---
date: 
source: 2026-03-09_Regular_Council_Meetings/HC_Resolution_#26-26_for_De-Annex._Acceptance;_01-20-26
---

 RESOLUTION #26-       3U)
 RESOLUTION
 ..._                          _.._|.....l._l.
 ACCEPTING PROPOSED DEANNEXATION
 IF-..,_"                             FROM THE 'CITY OF


  Haul-r.
  STOCKBRIDGE                                       -| A
 PARCEL OF LAND CONSISTING OF
 III-fl
 OF SIX (6)                                 COMBINED 7.068
 .I


 ACRES
 .._ IN..u_-                                       1-. GEORGIA
 LAND LOT 25 OF THE 12TH DISTRICT, HENRY COUNTY, Id...




 Fun       n..- to 0. C. G.A.
 WHEREAS, pursuant            Article 8, the
 -n..-                     -
 Henry County
 I-l'"           Board
 -r-   of Commissioners
 "-;l"-I     have


 -_-I owners
received application from property .-.-                    advising Henry County of their intent to deannex
 .-..-.I.-...|_-_


  .ar-
(DE-AX-25-02) six (6) properties consisting
 ..                         of a combined total of 7.068 +/- acres in Land Lot 25
 -|-|-----I-----'------                        ._         ._-          u.
 .I._  of the


12th District from the municipal boundary
 .-           fl.l'-II'J'IfI-"'ill-"      of the City of Stockbridge, Henry County,
 I'l            Georgia, being

Properties at 330, 335, 345, 355, 365, 375 Kerrith Drive, Parcels 013A01037000, 013A01026000,
r_|_-|.|.I'\.|.-a.m.nr-I.n.-.Ir.|_-I..I.rI.rI-.r-I.Iu.-.


013A01027000, 013A01027000, 013A01027000, & 013A01030000                                     (see, Exhibit A,

attached hereto); and


 WHEREAS, in -I-
 connection                         lull the
 and immediately following,
 with, I.
 I-'=I                                            I the property
 annexation,
 '- uln'l                 '
 II'! owners
 t.-




seek to change the zoning
_                         for the Property from the City of Stockbridge
 _.........-_I-.r.r.l|.r.-..                                    SR (Suburban Residential) zoning
 _.-._-.|..-_|__.I.-__

district                           -..| Residence) zoning -
 to the Henry County R-l (Single-Family           district; and
    ..."...                                                         1-


 WHEREAS,
 -|-      0.C.G.A.          36-36-131
 .                  .- of Stockbridge
 I the City
 grants
 -
 the authority
 -.I  to deannex
 -.|. an
 .




.-. or .
area   areas   of the existing corporate limits upon the
 _n.                                nu.   adoption
 . of a resolution by the governing authority
 -




of                                    .._.._|...__._l..r
   the county in which such property is located consenting
 ....                                                      to such deannexation; and



 WHEREAS, Henry County Board of Commissioners analyzed
 1--.-                             rI-I-II and whether
 r   -.|-the deannexation
 rel-'-     may


I- detrimental
be .J----                     III-
 to the health, safety,     'J-u of
 and welfare
 II          -  '- residents and
 the '--       II     u'u' Inl'
 property
 -        owners of the
 Jh--           be
 ul-
 area to



deannexed
ITIFI     or to the
 -IFarea remaining within the municipality; and
 -




 WHEREAS,
 I
 III   the Henry
 I County
 -
 I. of Commissioners
 Board            u    has determined thatII
 the proposed
 I




 '            '                                                                      "     '
deannexation
 u   -       of I
 the Property into
 I.                              material
 the County would not cause aII     I  increase in the 'dn'fl
 ll             burden on Henry

County; and
 s




 WHEREAS,
 f     the
 '
 Henry County
 'I  Board
 '  of Commissioners has determined that
 'I the proposed'


 would not result in an increase in density and infrastructure
 '
deannexation of the
f.l-'-     'uI-II'I-Property into
 I the County
 -|-'l    F-        I'u'                          .'I-'          I




 P:\Annexations &                                                            u           -I:-
 Resolutiondocx
 demands which would be detrimental to Henry County and to the health, safety, and welfare of Henry


 County and its citizens; and

 WHEREAS, the Henry County Board of Commissioners has determined that the proposed

deannexation would not be detrimental to the health, safety, and welfare of the residents and property


owners of the area to be deannexed or to the area           remaining within the municipality.

 NOW THEREFORE, BE IT RESOLVED that, pursuant to the provisions of 0. C. GA.                                       3 6-3 6-


131, et seq, Henry County accepts the proposed deannexation (DE-AX-25-02) of the Property, as described

in Exhibit A, from the municipal boundaries of the City of Stockbridge to the corporate boundary of Henry


County, Georgia, on the grounds that the proposed the proposed deannexation would not be detrimental to

the health, safety, and welfare of the residents and property owners of the area to be deannexed or to the


area   remaining within the municipality.

