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RETAINING WALL PERMIT APPLICATION This application must be accompanied by a wall design signed and sealed by a Georgia registered engineer and a site plan showing the lot, house location, wall location(s), top-of-wall elevations, direction of wall face and distances from property lines as well as easements and buffers. PERMIT DATE: Property Owner: Phone Property Address: City: State: Zip: Subdivision: Lot#: Contractor/Company: State License Address: City: State Phone: ☐Sewer or ☐ Septic Construction Signature of Applicant: Printed Name: Zoning Information: Length of wall: Height of wall at highest point above grade: Closest distance to a property line: Zoning Approval / Comments: Public Works Approval / Comments: State Erosion Control Cert. Required ☐ YES ☐ NO Cert#: Building Department Approval