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Gwinnett County Planning Division Special Use Permit Application Last Updated 12120 I5 SPECIAL USE PERMIT APPLICATION AN APPLICATION TO AMEND THE OFFICIAL ZONING MAP OF GWINNETT COUNTY, GA. APPLICANT INFORMATION PROPERTY OWNER INFORMATION* NAME: V t!!Zo f\(f 0 /1 I NAME: I ADDRESS: 4J t; t1 ) ADDRESS: 1.)'£? 7 S Y.P!ff eY /Y} I o/-/i51 CITY: /Jryv /ZeN C&V! CITY: l:fHv-;zgA .j" C§VI LLF STATE: Cr!r ZIP: 3 0 (j Lf!f STATE: Crr ZIP: 3ooq G PHONE: ,.7[ t .05 PHONE: . (-;!<£ 75S CONTACT PERSON: V t!..eo f'./1 c;r / !_ g ,x.f -;lj;'" PHONE: lP18 - ISS - L1t..t yq CONTACT'S E-MAIL: MI- V Cz !'0 M t_ ' CJO ,;y, *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: DOWNER'S AGENT [XI PROPERTY OWNER D CONTRACT PURCHASER EXISTING/PROPOSED zoNING : f< I 0 Os uiLDING/LEASED sQUARE FEET: / Z5 Jf 0 PARCEL NUMBER(S): f2-(? 0 - {J 2 3 ACREAGE:_):.__ . _' ADDREss oF PROPERTY: i-f7 g PfVI7d/6v A! //.)) /..ft Jti}, W'A/ct?WL if (f <f.y'"L,l sPECIAL usE REQuEsTED: C4R2 !f? /n PLEASE ATTACH A LETT ER OF INTENT EXPLAINING WHAT IS PROPOSED RECE IVED BY APR 0 6 2017 Pl anning & Development SUP '1 7027

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Page 1: (f I 4J t1 · 2017-04-13 · t•lud Room Garage Tol•ll.Mo9 Alu (Ronde

Gwinnett County Planning Division Special Use Permit Application

Last Updated 12120 I 5

SPECIAL USE PERMIT APPLICATION AN APPLICATION TO AMEND THE OFFICIAL ZONING MAP OF GWINNETT COUNTY, GA.

APPLICANT INFORMATION PROPERTY OWNER INFORMATION*

NAME: Vt!!Zof\(f 0/1 I U:-7/~6 NAME: v~s!V/01,1 I Lg-;y:e~

ADDRESS: 4J t; Pl-r77fd~&4 t1 )ADDRESS: 1.)'£?7 SY.P!ffeY /Y} I o /-/i51

CITY: /Jryv/ZeN C&V! ~ CITY: l:fHv-;zgA.j" C§VI LLF

STATE: Cr!r ZIP: 3 0 (j Lf!f STATE: Crr ZIP: 3ooqG

PHONE: ,.7[ t .05 ~~~~ PHONE: .(-;!<£ 75S ctlt~9

CONTACT PERSON: Vt!..eof'./1 c;r / !_g ,x.f-;lj;'" PHONE: lP18 -ISS - L1t..t yq

CONTACT'S E-MAIL: MI-VCz !'0 ~ M t_ ' CJO,;y,

*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:

DOWNER'S AGENT [XI PROPERTY OWNER D CONTRACT PURCHASER

EXISTING/PROPOSED zoNING: f< I 0 OsuiLDING/LEASED sQUARE FEET: / Z5 Jf 0 PARCEL NUMBER(S): f2-(? 0 ~2 - {J 2 3 ACREAGE:_):.__. _' (}----=-[;;---~ ADDREss oF PROPERTY: i-f7 g PfVI7d/6vA! //.)) /..ft Jti},W'A/ct?WLif t;Jf ~ (f <f.y'"L,l

sPECIAL usE REQuEsTED: P~sol'l¥ C4R2 !f?/n ~

PLEASE ATTACH A LETTER OF INTENT EXPLAINING WHAT IS PROPOSED

RECEIVED BY APR 0 6 2017

Planning & Development

SUP'17027

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1305 Mall of Georgia Blvd. Sutte 180 Buford. GA 30519 F1le No .. 04-062648·REG