 BE IT FURTHER RESOLVED that the                         County Manager and/or the County Attorney are

authorized and directed to send such notice(s) as are required by law to the City of Stockbridge and/or the


effected property owners.


 BE IS FURTHER RESOLVED that the                       County Attorney is authorized to initiate such legal

proceedings as are proper to enjoin the deannexation of the Property and/or initiate and/or engage in the

arbitration proceedings authorized per 0. C. G.A.


 BE IT FURTHER RESOLVED that this Resolution shall be forwarded to the City, together with


such supporting documentation as are reasonable and necessary to support the same.




 P:\Annexations & Deannexations\Deannexations\Stockbridge\2025\DE-AX-25-02\Staff Items\DE-AX-25-02 Resolutiondocx
 BE IT SO RESOLVED THIS 20TH DAY OF JANUARY, 2026.




 BOARD OF COMMISSIONERS

 OF HENRY COUNTY, GEORGIA




 Carlotta Harrell, Chair




 ATTEST




 Stephanie Braun, County Clerk




P:\Annexations & Deannexations\Deannexations\Stockbridge\2025\DE-AX-25-02\Staff Items\DE-AX-25-02 Resolutiondocx
 Deannexation Evaluation Repart




 Henry County Planning & Zoning                                     CITY OF STOCKBRIDGE
 DE-AX-25-02


Commission District:   2
Commissioner:          Neat Robinson

Report Prepared by:    Kenta Lanham, Planner III



Property Owners:       Darron Maxtion and Ryan Jones
 Leon Woods
 Akeem and Lexus Camellia Shotuyo
 Doris A. Trotter Marshall
 Lori Nichole Johnson
 Ann and James Jolley


Location:              330 Kerrith Drive
 335 Kerrith Drive
 345 Kerrith Drive
 355 Kerrith Drive
 365 Kerrith Drive
 375 Kerrith Drive


Parcel ID(s):          013A01037000
 013A01026000
 013A01027000
 013A01027000
 013A01027000
 013A01030000


Request:               Deannexation


BOC Meeting:           January 20, 2026

Lot Size:              7.068 +/- acres (total)


Zoning History:        A review of zoning     indicates that a rezoning request from         to RM-75

 (RZ-66-12) which included the subject property as part of a larger property was
 denied by the Henry County Board of Commissioners of Roads and Revenues on

 January 3, 1967.

 A review of zoning      indicates that a rezoning request from RA-200 to RM-85

 (RZ-67-01) which included the subject property as part of a larger property was
 withdrawn by the applicant on February 7, 1967, before consideration by the Henry

 County Board of Commissioners of Roads and Revenues.

 A review of zoning    indicates that a rezoning request from RA-200 to RA-lOO
 (RZ-67-02) which included the subject property as part of a larger property was
 approved by the Henry County Board of Commissioners of Roads and Revenues
 on March   7, 1967.



    P:\Annexations &                                       Items\DE-AX-25-02, Manderley (6 lots), 1-20-2026 BOC.docx
 A review of zoning                  indicates that a rezoning request from RA-200 and RA-
 100 to C-2 (RZ-71-07) which included the subject property as part of a larger

 property was approved by the Henry County Board of Commissioners on August
 30, 1971.

 A review of zoning                   indicates that a rezoning request from RA-200 to RA-
 150A* (RZ-82-08) which included the subject property as part of a larger property
 was    approved by the Henry County Board of Commissioners on October 5, 1982.

 *
 With the adoption of the ULDC in 2009, those properties zoned RA-150 or RA with one (1)
 lots were rezoned to R-l (Single-Family Residence). As such, the current zoning of the
 acre

 Manderley subdivision is now R-l.

 Previous to annexation by the City of Stockbridge, the properties were zoned R-1

 (Single-Family Residence) as illustrated on the Henry County                                 Zoning
 Map. which was adopted on November 19, 2013, by the Henry County Board of
 Commissioners.


 The    subject properties were annexed by the City of Stockbridge on January 1,
 2023, per Georgia Senate Bill 612 (2021-2022).

 Per thezoning map featured on the       website and zoning correspondence
 received by Planning staff on October 19, 2023, from City of Stockbridge
 Community Development Department staff, the subject properties are zoned SR
 (Suburban Residential).

 Adjacent properties are as follows:

 North:     City of Stockbridge
 South:     Unincorporated Henry County
 East:      City of Stockbridge and Unincorporated Henry County
 West:      City of Stockbridge

Current Land Use:              Single-Family Residences

Future Land Use:               The City of Stockbridge 2024 Comprehensive Plan designates the subject property
 as Low Density Residential (up to 1-4 units per acre). Previous to annexation by

 the City of Stockbridge, the properties had a FLUM designation of Low Density
 Residential (up to 2.0 dwelling units per acre, net).


