111 owner's AGENT D PROPERTY owner O contract PURCHASER

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1 Gwinnett County Planning Division Special Use Permit Application Last Updated 12/20 I 5 SPECIAL USE PERMIT APPLICATION AN APPLICATION TO AMEND THE OFFICIAL ZONING MAP OF GWINNETT COUNTY, GA. APPLICANT INFORMATION NAME: Leigh Tatum PROPERTY OWNER INFORMATION* NAME: Brothers Property 884 Buford, LLC ADDREss: 313 Pine Circle ADDRESS: 8920 Eves Rd. P.O. Box CITY: Monroe CITY: Alpharetta STATE: GA ZIP: STATE: GA ZIP: PHONE: PHONE: contact PERsoN: Leigh Tatum PHONE: CONTACT'S leigh.f.tatum@gmail.com *Include any person having a property interest and any person having a financial interest in any business entity having property interest (use additional sheets if necessary). APPLICANT IS THE: 111 owner's AGENT D PROPERTY owner O contract PURCHASER EXISTING/PROPOSED ZONING: C2 BUILDING/LEASED SQUARE FEET: 1500sqf PARCEL NUMBER(S): 106 ACREAGE: _'} c_lo_ a_\ i ADDRESS OF PROPERTY: 884 Buford Dr. Suite 700 lawrenceville GA special use REQuEsTED: Tattoo and Piercing Studio PLEASE ATTACH A LETTER OF INTENT EXPLAINING WHAT IS PROPOSED SUP ' RECEIVE BY 2 Planning & Development

2 .R SET CH BASIN :Es :R FOUND ::DESTAL MANHOLE LEGAL DESCRIPTION All that tract or parcel of land lying and being in Land Lots 12 and 28 of the 7th Land District Gwinnett County, Georgia. being more particularly described as follows: Beginning at an iron pin located on the westerly right of way of Georgia Highway 20 & 124, * feet South as measured along said right of way from the projected centerline of Swanson Drive. Thence South 84 degrees 30 minutes 05 seconds West for a distance of feet to an iron pin found on the required right of way of Ga. Hwys. 20 & 124 and the True Point of Beginning; Thence South 04 degrees 05 minutes 18 seconds West for a distance of feet along said right of way to a point; ) ERLINE Thence South 85 degrees 09 minutes 03 seconds East for a distance of feet along said right of way to a point; Thence South 04 degrees 06 minutes 19 seconds West for a distance of feet to a nail found located at the intersection of the westerly right of way of Ga. Hwys. 20 & 124 and the northerly right of way of Cripple Creek Drive; Thence North 85 degrees 07 minutes 31 seconds West for a distance of feet along the right of way of Cripple Creek Drive to an iron pin found ; Thence North 12 degrees 38 minutes 31 seconds East for a distance of feet to an iron point found; Thence North 04 degrees 10 minutes 01 seconds East for a distance of feet to an iron pin found; Thence North 85 degrees 45 minutes 45 seconds West for a distance of feet to an iron pin found; Thence North 04 degrees 14 minutes 15 seconds East for a distance of feet to an iron pin found; Thence North 04 degrees 15 minutes 31 seconds East for a distance of feet to an iron pin found; Thence South 88 degrees 59 minutes 22 seconds East for a distance of feet to an iron pin set; Thence North 84 degrees 30 minutes 05 seconds East for a distance of feet to an iron found and the Point of Beginning. Together with and subject to easements, covenants and restrictions of records. Said property contains acres more or less. The property hereon described is the same as the pertinent property as described in First American Title Insurance Company, Commitment No. NCS ATL, effective date March 8, Plann ing & Development