--- c( ;I c xli/13 J1 tr ·

STATE OF GEORGIA COUNTY OF GWINNETT

LIMITED WARRANTY DEED

THIS INDENTURE, made on 15th day of Septombor, 2016, between

Paula Zllello

(hereinafter referred to as "Granto(') and

ACM 3, LLC

w•••••••~t. l "'UVI1t J UA 0

1

•• ' : • i I • • : ' • '•' \

16 OCT ·7 PH 211!0 .. . . ·''

.:!ICHARO 1\L[xAHuJ:R: ci,(JU{

PT-6111 le}~O\LP- Od 5G)5 '1 GWINNETT CO. GEORGIA

RENt/WRANSFER TAX S OJ 1 RICHARDT. ALEXANDER, JR. Ct.fRK OP' SUPERIOR COURT

(hereinafter referred to as "Grantee"). the words "Grantor" and "Grantee" to Include the he1rs, executors. legal representatives, successors and ass1gns or said parties where the context requ~res or perm1ts: WITNESSETH

THAT Grantor, for and 1n consideration of the sum of TEN DOLLARS ($10.00) AND OTHER GOOD AND VALUABLE CONSIDERATIONS. m hand paid, at and before the sealing and delivery or these presents, the receipt or which IS hereby acknowledged by Grantor, has granted, bargained, sold and conveyed, and by these presents does grant. barga1n, sell and convey unto Grantee,

All that tract or parcel of land lymg and bemg m Land 'Lot_52_of ll}e_~th"Dislncl. Gvlinnett County, Georgia, bemg J Lot16, Block A, Patterson East Subdivision, Unit One; as per plat recorded at Plat Book X; Page 112, Gw•nnett County, Georgta Records, sa1d plat Incorporated herein and made a part or by reference

TOGETHER WITH all and singular the rights, members end appurtenances thereto (hereinafter collectively referred to as the "Premises') , the same bemg, belong1ng, or In anywise appertamlng to the only proper use. benefit and behoof of Grantee.

SubJect to all easements, nghts ol way, and restrichve covenants or record (hcremalter referred to as the "Exceptions")

TO HAVE AND TO HOLD the Prem1ses, subJeCt to the Exceptions, to the only proper use, benefit and behoof or Grantee, forever, 1n FEE SIMPLE, and Grantor will. subject to the Exceptions, warrant and forever defend the right and tiUc to the Premises unto Grantee agamst the claims of all person cla1mlng by, through or under Grantor. but not olherv11se.

IN WITNESS WHEREOF, Grantor has executed th1s mslrument under seal, as of the dale first above wntten.

009410i Umiled WafTanly Deed 04-062648-REG

RECEIVED BY

APR 0 6 2017

Planning & Development

/0

SUP '17027

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Page 4: (f I 4J t1 · 2017-04-13 · t•lud Room Garage Tol•ll.Mo9 Alu (Ronde

Building Sketch Booo~~t(Cteot lknre. V«w>-<~

Pr()IJffiJ Mdcess 478 P.rJ<IWl Rd Cilv u -MEOCt'lle Caxlty G·•'rMa S!ale GA l4) C<XIi! 300H LEOda fist C001munlv l.!ortQJQa lr.c !BAOK£A)

20' r----------------, I 1 I I I I

N : Deck f ~ 32' .-< I I -

r-----------------------------;1 I 1 "! : 4s· Laundry I

t•l ud Room

Garage

Tol•ll.Mo9 Alu (Ronde<!) : Jfon ·livlng Aru 2 C.r AlU<hed

0 N

Breakfast Area

Owner 's Bath

Kitchen

Owner's Bedroom

Bath

Uving Room

Dining Room Bedroom Bedroom

I 57' I

\o : Covered Porch : "' I I

'--------------------------

l8S1 Sq It

1452 Sq It

JSOSq ft

100Sq fl

2~SqR

30'