Proposed Zoning:               As per the application materials, the residents of six (6) properties, consisting of a
 combined total of 7.068 +/- acres, within the Manderley subdivision propose to
 deannex the        subject properties from the municipal boundaries of the City of
 Stockbridge to the unincorporated limits of Henry County. Upon deannexation, the
 properties would be zoned R-1 (Single-Farnily Residence), which is the previous
 zoning designation of the properties previous to annexation by the City of
 Stockbridge.

Comments:                      The owners of the subject property are requesting the 100% deannexation method
 into the City of Stockbridge. According to the                    Code Georgia Annotated,
 0. C. GA        36-36-131, municipal corporations can deannex incorporated area or
 areas   which directly abut the existing municipal        boundary or would directly abut
 on the municipal boundary if it were not otherwise separated from the municipal

 boundary by lands owned by the municipal corporation or some other political
   P:\Annexations & Deannexations\Deannexations\Stockbr-idge\2025\DE-AX-25-02\Staff       Manderley (6 lots), 1-20-2026 BOC.docx
Henry County Planning and Zoning                                                    City ofStockbridge (DE-AX-25-02)
BOC Meeting: January 20, 2026                                                                                         Page 3

 subdivision, by lands owned by this state, or by the         width of any street or
 street right of way; any creek or river; or any right of way of a railroad or other
 public service corporation.

 The application packet, including the written and signed applications of all of the
 owners  of all of the land proposed to be deannexed, and containing a complete

 description of the lands to be deannexed was submitted to Henry County via
 application portal SagesGov on December 29, 2025, in accordance with 0.C.G.A.
 36-36-113.


 As per the application materials, the residents of six (6) properties, consisting of a
 combined 7.068 +/-acres, within the Manderley subdivision propose to deannex
 the subject properties from the municipal boundaries of the City of Stockbridge to
 the unincorporated limits of Henry      County. Upon deannexation, the properties
 would be zoned R-1 (Single-Family Residence), which is the previous designation
 of the properties previous to annexation by the City of Stockbridge.


 The City of Stockbridge 2024 Comprehensive Plan designates the subject property
 as    Low Density Residential (up to 1-4 units per acre). Previous to annexation by
 the City of Stockbridge, the properties had a FLUM designation of Low Density
 Residential (up to 2.0 dwelling units per acre, net).


 The      Future         Map (FLUM), as part of the Henry County 2045
 Land Use

 Comprehensive   Plan,  designation of the surrounding unincorporated Henry

 County properties  is Medium   Density Residential, which is described in the
 Comprehensive Plan as areas consisting of single family homes on a single lot.
 New   development in these areas should provide pedestrian facilities, including
 sidewalks and crosswalks, and have an appropriate streetscape. Walkable

 neighborhoods should be created with appropriate parks and open space. The
 Medium Density Residential FLUM designation supports developments with a
 density of up to 4.0 dwelling units per acre, net.

 The subject property is located within an area designated as a Suburban Mix on
 the Henry County Development and Infrastructure Strategy Area Map. The vision
 for Suburban Mix       areas   is to accommodate   a   variety of types of residential
 neighborhoods that are predominantly single family, as well as some supporting
 areas    of retail (shopping) and workplaces. A system of multi-use trails supports
 both transportation and recreational goals with          sidewalks            prioritized   around
 schools, parks, and designed community centers.

 Per 0. C. G.A.    36-36-134, in the event of a deannexation, a municipality may, but
 is not required to, continue to provide any services to the property which it was

 providing immediately prior to the deannexation, provided that the county and
 municipality have agreed to terms and conditions for the municipality continuing
 to provide such services.


 Per 0. C. GA. 36-36-13], a municipality is granted the authority to deannex an area
 or areas of the existing corporate limits upon the adoption of a resolution by the

 governing authority of the county in which such property is located consenting to
 such deannexation. If the governing authority of the county consents to the
 deannexation and the deannexation conforms with the requirements of 0. C. G.A.
 Article 8, the governing authority of the municipal corporation shall approve such
 deannexation unless it           that the deannexation would be detrimental to the

    P:\Annexations &                                                              Manderley (6 lots),          BOC.docx
Henry County Planning and Zoning                                                City ofStockbridge (DE-AX-25-02)
BOC Meeting: January 20, 2026                                                                                     Page 4

 health, safety, and welfare of the residents and property owners of the area to be
 deannexed or to the area remaining within the municipality.


Recommendation:           It is    Planning & Zoning         opinion that the deannexation would not be
 detrimental to the health, safety, and welfare of the residents and property owners
 of the area to be deannexed or to the area remaining within the City of Stockbridge.
Attachments:
    0     RZ-82-08 October 5, 1982, Board of Commissioner meeting minutes
    0     Exhibit Maps
    0
 Application Packet




     P:\Annexations &                                                         Manderley (6 lots), 1-20-2026 BOC.docx
 149



STATE       OF GEORGIA


COUNTY OF          HENRY


October       5,    l982




 The       regular meeting of the Board of Commissioners of Henry County                                              was       held
in    the    Administration    Building on October 5, I982 at 9:35 a.m.