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""""""110 DUIU4P'01at ~I fl FLOOD NOTE FlOODHOl!l.lr~\op i \'Olt.nlY,ti\l.lpnlplrt)'litln l~t)...:!:..._~th rtominurw-b\iw., C«M\W\tt.JPM HI. 1~, whkfl berl'lll eff'muw..wd~ll'llll~h 'llo.. loll n..h_..,.,.._.,_.,~omt.ol~t lh H~~ n-llnati'wim ~ (100-1»-IUO)" h..,. ~ 1hlol ~mullltt_jtu,_,rtj.~ ~ the JIA9'llrn. H fill~..,...,.,n1 -. P"""'-' l1 *brmhl lhlt "etn cn4.,11~.,ortlftoc\t"' 1Hnii6Mtt'l'll"'ry \hll..wm.nu.nw.,trtwa.,.rlo'l...,th r..,... rm....,oy...,~t~ottn Y. r '~I I ~ ~~~ m I u ::...:::r::~=="w~=~:-;:: ::::::.0:..." ::- "PEW:NlNa- AnrTHOUltNO~AH'rJU..O 01.,\lH''OILl'l SCALE : 1' = 30' I :11 f. I ~~,t. ~( BASIS OF BEARINGS ~~~~~ ZONING NOTES n...,.._... ~~... ~---l... "IIIIII.. _.U,.. AACK.AI->'OI"IIO'IIm'ILLC ~11:Q11a4 LANll AREA "-.,...,~,.~~-IOM (U7,U4~1r110, PARKING STALLS Tl'loB&III1C0~....,~: '9.. r.-ww-4~... c& :=u=~ ~.. ~ =~=~ ~c=::: ~==ra»a ai O(CIIOOI(. GJ ~tl.l!r K1' NOWOft,ONCN.Y 0 I'Cf'M:"~ Ill) PACII 1UIMllt f ~$TAI.. rvh JUGio(f\YWIIY ~ l"n'',,.ni'q..i!,..,. JIOA.II.fOUND 1!1 Wio.ll.IUIIlU\ ~ ~i=~ ~~~ru ~ ~~~! 1:::; +. - ~ ~ -. ~Jf"'LM ~ ~ f~i Ji; di ~ ~ ToU.IS. LEGAL DESCRIPTION ~~...::.:!.'=t.cr,.hl..udl..:iii2wudh111l.-.i m.nt o.lmlllc..rtt, o.olo, _... ~::~~:.=.,.~,:t::.:.,~~~o t J4, U16riMtiMI _.,... 'Tiwlolkiiiii..._:IO,...DII...,.W."'...,_IIIIO,\Diwtlllnhnl*!~lnllw... l\1t Gl.-y'lll0&...,...20ll~...,.,.,..... llf~ n...llliiwiiw...,_di~ti...u.wiiiiiiira.,._lfwa:i......,_mw "- hl riwviil~ n-blt!umi-oi"*"'*ol--blfb'i..,_~\ql1j... Millr\fl!lll-,.1ti)IGW: Tlwulillllf\04--Dill'l'hAMII,...W.. Wa..-..ef41..DII!WIItll'lll......,llhi"*'-*WW.,IIW.!W'd_,WV.,CW.Hw,oL211l1Jo111'111,_,..._,.,1'4h\.,....,Or\IIMo-IIOIM; nw..mtrt~.,..-ar.,...,l_...w.t._..,...,:mm""'...,.,.~tw"_,"cl'fllltc:n.k ~-.....,~~ n-t.nrlltj...,_u.,..,t_.,&.llrwt...,_tla.oiiiiillflnntl,m't~ n...nofi!i04..,_ 1 DI!tw'MD1_..~fl::ra....t tlllnn'*'...c; 'rl\wici...,..n.,._'in"lriuim45ikdnlilw.tfllra... IH.OIIW Inltl:ln,r.IIUlf; Tlwnol"'-th01... _1C11'k ,_... MIIW1...,,'1Uis..llllnnn,t101M; n.n..norii'i04...,_,,ntu.,, _..,.c.~......,..att~'ni"""id.,nn.-,r.nt: lr-.._.,iima-nf!iim.fj-»blffllra... djoi.diklllanr..l*l-. ~6'... _.30_ a.ta.t~..,,.,.,_.,,u,,...-anlr:wlb>'IIIWIII......,.,ol T...,.. Wr"*tiO IIl,..,._ ~:::WC:m.n~-:*~~~~"=~~~"'... M>Ir1cwlno.~suurTITl!! ALTA/ACSM LAND TITLE SURVEY PIIOltCT CRIPPLE CREEK SHOPPING 884 BUFORD DRIVE LAWRENCEVILLE. GEORGIA 300~3 ALTA/ACSM LAND TITLE SURVEY SURVEYOR"S CERTl~CATE' IIII'I k NaUana!A.teoddon,MIU~Inlr\-..ttobtllltwtDanklf\d Truat Comp.ny, M TIUIIN for J.P. Mo~D&t~ Commnlal Mono-o. Flnan01 Co-rp., MOf1VIQIPI.u-'Tlvougi\,S.ra.1o.a,P:tr.!Amarlc'anl11111netnna-eomp.ny aod~otkl a.vbi,llc Thllllto~MttyltwtthllrMPOII!Xi-landh-.uwycnwhktlh.. t:.md'mnmldl Ln IIOOOI'dlliOI Yllh b 2011 Minimum hl\d1rd DUll ~Ultwltlltlla'for Al..TAIACSt-1 LandT'ltMoSurvwy.,Jolnt!y..u..bGihadandldop*lbyAl.TAUldNSPI,andlrdudel lt.rm1""',1(b),71,7b1,7c,b,0,111,13,14,and18 11 oftabmai'inof. Thl llllid~... canpiudc:anm.y1d,l<hl. o.t.cfp\a1orl.up : ~1-t,2012 SURV!tYl!O BY' 1i ~~-; I ~ ~~~I ~ hihl J -~ ~ 5 1~ ~ 8 L ~, SUP '17 U5 2 RonnleJolnt r RLSft-2486 lnthestl:leofgk!rgll COO RDINATED BY: ** OLD REPUBLIC = uxumrv<tjdyjcu , _.,..., _..., Preston Rood, Suite 150A Dallas, Texas P: ( 469) F: ( 469) ( Q ~ ~~ B. g -'l"lril.. lori..._~ S SHEET ] 1 OF 1 COPYRIGHH$}2011, OLD REPUBUC SITE 'W-NAGEWEN'T SERVICES. All RICHT RESERVED. SEP 0 I 2017