SUP '17 027 RECEIVED BY

APR 0 6 2017

Planning & Development

C~kolilloo DdJIIt 28x15 = 1260 12 X 2Q : ~~

lJ X J2 : )52

19 X 20: )SO

6 x30 = 1110

12 X 20 = ~~

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Gwinnett County Planning Division Special Use Permit Application

Last Updated 12120 IS

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 A IT ACHMENT AS NECESSARY:

(A) WHETHER A PROPOSED SPECIAL USE PERMIT WILL PERMIT A USE THAT IS SUITABLE IN VIEW OF THE USE AND D~VELOPMENT OF ADJACENT AND NEARBY PROPERTY:

~5

(B) WHETHER A PROPOSED SPECIAL USE PERMIT WILL ADVERSELY AFFECT THE EXISTING USE OR USAB%/ OF ADJACENT OR NEARBY PROPERTY:

(C) WHETHER THE PROPERTY TO BE AFFECTED BY A PROPOSED SPECIAL USE PERMIT HAS REASONABLE )P~~C USE AS CURRENTLY ZONED:

(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:f{'LlJIES, OR SCHOOLS:

(E) WHETHER THE PROPOSED SPECIAL USE PERMIT IS IN CONFORMITY WITH THE POLICY AND INTENT OF THE LAND USE PLAN: ;-r ~ _5

(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:

I

RECEIVED BY

APR 0 6 2017

Planning & Development

SUP '17 027

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Gwi1mett County Plarming Division

446 West Crogan Street Suite 250

Lawrenceville, GA 30046

AITN: Board of Conm1isioners

RE: Intent for Personal Care Home Permit

To Whom It May Concern:

I am seeking approval for a special use permit for a Personal Care Home. The purpose of this home is to serve the elderly population and and provide personalized care including boarding, meals, and bathing. I have over twenty-one years of experience with working with the elderly and currently run a personal care home less than a mile away located at 1757 Scholar Drive. We have been running this location for eight years.

The Personal Care Home will be located at 478 Patterson Road Lawrenceville, GA 30044. The home will house tlu·ee adults and will be staffed twenty- four hours a day. The home will comply with all state and county rules and regulations. The home will not cause any additional traffic or an increase in sound. Thank you for your attention to this matter.

Sincerely,

Veronica Ileru e

(678)755-9449

aalvg 1 [email protected]

RECEIVED BY APR 0 6 2017

Planning & Development

SUP '17 027

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Gwinnett County Planning Division Special Use Permit Application

Last Updated 1212015

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.

Type or Print Name and Title

r1-Date

RECEIVED BY APR 0 6 2017

Planning & Development

SUP '17 02 7

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Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/20 15

SPECIAL USE PERMIT PROPERTY OWNER'S CERTIFICATION

THE UNDERSIGNED 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 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.

Date

Type or Print Name and Title

0 (Y Date

RECEIVED BY

APR 0 6 iUl/ SUP '17 027

Planning & Development

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SPECIAL USE PERMIT IN A RESIDENTIAL DISTRICT

Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/20 IS

(Only submit with Special Use Permit Application for a use within a residence)

I, the undersigned applicant, understand and agree that the Special Use Permit, if approved, shall automatically terminate in the event that this property is sold, transferred or otherwise conveyed to any other party, or the business which operates the special use is sold, transferred, otherwise conveyed or discontinued.

Signature o App 1cant

Type or Print Name

RECEIVED BY APR 0 6 201/

Planning & Development

SUP '17 027

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Gwinnett County Planning Division Special Use Permit Application

Last Updated 12/2015

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 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'S RNEY OR REPRESENTATIVE

DATE

DATE

TYPE OR PRINT NAME AND Tl LE

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?

DYES IZI NO 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)

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

RECEIVED BY

7

APR 0 6 2017 SUP '17 0 2 7

Planning & Development

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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: (Map Reference Number)

JiJ~ (,.

