of Duluth Highway

(State Route 120). The RM Tract is adjacent to a larger +/-6.829-acre tract of land (the "C-2

Tract") zoned C-2 with additional road frontage on Lawrenceville Suwanee Road (the RM Tract

and C-2 Tract together are collectively referred to as the "Property"). The Applicant is proposing

to develop the Property for use as a hotel with the potential for additional retail or commercial

development.

The Property is currently vacant and bears its current zoning pursuant to an area-wide

rezoning from 1975. However, the 1975 area-wide rezoning arbitrarily selected the land lot line

comtnon to land lots 7 and 8 as the zoning boundary line. The land to the west of the Propetiy

was developed under the RM zoning classification, but the Property, under common ownership,

has not been developed. The Applicant is requesting to rezoning the RM Tract to C-2 in order to

unify the Property under a single zoning classification. In order to develop the Property as

depicted on the site plan submitted with the application, the Applicant is also requesting to

reduce the required 75-foot wide natural undisturbed buffer and 25-foot wide landscaped buffer

(1 00 feet total) to a 25-foot wide landscaped buffer only. The majority of development and land

disturbance would occur on the C-2 Tract which already allows the proposed uses. However, the

proposed rezoning is required in order to unify the zoning of the Property, and permit the

installation of facilities related to the proposed developtnent including parking spaces,

driveways, and stonnwater detention facilities.

c Sugarloaf Office II 1550 North Bro"vn Road, Suite 125, Lawrenceville, Georgia 300~ 1/i.; 0 ;j 2013

NorthPoint Office II 111 75 Cicero Drive, Suite 100, Alpharetta, Georgia 30022

TELEPHONE 770 232 0000

FACSIMILE 678 518 6880

\V\V\v.mptla\vfirm.com

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t

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The Applicant and its representatives welcome the opportunity to meet with staff of the

Gwinnett County Department of Planning & Development to answer any questions or to address

any concerns relating to the matters set forth in this letter or the Variance Applications filed

herewith . The Applicant respectfully requests your approval of these Applications.

This. 2nd day of August, 2018.

Respectfully submitted,

MAHAFFEY PICKENS TUCKER, LLP

Shane M. Lanham

Attorneys for the Applicant

AU i~ 0 3 2018

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Gwinnett County Planning Division Rezoning Application Last Updated 2/20 14

REZONING APPLICANT'S CERTIFICATION

THE UNDERSIGNED BELOW IS AUTHORIZED TO MAKE THIS APPLICATION. THE UNDERSIGNED IS AWARE THAT NO APPLICATION OR REAPPLICATION AFFECTING THE SAME LAND SHALL BE ACTED UPON WITHIN 12 MONTHS FROM THE DATE OF LAST ACTION BY THE BOARD OF COMMISSIONERS UNLESS WAIVED BY THE BOARD OF COMMISSIONERS. IN NO CASE SHALL AN APPLICATION OR REAPPLICATION BE ACTED UPON IN LESS THAN SIX (6) MONTHS FROM THE DATE OF LAST ACTION BY THE BOARD OF COMMISSIONERS.

Shane Lanham, Attorney for the Appli cant Type or Print Name and Title

Date

~u ~ o s 2012

m

4

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Gwinnett County Planning Division Rezoning Application

Last Updated 12/20 I 5

REZONING APPLICANT'S CERTIFICATION

THE UNDERSIGNED BELOW IS AUTHORIZED TO MAKE THIS APPLICATION. THE UNDERSIGNED IS AWARE THAT NO APPLICATION OR REAPPLICATION AFFECTING THE SAME LAND SHALL BE ACTED UPON W ITHIN 12 MONTHS FROM THE DATE OF LAST ACTION BY THE BOARD OF COMMISSIONERS UNLESS WAIVED BY THE BOARD OF COMMISSIONERS. IN NO CASE SHALL AN APPLICATION OR REAPPLICATION BE ACTED UPON IN LESS THAN SIX (6) MONTHS FROM THE DATE OF LAST ACTION BY THE BOARD OF COMMISSIONERS.

Signature of Applicant Date

Type or Print Name and Title

AUG 0 3 2013

4

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Gwinnett County Planning Division Rezoning Application Last Updated 2/2014

REZONING PROPERTY OWNER'S CERTIFICATION

THE UNDERSIGNED BELOW, OR AS ATTACHED, IS THE OWNER OF THE PROPERTY CONSIDERED IN THIS APPLICATION. THE UNDERSIGNED IS A WARE THAT NO APPLICATION OR REAPPLICATION AFFECTING THE SAME LAND SHALL BE ACTED UPON WITHIN 12 MONTHS FROM THE DATE OF LAST ACTION BY THE BOARD OF COMMISSIONERS UNLESS W AIVED BY THE BOARD OF COMMISSIONERS. IN NO CASE SHALL AN APPLICATION OR REAPPLICATION BE ACTED UPON IN LESS THAN SIX (6) MONTHS FROM THE DATE OF LAST ACTION BY THE BOARD OF COMMISSIONERS.