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6 Gwinnett County Planning Division Special Use Permit Application Last Updated 12/20 I 5 SPECIAL USE PERMIT APPLICANT'S RESPONSE STANDARDS GOVERNING THE EXERCISE OF THE ZONING POWER PURSUANT TO REQUIREMENT 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 SPECIAL USE PERMIT WILL PERMIT A USE THAT IS SUITABLE IN VIEW OF THE USE AND DEVELOPMENT OF ADJACENT AND NEARBY PROPERTY: Yes, the property is already a mixed use development with restaurants, barber shop, pawn shop, and a smoke shop and lounge. (B) WHETHER A PROPOSED SPECIAL USE PERMIT WILL ADVERSELY AFFECT THE EXISTING USE OR USABILITY OF ADJACENT OR NEARBY PROPERTY: No. We fill that our neighbors businesses and ours are complimentary to each other and all involved will benefit from more clientele. (C) WHETHER THE PROPERTY TO BE AFFECTED BY A PROPOSED SPECIAL USE PERMIT HAS REASONABLE ECONOMIC USE AS CURRENTLY ZONED: As currently zoned the property is unused and we feel that allowing our Tattoo shop to open here will have only positive benefits for our neighbors and us. (D) WHETHER THE PROPOSED SPECIAL USE PERMIT WILL RESULT IN A USE WHICH WILL OR COULD CAUSE AN EXCESSIVE OR BURDENSOME USE OF EXISTING STREETS, TRANSPORTATION FACILITIES, UTILITIES, OR SCHOOLS: No. A Tattoo and Piercing Studio will place no more burden on our environment than any other retail establishment. (E) WHETHER THE PROPOSED SPECIAL USE PERMIT IS IN CONFORMITY WITH THE POLICY AND INTENT OF THE LAND USE PLAN: Yes. We are a business seeking to provide a professional service in a safe, clean environment to the greater community of Gwinnett County. (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 SPECIAL USE PERMIT: Current tenants of the development are supportive of having a Tattoo and Piercing Shop as neighbors. We know of no developments which our shop would effect or limit in the future. We look forward to doing business in a diverse community that we can become a part off and help thrive. 3 SUP '