 Those       present       were:



 Edward       H.    Whiddon,          Sr.,    Chairman,          presiding
 William M.             Gardner,       Vice       Chairman
 James       R.    Brannan,       Commissioner
 W.    D.    Patrick,          COmmissioner
 Marion       Hall       Simpson, Commissioner

 Ron     County Administrator; Philip Keen, County Attorney; Beverly McLeod,
 Rabun,
Clerk;     Shedd, Zoning Administrator; Sherri DeCinque, Henry Herald; Pat Murdock,
 Tom

Henry Neighbor; Robert Clough, WZAL; Lewis Hurd; Mac Irvin; Phil Kelley; and
several       visitors.


 The       Reverend       Lindsey Smith, Associate Pastor of Bear Creek Baptist Church,
gave    the       invocation       and the Chairman led in the pledge to the flag.


 The       Chairman       explained          to    those    present          that   the    County Administrator would
open    the       bids    at    this    time and          that    the       bids would      be    awarded later during the
meeting after tabulation                      was    complete.

 Officer       Dunlap, a Deputy Jailer, was presented with a Letter of
 James    L.
Commendation         bravery exercised by him on September ll, l982 when he rescued
 for    the

jail inmates during a fire.  The Chairman expressed his appreciation to Officer

Dunlap and Sheriff Chaffin who also was present.

 Mr.       Charles      Dailey Mill Road spoke to the Board regarding damage
 Shaw of
that    had       been    done  road by garbage trucks.
 to    the              Commissioner Patrick stated
that    he    and Road Superintendent Dickey would go to the road and investigate the
matter.        Mr. Shaw expressed his thanks.


 Mr.       Robert Whitaker of                Camp    Fortson          came    before       the    Board   to   present      a    deed

copy    of    a    previously unnamed                road    (currently             know   as     Russell    Road).        He wanted          to

verify       that    the       road    was    a   county read.               The    Chairman       stated    that      if Mr.     Whitaker
could       provide the County Attorney_with                            a    photostat of the             I903 deed        that   the
matter       would be investigated.


 Mr. Lewis Hurd, who was  representing J.                               Evans (a deveIOper), presented
 P.

copies of plats to the Board to assist them in                            reviewing Mr. Evans' rezoning
request change from C-2 and RM-75 to        on                            Highway 351, LL 22 s A} of the 6th
district.  Change was requested for the future                            development of Windhaven Plantation
Subdivision and the Planning Board recommended                            approval.  Mr. Hurd explained that

since       part of the property                  was     zoned'C-Z and part RM-75, the desire was to zone
both    landlots          residential.              Commissioner             Brannan       made    the    motiOn      to   approve      this

rezoning request and Commissioner Patrick seconded.                                               Motion    passed with unanimous
approval.

 A preliminary plat approval for J. P. Evans, Windhaven Planation, Unit Two,
was    granted on a motion made by Commissioner Simpson with the stipulation that it
pass    soil       and    erosion       and       road    specs.        Commissioner            Patrick     seconded        and   motion

passed unanimously.

     The Zoning Administrator presented a rezOning request change of Zack's

Properties from C-l to C-4 on the corner of Hwy. l38 and Hwy. l55 for a convenience
store (Nite 0wl#l3).  C-4 was requested since Zack's Properties would like to sell
beer and wine at the proposed location, LL I33 of the llth district.  The Planning
Board recommended approval.  Since a store had previously been at that location,
150



 Page       two



 October          5,    l982

 Commissioner               inquired of the Zoning Administrator if this request would be
 Brannan

 grandfathered.            Zoning Administrator stated that the grandfather clause does
 The
 not apply when       there is a change of tenant, a considerable amount of expansion,
 or    a    change in use, Section 8-6, Page 68, of the Zoning Manual.  Mr. Wayne Staples,
 Mrs.       Davidson, Mrs. Crumbley, and Mrs. Louise Fitzgerald, concerned citizens who
 were       present, opposed the request, stating that this was a dangerous intersection,
 believed          the       store       would       increase       the      number          of    DUls    on       the    Road       if    it    sells       beer
 and wine,             and    do not want             the added         litter          that       could    possibly result.
 Commissioner Patrick                         inquired          about   the    lot       size and          Zack Hinton                informed          the
 Board          that    the    lot       was    approximately 270'                  x    270',       the       lot       has    been       recurbed with

 underground drainage,                         there will          be   an    access          lane       coming off of Hwy.                      l38 and       155,
 and       that    the       request has been approved                        by    State          D.0.T.          Commissioner            Tom Moreland
 and       the State Fire Marshall.                             Stating      that       since       it    was       already       zoned          C-l,    the
 _




 Vice Chairman made                      a    motion       to    rezone      the    lot                   Commissioner Patrick seconded
 and       motion       passed by             quorem with          Commissioners                  Brannan          and    Simpson opposing.

