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Agricultural Permit Application (ALL APPLICATIONS HAVE TO BE FILLED OUT COMPLETELY IN ORDER TO BE PROCESSED) MORGAN COUNTY PLANNING AND DEVELOPMENT Post Office Box 1357 150 East Washington Street, Suite 200 Madison, Georgia 30650 (706) 342-4373 Office (706) 343-6455 Fax Property Owner’s Name: Cell phone#: Address: Home phone#: City: State: Zip Code: Email Address: Property Owners Information Project Name: Jurisdiction: Property Address: City: State: Zip Code: Nearest Intersection or Address: Name of Subdivision: Lot#: (if applicable) Property Location All Contractors Must Provide a copy of State Contractor’s and Business License Contractor’s Name: Cell phone Contractor’s Address: Office Fax City: State: Zip Code: Email Address: State Certification Expiration date: Occupational Tax Issuing County: Project Managers Name: Telephone Contractors Information Type of Building Permit Requested: (Check all that apply) Addition & Remodel Grain Silo Implement Shed Retaining Wall Addition Hay Barn Livestock Barn Other (Explain) Animal Arena Hog Polar Pole Barn Dairy Barn Horse Barn Poultry House Permit Renewal Horticultural Structure Remodel Explanation: ---PAGE BREAK--- Building Information: (Please fill in all pertinent information) Total cost of construction: $ (cost should be estimated to Fair Market Value) Structure will have: Electrical HVAC Plumbing Building Dimensions (Foot print): Total square footage of building: Heated: Unheated: 1st Floor Heated/Unheated: 2nd Floor Heated/Unheated: Living Quarters and/or Bathrooms: (if applicable) Bedroom(s) Half bathroom(s) Full bathroom(s) Kitchen(s) Office _______Total number of rooms Foundation: Basement Basement/Crawlspace Basement/Slab Crawlspace Crawlspace/Slab Monolithic Slab Foundation Material: Dirt Wood Poured Concrete Gravel/Stone Block Brick Structure Material/Support: Wood Steel Concrete Block Brick Poles Combination Exterior Materials/Covering: (Please check all that apply): Aluminum Siding Brick Stone Block Concrete Hardi-Plank/Hardboard Siding Vinyl Fiber Cement Siding Wood/Plywood Siding Metal Stucco/Masonry Veneer Particleboard Siding Other Explain Roof Construction: Steel Truss Structural Steel Wood Truss Dimensional Lumber Engineered Lumber Heavy Timber Steel Joist Combination Roof Covering: Asphalt/Fiberglass Shingles Concrete Tile Mineral-Surfaced Roll Roofing Wood Shingles/Shake Metal Roof Panel Metal Roof Panel Shingle Single-ply Membrane Roof Slate Terracotta Tiles Built up Roof Covering Other Explain Fireplace: Insert Masonry Pre-fabricated Wood Stove Garage: Attached Carport Detached No Garage ---PAGE BREAK--- Type of Heating System (if applicable): Electric Heat Pump Gas Duel Fuel Solar Geo - thermal Power Company : Georgia Power Walton EMC Central Georgia EMC Snapping Shoals EMC Rayle EMC Tri County EMC Water Supply: Private Well City of Bostwick Private Water System City of Rutledge Morgan County Town of Buckhead City of Madison Sewage (if applicable): Private Septic City of Madison Private Sewage System City of Rutledge Environmental: Is the building within 200 feet of State Waters? Yes No Are there wetlands on the property? Yes No Is there flood plain on the property? Yes No Is the property in Conservation Use Program? Yes No All information is true and accurate to the best of my knowledge. Applicant Date Occupancy Classification and Group: (Check all that apply) Assembly A-1 A-2 A-3 A-4 A-5 Business B Mercantile M Educational E Factory – Industrial F-1 F-2 Residential R-1 R-2 R-3 R-4 High Hazard H-1 H-2 H-3 H-4 H-5 Institutional I-1 I-2 I-3 I-4 Storage S-1 S-2 Utility & Miscellaneous U Single Family Dwelling Two Family Dwelling