7 Leigh Tatum 131 Pine Circle Monroe, GA leigh.f August 30, 2017 Gwinnett County Department of Planning and Development One Justice Square 446 West Crogan Street Lawrence I'll, GA Dear Planning Division, Planning & Development I am writing today to express my wish to obtain permits needed to open and operate a Tattoo and Piercing establishment in Gwinnett County, at Cripple Creek Plaza 884 Buford Drive Lawrenceville, GA Suite 700. The shop would be named Big Cat Tattoo and would be operated within the strictest guidelines set forth by the county by myself and my husbandjoe Tatum. The current zoning of this development is C2 and the acreage of the total tract of the development is 2.69 acres. We will only operate out of one unit, unit 700 which is 1,500 sqft. There are 100 parking spots, including 96 regular and four handicapped. The height of the building is 14.5' and we are not requesting any physical changes of building, site, or buffers. Joe has been working as a Tattoo Professional since 2001 andjoe and I have owned and operated a successful Tattoo shop in historic downtown Monroe Georgia for the past six years. We would like to expanded our business by opening up in our neighboring county and bringing the same high quality artwork and customer service here to Gwinnett County that we have been practicing in Walton County. As business owners we are very passionate about being involved with our neighbors and community. From sponsoring little league teams and donating to veterans causes to decorating and harboring feelings of togetherness during the holidays, we always try to be a positive force in our community. We understand the negative perspective that many people have of our profession and strive to set a high standard in behavior, business, and quality for our shop, artist and even our competitors. If we are allowed to do business in Gwinnett County you will be able to count on us to always meet and exceed all standards put before us. We have spent the last six years proving ourselves as good neighbors, restoring and maintaining a historic building for our first shop, and good business owners, building our reputation in the Tattoo community as SUP '

8 a shop that puts out top notch work at fair prices where clients are treated with respect. We hold ourselves to very high standards daily in our business and our personal lives and expect the same from our artist. Artist seek to work at our shop because of our reputation of professionalism and our commitment to always improving. We hope to continue this practice and continue building our reputation in Gwinnett County as a partner with our new neighbors and community. Our goal for the shop is to one day employ up to six artist. The interior design for the shop will be set up so that clients and guest can see the work being done without compromising the sterility of the work environment. We have succeeded in a floor plan like this in our current shop and clients enjoy not being closed off unless they need privacy, which we will provide a separate room for. We will mirror our hours to coincide with our neighbors in hopes that we will all benefit from the added traffic of new potential clients. Our clientele has always come from every walk of life; judges, cops, local business men and even farmers. We like the diversity and always strive to maintain an environment that everyone will feel comfortable in. We have no plans to ever change this about our shop or our behavior towards our clients as it has brought success in a small town. We are confident in our ability to make a success of our business in a larger and more progressive county such as Gwinnett County. Thank you very much for your time and consideration. I have sent along letters of recommendation from our landlord at our Monroe location and from the Director of the Monroe Downtown Development Authority. Please feel free to contact either of them or myself if you have any further questions. I am looking forward to working with Gwinnett County in the future to our mutual benefit. Sincerely, Leigh Tatum Planning & Development

