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Walton County Planning and Development Administrative Variance Zoning District: Commission District: DOCUMENTS TO BE SUBMITTED WITH APPLICATION Recorded Deed Survey Plat Site Plan _______Proof of Paid Property Taxes______ Applicant Name/Address/Phone # Property Owner Name/Address/Phone Phone Phone Type Request: _______VARIANCE Property Location Describe State Reason for request and how these reasons satisfy Article 14 Standards of Review: Public Public Sewer:______ Septic The above statements and accompanying materials are complete and accurate. Applicant hereby grants permission for Planning and Development personnel to enter upon and inspect the property for all purposes allowed and required by the Comprehensive Land Development Ordinance. Fee Paid: $100.00 Administrative Variance granted per Article 14 Section 180 P & D Official: Date: ---PAGE BREAK--- AUTHORIZATION BY PROPERTY OWNER I swear that I am the property owner of the property which is the subject matter of the attached Petition for Variance Application, as is shown in the records of Walton County, Georgia. I authorize the named below to act as Applicant in the pursuit of a Petition for Variance Application. Name of Applicant: Address: Telephone: Location of Property: Map/Parcel Number: Property Owner Signature Property Owner Signature Print Print Phone Phone Personally appeared before me and who swears that the information contained in this authorization is true and correct to the best of his/her knowledge. Notary Public Date