 At     this       time,       the Zoning Administrator                        presented             a    beer       and wine          application
 for       Nite Owl          #l3 for
 Board's approval.  He advised the Board that the manager's
 the
 check from the Police Department had not been received.  Commissioner Patrick
 made       the motion             to    table       the    request until               9:30 a.m.,             October          l9,    l982.
 Commissioner                Simpson seconded and all                        were       in    favor.


 Mr.    Richard          Chatham of       Koppar Corporation presented a rezoning request
 change from RA-ZOO                      to    R-lSOA in LL 7, 8, and 26 of the 12th district (former
 "Lion Country                                 property).  The Planning Board had approved the request

 subject        proper letter from the Water Authority; and also approved a vari-
 to    the
 ance        required 30' sidelines.
 of    the                 Mr. Chatham explained to the Commissioners
 4 x

 that the Planning Board had not approved the request two years ago; subsequently,
 his corporation had upgraded the subdivision project which would include a

 community center, beach, pool, clubhouse, and tennis court with one-acre lots.
 Mr. Chatham stated that the R-lSOA zoning was requested because of needed flexi-

 bility to shift the houses if necessary and maintain the land mass and that his
 corporation would be willing to work with any restrictive covenants that the
 Board required.  Commissioner Simpson inquired about the flood way of the Lake
 Spivey dam located inthe area and stated that in the final approval, he would not
 vote for the project if the flood way is not indicated on the preliminary plat.
 Mr. Chatham stated that he was in receipt of a letter from the State indicating
 that       the dam          was    safe.           Commissioner          Brannan            made    a    motion       to approve                the    rezon-

 ing request             and       the       Vice Chairman          seconded.                All    were       in    favor.


 A preliminary plat approval of Unit l  (66.92 acres) for the above project was
 presented.  Commissioner Brennan made the motion to approve the preliminary plat
 subject to a soil  and erosion plan, passing of restrictive covenants, approved

 by the Board of Commissioners, and an indication of how the community property
 (community center, beach, pool, etc.) will be divided. The Vice Chairman second~
 ed and motion passed unanimously.


 E. Kordet, who was present, presented a conditional use request for
 Robert
 additional greenhouses at LL 73 of the 8th district, containing 5.16 acres located
 on River Road.  The Planning Board had approved the conditional use subject to
 a) a one-year review, b) shrubs be planted and all landscaping of property to be
 properly done prior to any building permits for requested additional greenhouses,
 and c) that Kordet build only three greenhouses in 1983 and three greenhouses in
 l984.  The Zoning Administrator explained to the Board that the above stipulations
 were placed on this request due to the public input obtained at the Planning
 Board's meeting.                       The Vice       Chairman         made       the       motion       to    approve the conditional
 use       subject       to    the       same       aforementioned            stipulations.                    Commissioner Brannan
 seconded          and       all    were       in    favor.


 Mike         before the Board to present a rezoning request change from
 Clanton
 came

 M-l       to    C-h for
 body repair shop at LL lSS of the 7th district located on the
 a

 corner of Highway Barn Road and  Hwy. 42 (formerly known as Holbrook Machinery,
 lnc.).  The Planning Board had recommended approval with appropriate screening of
 the fenced areas.   Commissioner Patrick made the motion   to approve the rezoning

 request change to C-4   with appropriate screening installed and the Vice Chairman
 seconded.  Motion passed unanimously.
 151



Page three

October       5,    l982



     Mr. Ralph Keenan, who was present, requested a variance to convert single

family dwelling into a duplex in LL l59 of the 7th district located on Weeping
Willow Lane.  Planning Board had denied on the basis that it was spot zoning.
Mr. Ralph Painter, the adjacent landowner to the property in question, opposed
the request since he feared a constant turnover of residents if duplexes were
allowed.  In view of the fact that this would possibly set a precedent for future

requests, Commissioner Brannan made a motion to deny the request.  Commissioner
Patrick seconded and motion passed by quorem with the Vice Chairman and Commissioner
Simpson opposing.

 Zoning Administrator presented a conditional exception for Richard's
 The
Paint     Body Shop to have an impound lot in LL 135 of the 7th district located
 and
on Highway Bl East.  The property is currently zoned R-BS and is classified as a
non-conforming use, but is allowed to operate as a non-conforming use under
 provisions.  The Planning Board had earlier denied due to the fact
that the impound lot would not be in the proper location.   Mr. Richard Reece was

present to answer questions.   The Vice Chairman made the motion to table the

request and Commissioner Patrick seconded.   Motion passed by quorem with Commis-
sioner Simpson opposing.  The Chairman advised the public that the new zoning
manual does not have a classification for an impound lot and that the Board will
resolve       the    issue       in    the      near     future.