9 215 N Broad Street P.O. Box 1249 Monroe, GA (770) August 30, 2017 Ms. Kathy Holland, Division Director Gwinnett County Department of Planning and Development One Justice Square 446 West Crogan Street Lawrenceville, GA Dear Ms. Holland, The Monroe Downtown Development Authority is committed to inspire economic development, encourage historic preservation, and collaborate with public and private organizations for the benefit of downtown Monroe and our entire community. Over the years our DDA has been proactive in the development of Monroe's downtown business community by encouraging thoughtful redevelopment of historic structures and continually considering the mix of retail and professional businesses in our downtown core. No Cross No Crown Tattoo is one of our businesses along the main downtown corridor in Monroe. They occupy a prominent historic building that they beautifully renovated a few years ago. Not all tattoo businesses can operate in a manner that supports their neighbors and fits in with a thriving small town commercial district. However, Joe and Leigh Tatum have done so wonderfully. The restoration of the retail space into an attractive shop and the way they operate their business has added to our downtown rather than taken away from it. The employees are friendly to visitors passing by and have developed a loyal customer base. They have consistently been responsive to any requests we have made as an organization, and they are engaged with our merchant community's regular trainings and networking meetings. We appreciate the small businesses that make up our great downtown, and we commend No Cross No Crown Tattoo as a contributor to our award-winning business environment. If there is any further information that I could assist you with in regards to this business, please don't hesitate to ask. Thank you, ~~~y<-- Sadie Krawczyk Director Monroe Downtown Development Authority SE P 0 I Planning & Developrnen

10 ANT SA VI NCiS Date:Augu~30,2017 RE: Tenant Reference letter for No Cross No Crown Tattoo Co. Address: 107 N Broad St, Monroe, GA To Whomsoever it may concern, I have leased since November 2014 my building located at 107 North Broad Street in downtown Monroe to Joe Tatum and Leigh Tatum for their business No Cross No Crown Tattoo. They have worked really hard and transformed the building into a beautiful downtown building which currently hosts their Tattoo place. They have always paid their rent on time and are excellent tenants to have for any Landlord. I have a very good working relationship with them and wish them the best in all of their future endeavors. Please contact me at if you have any questions. Thanking you, Abhiram Garapati President Ant Savings Corp 201 Dawn River Cove, Austin, Texas SUP '17 OS 2 Planning & eveloprnent - phone: website antsavings@gmail.com

11 - Gwinnett County Planning Division Special Use Permit Application Last Updated 12/20 I 5 SPECIAL USE PERMIT 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. Leigh Tatum/Owner Type or Print Name and Title RECE\VED BY SE P Plann\ng & eve\opment 4 SUP '17 U ~? 2 (l -! (!I 7

12 Gwinnett County Planning Division Special Use Permit Application Last Updated 12/20 I 5 SPECIAL USE PERMIT 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. (-/-1? Date Joe Tatum/Owner Type or Print Name and Title Notary Seal SUP ' Planning & Development

13 Gwinnetc Court)' Planning Division Special Usc Permit Application Last Updated 12/20 15 SPECIAL USE PERMIT PROPERTY OWNER'S CERTIFICATION THE UNDERSIGNEC BELOW, OR AS ATTACHED, IS THE OWNER OF THE PROPERTY CONSIDERED IN THIS APPLICATION. THE UNDERSIGNED IS AWARE THAT NO APPLICATION OR REAPPLICATION AFFECTING THE SAME LAND SHALL BE ACTED UPON WITHIN 12 MONTHS FROM TH ~ DATE OF LAST ACTION BY THE BOARD OF COMMISSIONERS UNLESS WAIVED BY THE BOARD OF COMMISSIONERS. IN NO CASE SHALL AN APPLICATIO N OR REAPPLICATI ON BE ACTED UPON IN LESS THAN SIX (6) MONTHS FROM THE DATE O F LAST ACTION BY THE BOARD OF COMf'11SSIONERS. r Signature of Property Owner Date Signature of Notary Public ~~ ' ;~~,, Date \Jotary Seal 5 Planning & Development

