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Rezoning Application

Steps

1. 1. REZONING REQUEST This section is complete This section is incomplete
2. 2. PROPERTY LOCATION This section is complete This section is incomplete
3. 3. PROPOSED USE This section is complete This section is incomplete
4. 4. OWNER & APPLICANT INFORMATION This section is complete This section is incomplete
5. 5. DISCLOSURES This section is complete This section is incomplete

1. REZONING REQUEST

CITY OF GROVETOWN
103 Old Wrightsboro Road
P.O. Box 120
GROVETOWN, GEORGIA 30813
The undersigned request that the property described below be rezoned from*
to*
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2. PROPERTY LOCATION

Tax Map #:
Parcel ID #:
Acreage:
Road Frontage
(in feet)
on the
of
Property is approximately
(in feet)
from the intersection of
The attached property plat was prepared by:
and is dated:
and is dated:
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3. PROPOSED USE

If approved, the property will be used for the following purpose(s):*
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4. OWNER & APPLICANT INFORMATION

Owner:
Phone:
Address:
City:
State:
Zip Code:
Applicant:
Phone:
Address:
City:
State:
Zip Code:
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5. DISCLOSURES

Does any local government official or member of their family have an interest in the property, or has applicant made campaign contributions in the aggregate of $250.00 or more within the past two (2) years to any local government official?
(If yes, please submit full disclosure)
1. YES
2. NO
I/WE HEREBY DESPOSE AND SAY UNDER THE PENALTY OF PERJURY THAT ALL OF THE STATEMENTS CONTAINED IN OR SUBMITTED WITH THIS APPLICATION ARE TRUE.
Owner's Signature*
Applicant's Signature*
****PLEASE RETURN ORIGINAL NOTARIZED APPLICATION AND COPY OF RECORDED PLAT, ALONG WITH $200 APPLICATION FEE TO:
CITY OF GROVETOWN
P.O. BOX 120
GROVETOWN, GA 30813

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Rezoning Application

Steps

1. REZONING REQUEST

2. PROPERTY LOCATION

3. PROPOSED USE

4. OWNER & APPLICANT INFORMATION

5. DISCLOSURES

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