District

Signature of Applicant

V ~;Zoff f cA I /.J;7'1[/l~ {o lA Ncf?_ Type or Print Name and Title il

~ ;2- _ ;< :;--r>S2 - a2 -:s --~--

Land Lot Parcel

~L~ [11

***PLEASE TAKE THIS FORM TO THE TAX COMMISSIONERS OFFICE AT THE GWINNETT JUSTICE AND ADMINISTRATION CENTER, 75 LANGLEY DRIVE, FOR THEIR APPROVAL BELOW.***

DATE

TAX COMMISSIONERS USE ONLY

Q

TITLE

RECEIVED BY

APR 0 6 20 17

Planning & Development

SUP '17 027

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APPRAISAL OF REAL PROPERTY

LOCATED AT: 478 P~Rd

lL52, 5th D:Sl, l« 16, B'l<A. Patmoo East Subd''.s'oo, Un~ One LTM<nte.~. GA 30044

FOR:

275 Rebert Rose orr ... f.'urtrw.t«o, m 37129

AS OF: 02/llll017

BY: Sh~ R l'olllala, CR4602, E>~ 4/30/l017

Planning & Development

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Photograph Addendum Borrower/CEeot Uenre Veronica Property Address 4 7 8 Patterson Rd City lawrencevile Coonty Gwimett State GA Zip Code 30044 lendef First Community Mortgage, Inc (BROKER)

Living Room Living Room Dining Room

Kitchen Kitchen Breakfast Area

..

Mudroom I Laundry Room Mudroom I Laundry Room Bedroom

SUP '17 027 Planning & Development

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Subject Photo Page Br.cw;tt/Cl<fil lknre, Ve~ooica f'ro!>lll'! Ad<re;s 4 7 8 PatlE~CO Rt:l City Ll'hl£<1(<'ti.l Cruoty. G·o'nn~a Lf'Odef f rst Co.11munlv J.!0<1Q3<l~. Jr.c !BROKER)

Sta!e GA w Cooe woH

Subject Side 476 Pa!lmcn Rt:l

Sa'es Price 170,000 Gross liing Nr.a 1,652 Tof;jRolffiS 6 Tol.il Boorooms Tcb:IB~rc;..ms 2.0 Loc<"oo I( Res; \~it/{ N,R!.s; S~e 1.06<c cw::y a~

Age 42

Subject Side

Subject Street

SUP '17 027

RECEIVED BY

APR 0 6 lu ·,;

Planning & Development

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Subject Photo Page Bcrn11;w'Citnl I.Jer<e. Vtronk.a f\'opEft I Address 4 7 8 P<llcrscn All Citj Ll••ero<etla CaJlly G~'nn<:l L£fflff frst Coolmunlv Mato'-'le ~ IBROI<ERl

S!:t.e GA Z4l Cod~ 300H

Subject Front 478 Pallffio1 All Saos Price 1 7o,ooo Gross liing Area 1 ,8;2 Tc.l.a Ro:ms 6 T~ Boorcxxns Tc.l.a Blhro:ms 2.0 loc<ti:o II,R!3,

\~?"N rl;Re-);

S~e 1.06<c CML:Y 0~

Age 42

Subject Rear

Subject Street

SUP '17 0 2 7 RECEIVED BY

APR 0 6 2017

Planning & Development

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Borrower/Client Uenre, Veronica Property Address 4 78 Patterson Rd City lawrencevile Lender First Communitv l.lortoaoe. Inc (BROKER!

Owner's Bathroom

Attic

Photograph Addendum

County Gwimett

Garage

Crawl Space

State GA

SUP '17 027

RECEIVED BY APR 0 6 2017

Zip Code 30044

Planning & Development

Deck

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I : ' 11 11 : II ' · ." . '' l I 1 ·; 1\ I I II : : I ; I .; I I · 1 II 1\ ,\

All that tract or parcel of land lymg and be1ng m Land 'Lol.52_ot the 5th.Distfic1, GY.i nnetl County, Georgia, be1ng Lot16, Block A, Palterson East Subdivision, Unll One; as per plat'iecorded at Plat Book X ·Page 112, Gwmnell County, Georgta Records, sa<d plat mcorpora!cd herein and made a part of b~· reference

SUP '17 02/

RECEIVED BY

APR 0 6 2017

Planning & Development