 Senator       Janice Horton                requested       that    the Board proclaim October l7-23, 1982,
as                    Business Women's                              The    proclamation was presented to the Board
by    Mrs.    Hazel    Gardner and                the Vice Chairman             read   to   those   present.        Commissioner
Brannan       made    the motion             to   adopt     the    resolution    affecting the request                and
Commissioner Simpson                   sec0nded.           Motion       passed unanimously.

 Ken       Belcher Garage requested a conditional exception for a storage
 of    Ken's
lot    in    LL    33 of    the          Henry Blvd., at Highland Village.
 l2th district
 on N.                                     PrOperiy
is presently zoned C-l.  The Planning Board denied since the Board decided it was
not the best use for the property.   Commissioner Simpson, however, made the
motion       to    approve       the       request with       an    automatic one-year review and for the                       lot
not    be    used    for    an       impound       lot.     Commissioner    Patrick seconded and all were                       in
favor.


 Mr.       Clarence Powell    Wrecker and Huskey Wrecker Services spoke
 of Powell's
to    the    Board        impound lot for the county and regarding l8h3 East
 regarding            an

Atlanta Road where he had been operating a business under a non-conforming use.
His attorney, Mr. Tankersly, requested the Board to inform Mr. Powell of the
conditions          that    he       should       meet    before    he    can    obtain     a   county   license.
Commissioner          Simpson made the motion                      to    authorize        Zoning Administrator to
 the

gather       information             for    the    Board's    review of          this matter.  The Zoning Administra-
tor    stated     permit would be issued to Mr. Powell when certain questions
 that    a

could be cleared up.  Representatives from Wanda's Wrecker Service and another
company were also present to support the request for county designated impound
lots.


 A one-year review was conducted on a conditional use for A.                                             C.    Aukerman    for
a    mobile home for a night watchman for his business in Hampton.                                         Property
presently zoned M-l and is LL l66 of the 6th district,                                           located at 595 N. Steel

Drive, Hampton,  Planning Board recommended approval to continue                                               one   year.
The    Vice       Chairman made             the motion       to    grant    the    conditional         use   and    Commissioner
Brannan       seconded.              Motion       passed by       quorem with          Commissioner      Simpson opposing.

 Ron     County Administrator, presented an employment contract for
 Rabun,
Sharon Williams of Cobb County, to be employed as a temporary part-time computer
operator in the Commissioners' Office at a rate of SIG/hour beginning October 9,
1982 and ending November l9, I982.  Commissioner Brannan made the motion to
authorize the Chairman to sign the contract and the Vice Chairman seconded.
Motion passed unanimously.


 The       purchase of the following used equipment                               was    read   into the minutes:
15?.



 Page four

 October          5,    1982



 a.        Used    fire vehicles:
 SERIAL                                                DATE    OF
 MODEL       8    MAKE                                                NUMBERS                               COST                 PURCHASE


 Two       (2)    1968       Pierch       Fire Trucks                 CO0LUF30438                         $ 7.750                10/4/32
 on    a    Ford    chassis, 1,000 gal.                                                                     7.750                10/9/82
 pumper,          500 gal. water tank,
 l76-inch wheel base, gasoline
 engine, air brakes, 5 speed trans-
 mission


 On    a    motion made             by Commissioner Brannan, the minutes for September 7, 20,
 21,    and       24,       1982       were    approved, subject to one correction.  The Vice Chairman
 seconded and all                      were    in    favor.


 On    amade by Commissioner Simpson and seconded by Commissioner
 motion

 Brannan,     following budget amendment was approved.
 the                                Budget Amendment No. A
 which transfers $735 from Sheriff-Office Equipment to Jail-Office Equipment (to
 purchase AIR PAK for Jail).  All were in favor.


 Two Water             and    Sewer     presented for the Board's
 Authority              contracts          were

 approval.              Contract          No.       16,       Indian       Creek Water
 Supply Project, Dam, Spillway,
 and Access Roads.  Contract No. 17, Indian Creek Water Supply Project, Raw Water

 Pump Station, and Raw Water Main.  The County Attorney advised the Board that
 the contracts             appear to be                   in   order.           Commissioner                 Brannan       made    the motion                to

 allow       the       Chairman to sign                   both       contracts          and       Commissioner             Patrick seconded.
 Motion          passed by       quorem with Commissioner Simpson opposing on the grounds that
 he would             not    approve if it in any way restricted public access onto the public
 property of                the proposed new reservoir.


