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Planning Department 09/23/2021 Application Checklist Please use the following guideline when completing a rezoning and/or variance application. Digital copies of supplemental materials may be submitted to [EMAIL REDACTED]. For all Rezoning and/or Variance applications you must submit: A completed application form  Section 1: Type of Application o Check the correct type of application o Complete the date of application o Complete the rezoning request, plan revision, variance and variation accordingly  Section 2: Property Information o Fill in all information (If in doubt, call our office at (706) 868-3400)  Section 3: Proposed Use o Brief Description (i.e. retail, commercial, residential, etc.)  Section 4: Ownership and Applicant Information o Owner and applicant must sign o If additional owners are involved, complete “Additional Ownership Information” application o ALL signatures must be notarized o If notarized in our office, DO NOT sign off on before coming. A driver’s license will be required for identification purposes  Section 5: Disclosure Information o Must be completed; if you answered yes, complete the “Disclosure Form”  Section 6: Payment A copy of the warranty deed from the Clerk of Superior Courts Office is required to show proof of ownership. A copy of the plat from the Clerk of Superior Courts Office. If the subject property is part of an association (Homeowners or Property Owners Association), documentation showing the request has been submitted and/or approved by the HOA or POA is required. For Rezoning To S-1, PDD, or PUD you must also submit: A narrative explaining the proposed use(s), hours of operation, phasing, etc.; may include development standards and examples. A site plan, including setbacks, building locations, existing/proposed construction, etc. For Variance and Conditional Use requests you must also submit: A narrative explaining the requested variance or conditional use. Please Note: Additional information may be required. If there is other information you feel would support your request, please submit it with your application. ---PAGE BREAK--- Revised 061417 R:drive: Planning and Development/Forms Zoning and Variance Application ZONING APPLICATION COLUMBIA COUNTY, GEORGIA PLEASE SELECTION ONE Type of Application: Rezoning Plan Revision Variance Variation Conditional Use Date of Application: Rezoning: The undersigned requests that the property described be rezoned from Plan Revision1: The undersigned requests a revision to the current zoning. Variance2: The undersigned requests a variance to Section of the Columbia County Code of Ordinances. Variation3: The undersigned requests a variation to Section of the Columbia County Code of Ordinances. NOTE: Please see footnotes on the backside of this sheet. PROPERTY INFORMATION: Tax Map # Parcel # Address: (For multiple properties, please use a separate sheet of paper.) Road Frontage: feet on the North / South / East / West (circle one) side of . Property area is approximately acres and is located _ feet from the intersection of .The attached plat for the property was prepared by and dated PROPOSED USE (for rezoning): If approved, the property will be used for the following purpose(s): OWNERSHIP AND APPLICANT INFORMATION: OWNER: APPLICANT: ADDRESS: ADDRESS: CITY CITY: STATE:____ZIP: : STATE: ZIP: PHONE PHONE#: Email (or) Fax: Email (or) Fax: DISCLOSURE Does any local government official or member of their family have a financial interest in the property, or has the applicant made campaign contributions in the aggregate of $250 or more within the past two years to any local government official? (Yes or No). If yes, a full written disclosure must be submitted with this application. I hereby depose 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 Printed Name Printed Name Subscribed and sworn to before me on day of . 20 By: Notary Public Please return original notarized application with all supporting documentation and fees, to the Columbia County Planning Department, P.O. Box 498, Evans, GA 30809. Refer to Fee Schedule. Date Received: Public Hearing Date: File # BOC Meeting Date: Commission District: Office Use Only ---PAGE BREAK--- R:drive: Planning and Development/Forms Zoning and Variance Application Additional Ownership Revised 2011 ZONING APPLICATION COLUMBIA COUNTY, GEORGIA ADDITIONAL OWNERSHIP INFORMATION: OWNER: OWNER: ADDRESS: ADDRESS: CITY: STATE: CITY: STATE: ZIP: PHONE PHONE#: Email (or) Fax: Email (or) Fax: DISCLOSURE Does any local government official or member of their family have a financial interest in the property, or has the applicant made campaign contributions in the aggregate of $250 or more within the past two years to any local government official? (Yes or No). If yes, a full written disclosure must be submitted with this application. I hereby depose and say under the penalty of perjury that all of the