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& Page 1 of 8 404.371.2155 (o) DeKalbCountyGa.gov Application for Certificate of Appropriateness Date Received: ___________________________ Application No.: ________________________________ Address of Subject Property: ________________________________________________________________________________ Applicant: _________________________________________________ E-Mail:_____________________________________ Applicant Mailing Address: _________________________________________________________________________________ _______________________________________________________________________________________________________ Applicant Phone(s): ______________________________________________ Fax: ________________________________ Architect: Contractor/Builder Other ____________________________ *************************************************************************************************************************** Owner(s): _____________________________________________________ E-Mail:_________________________________ _____________________________________________________ E-Mail:__________________________________ Owner(s) Mailing Address: __________________________________________________________________________________ _______________________________________________________________________________________________________ Owner(s) Telephone Number: _______________________________________________________________________________ Approximate age or date of construction of the primary structure on the property and any secondary structures affected by this project: __________________________________________________ Nature of work (check all that apply): New construction Demolition Addition Moving a building Other building changes New accessory building Landscaping Fence/Wall Other environmental changes Sign installation or replacement Other Description of Work: _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ This form must be completed in its entirety before the Planning Department accepts it. The form must be accompanied by supporting documents (plans, material, color samples, photos, etc.). Provide eight (8) collated sets of the application form and all three (3) additional sets at scale. All documents submitted in hard copy must also be submitted in digital form (.pdf format). All relevant items from the application checklist must be addressed. An application which lacks any of the required attachments shall be determined incomplete and will not be accepted. _________________________________________ Signature of Applicant/Date Revised 1/26/17 Director 8/27/2021

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Page 1 of 8

404.371.2155 (o)

DeKalbCountyGa.gov

Application for Certificate of Appropriateness

Date Received: ___________________________ Application No.: ________________________________

Address of Subject Property: ________________________________________________________________________________

Applicant: _________________________________________________ E-Mail:_____________________________________

Applicant Mailing Address: _________________________________________________________________________________

_______________________________________________________________________________________________________

Applicant Phone(s): ______________________________________________ Fax: ________________________________

Architect: Contractor/Builder Other ____________________________

*************************************************************************************************************************** Owner(s): _____________________________________________________ E-Mail:_________________________________

_____________________________________________________ E-Mail:__________________________________

Owner(s) Mailing Address: __________________________________________________________________________________

_______________________________________________________________________________________________________

Owner(s) Telephone Number: _______________________________________________________________________________

Approximate age or date of construction of the primary structure on the property and any secondary structures affected by this project: __________________________________________________

Nature of work (check all that apply):

New construction Demolition Addition Moving a building Other building changes New accessory building Landscaping Fence/Wall Other environmental changes Sign installation or replacement Other

Description of Work:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

This form must be completed in its entirety before the Planning Department accepts it. The form must be accompanied by supporting documents (plans, material, color samples, photos, etc.). Provide eight (8) collated sets of the application form and all

three (3) additional sets at scale. All documents submitted in hard copy must also be submitted in digital form (.pdf format). All relevant items from the application checklist must be addressed. An application which lacks any of the required attachments shall be determined incomplete and will not be accepted.

_________________________________________ Signature of Applicant/Date

Revised 1/26/17

Director

8/27/2021

rlbragg
Received
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MEDIUM SLATE CHIP PATH OVER FABRIC (245SF) WITH (164 FT) GREY FLAG STONE RUBBLEEDGE. SLATE CHIP PATH TO BE FLUSH WITHFLAGSTONE WALKWAY

FLAGSTONE CIRCLE PLANTING AREA FOR BIRDBATH ORSPECIMEN PLANT. LOW GROWING PLANTS AS GROUNDCOVER

112 SF GREY FLAGSTONE MORTAR SETPAVING OVER CONCRETE FOOTER AT SAMEELECATION OF DRIVEWAY

MEDIUM SLATE CHIP PATH OVER FABRIC (20 SF)WITH (14 FT)BRICK, STONE OR METAL EDGING

(1)STONE STEP. WIDTH TO MATCH EXISTING WALK12" DEEP TREAD W/ 6" RISER

EXISTING WALKWAY AND PORCH TO REMAIN

PORCH

(6)FLAGSTONE STEP STONES SETON MORTAR LEVELING BED

3'

2'

33'-8

"6'

EXISTINGDRIVEWAY

FUTURE ELECTRIC LAMP POST

EXISTING STREET TREERED MAPLE3'-6"

6'-6

"

EXISTING LAWN

EXISTING LAWN

EXISTING LAWNEXISTING LAWN

3'-6"

R2'-6"

R5'-9"

3'-6"

9'-3

"

13'-6"6'

-6"

3'-6"

20' 3'-6

"