 At    this  County Administrator declared for those present the bids
 time,       the
 for    a    new                          Pumper Truck for the Fire Department.
 1250 GPM Two Stage Centrifugal
 They were:  Harless, low bid, at $137,783 with a finance rate of 10.99%, Maxim
 from Vitco Fire and Safety with no financing provided, American La France at
 $155,h50 at 9.25%, and FMC at $160,59h at 8.5%.  Mr. J. R. Roberts of Harless

 was present and explained to the Board that if Harless is awarded the bid, the
 interest rate would not accrue until approximately April, 1983 when the truck is
 delivered and accepted by the Fire Chief, and the first 20% downpayment would not
 be due until July, 1983.  He also stated that the quoted interest rate would be
 firm.           Mr.    Roberts          advised          that       the    truck       has       a       2h-foot    ladder       and       that    the
 Insurance Services                      Office          (ISO)       no    longer       sets          a    15-year    limit       as    long       as    the

 pumper can perform at                         the       required          rate.        Commissioner                Brannan       made       the motion
 to table the bids and                         Commissioner                 Patrick           seconded.              All    were       in    favor.


 On    a    motion made             by Commissioner                   Brennan          and       seconded       by Commissioner
 Patrick,             the    meeting          was    recessed             for    lunch       at       1:00    p.m.     Motion   passed unani-
 mously.

 The meeting came back into session at 1:95 p.m.   Those present were all

 Commissioners, Ron Rabun, Philip Keen, Beverly McLeod, Tom Shedd, Chief of
 Police          Elkins,          and    several          visitors.


 As    five beer             and    wine violation                   hearings had been scheduled for this time,
 the    Chairman             stated       that       the       Board would             hear       all       the evidence          in    all    cases          and
 then       pass       judgment          at    the       end    if    there      were        objections;
 no           Attorneys Richard
 Mylam and             A.    J.    Welch       stated          they had          no    objections.  The pertinent facts are
 listed below with                      each    violation.


 Brannan's             Gas    and       Oil    had       its    license          suspended 21                September       1982       on    an    alleged
 sell       of    beer       to    a    minor       by    a    Mr.    Horace          Paul    Brannan.              Location of             store       is
 I-75 and SR 351                   and    date of             alleged offense was September 17,                         1982 at 7:15 p.m.
 Detective Tony Seiph was sworn in and advised that                                                          he, Detective Sgt. Hill, and
 a 17-year old black juvenile, Johnny Glover, Jr. went                                                          to    the    location.

 Johnny Glover, Jr. was sent into the store with a marked $5 bill, Serial #
 F9363316IB, and came out with a sack which contained a six-pack of Schlitz malt
 2;)
 153



Page five

October       5,    I982



liquor.  The stated $5 bill was recovered from the cash register and Glover,
according to Detective Selph, identified Horace P. Brannan as the one who sold
him the beer.  According to testimony, no ID had been solicited.  A. L. Brannan,  Sr.

stated that Glover did not positively identify Horace Brannan as the seller, that
he felt he had been           and that the Police Department      working against



Detective Glen Kettering was sworn in to give testimony on Lil- General Store who
had its license suspended on September 24, I982 for allegedly selling to a minor
on September 3, l982 at l0:00 p.m.  DetectiVe Kettering said he responded to a
call    that       three    juveniles had             been       observed    buying beer,          i.e.,      Joseph Bastarache,
l2   years     old,       Jeffery Abernathy,                l6 years old,        and    Daniel         Peake,      l5.      Detective

Kettering advised that upon questioning Kimberly L. Phelps she did admit to
selling the beer.  William E. Holliway, Division Manager of those stores in
Georgia and owner of license, asked Mrs. Debbie Georgie and Mrs. Jerry Rogers,
employees of the store who were present, to verify the allegation that
Detective Kettering had stated that     Miss Phelps is fired, you will lose your




Attorney       A.    J.    Welch,       who    was           Highway 8] Package
 representing Thomas              A.   Nash of

Store,       asked    that       the witnessses             inThey were:
 this   case   be    identified.
Detective Selph, Detective Sgt. Hill, Johnny Glover, Jr.  The alleged violation
occurred on or about 6:00 p.m., September l7, l982 and license was suspended
September 2], I982.  Detective Selph stated that this store was a spot check,
that Glover was sent in with a $5 bill, Serial #93633l6lD, and did buy a l-quart
bottle of Schlitz malt liquor.  Glover identified Eugene Tschudy as the seller
of    the beer.           Mr.    Nash,       owner    of    the    license,     was    sworn      in    and   answered           several

questions.

Detective Selph was again sworn in to give testimony on al alleged violation of
selling beer to a minor at Red Ace Fuel Stop on Jonesboro Road at 1-75.
Detective Selph stated that Glover was sent in with a $l0 bill, Serial F29GOZIISB;
and returned with a six-pack of Schlitz malt liquor.   Selph also stated that this
was a spot check with no previous complaints.   According to Detective Selph,
Glover identified Nancy L. Howard as the seller of the beer, however, the $l0
bill was not recovered.  Detective Hill was sworn in at approximately 3:l0 p.m.
Glover       was    sworn       in    and    stated    that       he   had   purchased                        beer    and    not

Schlitz       beer.