14 Gwinnett County Planning Division Special Use Permit Application Last Updated 12/20 IS CONFLICT OF INTEREST CERTIFICATION FOR SPECIAL USE PERMIT The undersigned below, making application for a Special Use Permit, has complied with the Official Code of Georgia Section A-1, et. seq, Conflict of Interest in Zoning Actions, and has submitted or atta ed the required information on the forms provided. c:r:)-sr DATE 1q Leigh Tatum/owner TYPE OR PRINT NAME AND TITLE SIGNATURE OF APPLICANT'S ATTORNEY OR REPRESENTATIVE DATE TYPE OR PRINT NAME AND TITLE,,,,,,,.. ',.,,,,,,,_ ~'''"' ~ 1 H A J f. :~,,,,, ~.:; ~~ _IV~ '-'..., I '-?"'?-... ~~\ SSIONc:.. ~ \ ~,. ~~ ~A... ~ : ~ ~. ~ DATE ~OltARYa~EAf.. ~ ~ *. z 2 2 o 1.9 ~.: it' : -. - l:j. :: \.. 'Y.ro "-&.: f \.. )\/C'O UNI'{ G.. $ DISCLOSURE OF CAMPAIGN CONTRIBUTIONS'...,,,}6J:~-~ P ~,~\>~,.,,,,, "'1 n Y v,,,... '''"""""''''' Have you, within the two years immediately preceding the filing of this application, made campaign contributions aggregating $ or more to a member of the Board of Commissioners or a member of the Gwinnett County Planning Commission? DYEs (I] No Leigh Tatum If the answer is yes, please complete the following section: YOUR NAME... ~~ NAME AND OFFICAL POSITION OF GOVERNMENT OFFICIAL CONTRIBUTIONS (List all which aggregate to $250 or More) DATE CONTRIBUTION WAS MADE (Within last two years) Attach additional sheets if necessary to disclose or describe all contributions. 7 SEP 0 I 2017 Planning & Development SUp '11 5 z

15 Gwinnett County Planning Division Special Use Permit Application Last Updated 12/20 I 5 CONFLICT OF INTEREST CERTIFICATION FOR SPECIAL USE PERMIT The undersigned below. making application for a Special Use Permit. has complied with the Official Code of Georgia Section A-I. et. seq. Conflict of Interest in Zoning Actions, and has submitted or attache required information on the forms provided. SIGN 1--/-17 DATE Joe Tatum/owner TYPE OR PRINT NAME AND TITLE SIGNATURE OF APPLICANT'S ATTORNEY OR REPRESENTATIVE DATE TYPE OR PRINT NAME AND TITLE 7 DISCLOSURE OF CAMPAIGN CONTRIBUTIONS Have you. within the two years immediately preceding the fi ling of this application. made campaign contributions aggregating $ or more to a member of the Board of Commissioners or a member of the Gwinnett County Planning Commission? 0 YEs [I) No Joe Tatum YOUR NAME If the answer is yes, please complete the fo llowing section: NAME AND OFFICAL POSITION OF GOVERNMENT OFFICIAL CONTRIBUTIONS (List all which aggregate to $250 or More) DATE CONTRIBUTION WAS MADE (Within last two years) Attach additional sheets if necessary to disclose or describe all contribut ions. RECEIVED By 7 Planning & o evelo,oment

16 Gwinnett County Planning Division Special Use Permit Application Last Updated 12/20 I 5 VERIFICATION OF CURRENT PAID PROPERTY TAXES FOR SPECIAL USE PERMIT 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 THE TAX COMMISSIONER OF GWINNETT COUNTY, GEORGIA. IN NO CASE SHALL AN APPLICATION OR REAPPLICATION FOR REZONING BE PROCESSED WITHOUT SUCH PROPERTY VERIFICATION. *Note: A SEPARATE VERIFICATION FORM MUST BE COMPLETED FOR EACH TAX PARCEL INCLUDED IN THE SPECIAL USE PERMIT REQUEST. PARCEL I.D. NUMBER: District Land Lot Parcel Tatum/ Business Owner Type or Print Name and Title ***PLEASE TAKE THIS FORM TO THE TAX COMMISSIONERS OFFICE AT THE GWINNETT JUSTICE AND ADMINISTRATION CENTER, 75 LANGLEY DRIVE, FOR THEIR APPROVAL BELOW.*** 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 SIGNATURE BELOW) TITLE DATE 8 Planning & Development SUP '