statements contained in or submitted with this application are true. Owner’s Signature Owner’s Signature Printed Name Printed Name Subscribed and sworn to before me on of By: Notary Public ADDITIONAL OWNERSHIP INFORMATION: OWNER: OWNER: ADDRESS: ADDRESS: CITY: STATE: CITY: STATE: ZIP: PHONE PHONE#: Email (or) Fax: Email (or) Fax: DISCLOSURE Does any local government official or member of their family have a financial interest in the property, or has the applicant made campaign contributions in the aggregate of $250 or more within the past two years to any local government official? (Yes or No). If yes, a full written disclosure must be submitted with this application. I hereby depose and say under the penalty of perjury that all of the statements contained in or submitted with this application are true. Owner’s Signature Owner’s Signature Printed Name Printed Name Subscribed and sworn to before me on day of By: Notary Public Date Received: Public Hearing Date: File # ---PAGE BREAK--- R:drive: Planning and Development/Forms Zoning and Variance Application Revised 041713 Zoning Districts Residential Zoning Districts Multi-Family Zoning Districts R-A (Residential Agricultural) T-R (Townhouse Residential) R-1 (Single Family Residential) A-R10 (Apartment Residential) R-1A (Single Family Residential) A-R (Apartment Residential) R-2 (Single Family Residential) R-3 (Single Family Residential) Industrial Zoning Districts R-3A (Single Family Residential) M-1 (Light Industrial) and Two Family Residential) M-2 (General Industrial) R-4 (Recreational Residential) Commercial Zoning Districts Planned Zoning Districts Overlay Districts C-1 (Neighborhood Commercial) S-1 (Special District)4 RCO 90-555 C-C (Community Commercial) PDD (Planned Development District)4 ETCOD 90-966 C-2 (General Commercial) PUD (Planned Unit Development)4 CPOD 90-997 C-3 (Heavy Commercial) NPOD 90-1008 P-1 (Professional) FOOTNOTES: 1 Application must include a project narrative statement and site plan when requesting a revision to S-1, PUD, and PDD zoning districts. Please refer to Columbia County Code of Ordinances, Chapter 90, Section 90-182 for specific requirements. 2 A reason for request and supporting documents must accompany this application. A copy of the applicable section of the covenants will be required. Variances are heard in individual hardship cases of practical difficulty, where the special circumstances or conditions are such that the strict application of the provision of the Code of Ordinances would deprive the applicant of any reasonable use of their land. Loss in value alone does not justify a variance. (Use an additional separate sheet of paper if additional sections are requested.) 3 A reason for this request and supporting documentation must accompany this application. This is only applicable to properties within the Evans Town Center Overlay District (ETCOD), Corridor Protection Overlay District (CPOD), and Node Protection Overlay District (NPOD). (Use an additional separate sheet of paper if additional sections are requested.) 4 These districts require additional information to be submitted with an application. Please refer to Columbia County Code of Ordinances, Chapter 90, Section 90-182. 5 Please refer to Columbia County Code of Ordinances, Chapter 90, Section 90-55 for specific requirements of the Residential Cluster Overlay (RCO). 6 Please refer to Columbia County Code of Ordinances, Chapter 90, Section 90-96 for specific requirements of the Evans Town Center Overlay District (ETCOD). 7 Please refer to Columbia County Code of Ordinances, Chapter 90, Section 90-99 for specific requirements of the Corridor Protection Overlay District (CPOD). 8 Please refer to Columbia County Code of Ordinances, Chapter 90, Section 90-100 for specific requirements of the Node Protection Overlay District (NPOD). ---PAGE BREAK--- Conditional Use Application Addendum Detailed description of proposed use. For daycares, personal care homes, etc. include number of residents expected. For other uses (churches, schools, entertainment facilities, etc.), include maximum occupancy, square footage, seating capacity, etc. as applicable. All uses must provide sufficient detail below to inform a vote on the proposed use. Additional information may be requested at any time. Detailed explanation of why the proposed location is suitable for the proposed use, including compatibility with surrounding uses, design standards, etc. Number of Employees: Number licensed: Licensing Organization Hours of Operation Mon to Tues to Wed to Thur to Fri to Sat to Sun to ---PAGE BREAK--- Description of planned site improvements (buildings, landscaping, lighting, including security lighting, parking, etc.), if any A site plan, renderings or pictures of the proposed building or character of the development, or other additional information may be submitted with the request or may be required by staff or Commissioners at any time.