Signature of Property Owner Date

Type or Print Name and Title

lie

RZC '18 U 17 5

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Gwinnett County Planning Division Rezoning Application Last Updated 2/20 14

CONFLICT O F INT EREST CERTIFICATION FOR REZONING

The undersigned below, making application for a Rezoning, has complied with the Official Code of Georgia Section 36-67 A-I, et. seq, Conflict of Interest in Zoning Actions, and has submitted or attached the required information on the forms provided.

DATE

DATE

TYPE OR PRINT NAME AND TITLE

Shane M. Lanham, Attorney for Applicant

TYPE OR PRINT NAME AND TITLE

,,,, .. ,,,,, ,,,, t\ E au ,,,,

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-LLJ· ~ ·S--: ..., :· ~lf?R.~ SE1it1 :. = : .l{OIA : :rJ = ";_ r\ • •• October 2, 2020 ,: : _.v~· • ... ~~ · · ,/:J ·~ ...

DISCLOSURE OF CAMPAIGN CONTRIBUTri?&e; .~~.~~'?.·:~~ , ...... ~ Y,;,"'Vl:'h- cov ,, ... ,,, I I ,,

'''''"''''' Have you, within the two years immediately preceding the filing of this application, made campaign contributions aggregating $250.00 or more to a member of the Board of Commissioners or a member of the Gwinnett County Planning Commission?

[2] YEs D No Mahaffey Pickens Tucker, LLP YOUR NAME

If the answer is yes, please complete the following section:

NAME AND OFFICAL CONTRIBUTIONS DATE CONTRIBUTION

POSITION OF (List all which aggregate WAS MADE

GOVERNMENT OFFICIAL

to $250 or More) (Within last two years)

See attached.

Attach additional sheets if necessary to disclose or describe all contributions.

6

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CONFLICT OF INTEREST CERTIFICATION FOR REZONING/CHANGE IN CONDITIONS AND SPECIAL USE PERMIT APPLICATIONS

MAHAFFEY PICKENS TUCKER, LLP

NAME AND OFFICIAL POSITION OF GOVERNMENT OFFICIAL

John Heard CONTRIBUTIONS

$2000 DATE

02/20/201 8

Updated 03/01/2018

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Gwinnett County Planning Division Rezoning Application

Last Updated 12/20 IS

CONFLICT OF INTEREST CERTIFICATION FOR REZONING

The undersigned below, making application for a Rezoning, has complied with the Official Code of Georgia Section 36-67 A-I, et. seq, Conflict of Interest in Zoning Actions, and has submitted or attached the required information on the forms provided.

SIGNATURE OF APPLICANT DATE TYPE OR PRINT NAME AND TITLE

DISCLOSURE OF CAMPAIGN CONTRIBUTIONS

Have you, within the two years immediately preceding the fi ling of this application, made campaign contributions aggregating $250.00 or more to a member of the Board of Commissioners or a member of the Gwinnett County Planning Commission?

DYES EZ(NO 8 +tl YOUR NAME

If the answer is yes, please complete the fo llowing section:

NAME AND OFFICAL CONTRIBUTIONS DATE CONTRIBUTION POSITION OF

(List all which aggregate WAS MADE GOVE NME T . OFFICIAL to $250 or More) (Within last two ye )

Attach additional sheets if necessary to disclose or describe all contributions.

6 zc '18 0 1 7

t

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Gwinnett County Planning Division Rezoning Application Last Updated 2/2014

VERIFICATION OF CURRENT PAID PROPERTY TAXES FOR REZON ING

THE UNDERSIGNED BELOW IS AUTHORIZED TO MAKE THIS APPLICATION. THE UNDERSIGNED CERTIFIES THAT ALL GWINNETT COUNTY PROPERTY TAXES BILLED TO DATE FOR THE PARCEL LISTED BELOW HAVE BEEN PAID IN FULL TO TH E TAX COMMISSIONER OF GWINNETT COUNTY, GEORGIA. IN NO CASE SHALL AN APPLICATION OR REAPPLICATION FOR REZONING BE PROCESSED WITHOUT SUCH PROPERTY VERIFICATION.

* N ote: A SEPARATE VERIF ICATION FORM MUST BE COMPLETED FOR EACH TAX PARCEL INCLUDED IN THE REZONING REQUEST.

PARCEL I.D. NUMBER: 7 007 030 District Land Lot Parcel

Shane Lanham, Attorney for the Applicant Type or Print Name and Title

TAX COMMISSIONERS USE ONLY

(PAYMENT OF ALL PROPERTY TAXES BILLED TO DATE FOR THE ABOVE REFERENCED PARCEL HAVE BEEN VERIFIED AS PAID CURRENT AND CONFIRMED BY THE

SIG~URE BE,. LOW) (

~dij)J J 1\?i~~ IS/1-Jt; NAMEJ TITLE

;::!?- /; & DATE

lC '1 01 7

7