CL

EXISTING SIDEWALK

EXISTING LAWN

SCREENED PORCH

FLAGSTONE STEPS:(2)12" TREADS AND(2)7" MAX RISERS(11 SF)

1'-2

"2' LANDING FLUSH WITH

SIDEWALK

4"+/- HT FLAGSTONE RUBBLE CURB/EDGEALONG FLAGSTONE WALK TO HOLD UP DIRT.(12 FT)

4"+/- HT FLAGSTONE RUBBLE CURB/EDGEALONG FLAGSTONE WALK TO HOLD UP DIRT.(21 FT)

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CERTIFICATE OF APPROPRIATENESS APPLICATION (8/27/21): ATTACHMENT 1
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(1)PEACH TREE

(2)COLOR GUARDYUCCA

(1)'HUMMINGBIRD'CLETHRA

(3)INKBERRY 'NIGRA' OR 'SHAMROCK'(2)RED SPRITEWINTERBERRY

MEDIUM SLATE CHIP PATH OVER FABRIC (225SF) WITH (161 FT) GREY FLAG STONE RUBBLEEDGE

FLAGSTONE CIRCLE PLANTING AREA FOR BIRDBATH ORSPECIMEN PLANT. LOW GROWING PLANTS AS GROUNDCOVER

R2'-6"

BUTTER FLY GARDEN

MIX OF LOW GROWING LAWN ALTERNATIVES: VIOLETS,JOHNNY JUMPUPS, WILD STRAWBERRY, WILD CINQUEFOIL,WHITE AND PINK CLOVERS, CREEPING JENNY FOR THE SHADYSIDE AND DICHONDRA

MIX OF LOW GROWING HERBS, PERENNIAL AND LEAFY GREENSAROUND PERIMETER. INSTALL BROWN METAL EDGING ALONGOUTSIDE PERIMTER TO HELP PREVENT CREEP FROM LAWNALTERNATIVES

112 SF GREY FLAGSTONE MORTAR SETPAVING OVER CONCRETE FOOTER.(1)QUINCE

LARGE PLANTER AT END OF WALKLAMP LIGHT

(2)SOFT CARESSMAHONIA

MIX OF NATIVE FERNS,SEDGES AND GINGER

6' WIDE METAIL ARBORW/ AMETHYST FALLSVISTERIA

MIX OF NATIVE FERNS,SEDGES AND GINGER

MEDIUM SLATE CHIP PATH OVER FABRIC (20 SF)WITH (14 FT)BRICK, STONE OR METAL EDGING

3'

R5'

-6"

(1)AUTUMN BRILLIANSERVICEBERRYMIX OF DAYLILIES,'WALKER'S LOWCATMINT, LAMB'S EARAND THREADLEAFYELLOW COREOPSIS(LOW GROWINGPERENNIALS)

MIX OF DAYLILIES, 'WALKER'S LOW CATMINT, LAMB'S EARAND THREADLEAF YELLOW COREOPSIS(LOW GROWING PERENNIALS)

(7)DWARF YAUPON HOLLY ASLOW HEDGE

EXISTING BLUEBERRYBUSHES

(3)BLUEBERRY BUSHES

(1)WITCH HAZELBENCH

(2)TUSCAN BLUE ROSEMARYFLANKING BENCH

EXISTING SWEETBAYMAGNOLIA

(1)HAZELNUT

ESPALIERED FIG TREE ONCORNER OF HOUSE

STEP STONE PATH

(1)ADAM'S NEEDLE YUCCA

MEYER LEMON

MIX OF TALL PERENNIALS(BLACK EYE SUSAN, BEEBALM AND BLUE FLAG IRISAND VEGETABLES LIKETOMATOE, PEPPER &EGGPLANT.

MIX OF LOW GROWINGNATIVE PERENNIALS:CRANESBILL GERANIUM,HEUCHERAS, STOKESASTERS AND YARROWS

MIX OF LOW GROWINGNATIVE PERENNIALS:CRANESBILL GERANIUM,HEUCHERAS, STOKESASTERS, VERBENA ANDYARROWS

MIX OF TALL PERENNIALS (BLACK EYE SUSAN, BEEBALM AND BLUE FLAG IRIS AND VEGETABLES LIKETOMATOE, PEPPER & EGGPLANT.

MIX OF TALLER PERENNIALS: AMSONIA, COLUMBINE,WOODLAND PHLOX WITH A VEGETABLE OR 2 TOWARD THESUNNIER END

(1)STONE STEP. WIDTH TO MATCH EXISTING WALK12" DEEP TREAD W/ 6" RISER

(3)ANNEBELL HYDRANGEA

(6)DWARF YAUPONHOLLY

MALE WINTERBERRY ASPOLLINATOR

3'

3'-6"3'

3'

3'6'

3'-6"

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CERTIFICATE OF APPROPRIATENESS APPLICATION (8/27/21), ATTACHMENT 2