At    this    point,       the       Board    by unanimous vote,              recessed       at   3:30 p.m.          and    reconvened
at    3:h0    p.m.    to    continue          discussion          of   the   alleged violations               at   the     Red    Ace

(Delta)       Fuel    Stop.           Paul    A.   Melton,        manager    of Red Ace,          was    sworn       in    and    stated
that    he    instructs          his   selling beer to minors and/or on holidays,
 employees          on    the
that he had hired Ms. Howard, and that she was paid an hourly wage and did not
receive a sales commission.  John W. Williams, owner of the license, was sworn in
and stated that their corporation does not condone selling to minors since they
believe it to be morally wrong and is not good business.


Detective Tony Selph was sworn in to testify for an alleged selling of beer to a
minor by Lonnie 0. Thurman at Love's Package Store, Hwy. I38 and #2 South, on or
about 7:50 p.m., September l7, I932.  License was suspended September 2l, l932.
Detective Selph stated that Glover, Jr. was again sent into the store with a $5
bill, Serial #9363316l8, and came back to the car with a          of Schlitz malt

liquor.            Selph stated that Thurman had stated to him that he had sold
 Detective
Glover       the     $5 bill was recovered from Love's cash register, and the
 beer,       and
Police Department had responded to this store due to complaints.


After hearing from each of the attorneys for the license holders, a motion was
made by Mr. Gardner and seconded by Mr. Patrick to adjourn into executive session
to    deliberate          their       findings.

The    Board       returned          approximately 25 minutes                 later    and    issued      their       findings.
154




 Page six

 October       5,    l982


 After    some       initial          discussion             and    comments,          a    motion      was     made      by   Mr.     Gardner          and
 seconded       by    Mr.    Patrick             to    suspend       the    licenses             of all       violators        for     a    period       of

 30 days       retroactive             to       the    date of       the
 original suspension.  Commissioners

 Whiddon,       Gardner,          and Patrick voted for and Simpson and Brannan against.


 Mr.    Rabun,       County Administrator,                         presented bids                on    various         items       at    this
 time.


 Antifreeze:              Interstate Ford.Sales                                         $l,58l.l0
 Downey Auto Store                                              l,l85.00
 Mercer          Truck       &    Tractor                       l,l6l.50
 C    8    H    lnterprises                                     l,lh5.00
 Parker          Brothers                                       l,098.00
 Beaudry Ford                                                   l,083.50

 Motion       was    made    by       Mr.       Gardner       to    accept       the       bid    of    $1,098       from Parker            Brothers,
 their    being       a    local       vendor.           The       motion    was       seconded          by Mr.       Brannan.             All   were       in
 favor with Mr.             Simpson abstaining.

 Gasoline:                Ward          Oil    Company                                  $l.0|65 per gallon
 II
 May       8    Carter       Oil    Co.                         l.0thS
 Anderson              Oil       Company                        i.003l25
 Jones          Petroleum                                            9975


 This    is    an    average   gallon for the four types of fuel for which bids
 price       per
 were    solicited.           Motionby Mr. Gardner and seconded by Mr. Patrick to
 was    made
 award the bid to Jones Petroleum Company at an average price per gallon of
 $.997S.  Motion passed unanimously.


 Uniforms
 Police       Dept.       Burdon              Uniform       Company                 $18,759.h0
 Martins'             Service       Uniforms                l6,236.72

 Motion       was    made    by       Mr.       Gardner and          seconded          by       Mr.    Brannan       to accept         the       low    bid
 of   $16,236.72           from Martin's                Service Uniforms.                       All    were    in    favor.


 Uniforms
 Sheriff's
 Dept.               Banner          Uniform          Company                  5 7,676.25
 Burdon          Uniform          Company                       6,360.00
 MartinsI             Service       Uniforms                    5,327.50

 Motion       was    made    by       Mr.       Gardner       and    seconded          by       Mr.    Simpson       to   accept       the       low    bid
 of   $5,827.50           from Martins'                Service       Uniforms.              The vote          was    unanimous.


 Two    mobile
 radios                  Motorola                                                  $ 2,986.00
 Custom          Installation                                2,924.00

 Motion       was    made    by       Mr.       Gardner       and    seconded          by       Mr.    Simpson       to   award      the        bid    to

 Custom       Installation.                 All       were    in    favor.


 Two walkie
 talkies             Custom          Installation                              $    l,880.00
 Motorola                                                       l,696.00

 Motion       was    made    by Mr.             Brennan       and    seconded          by       Mr.    Gardner       to   accept       the       low bid
 of   $1,696.00 from Motorola.                           The       vote    was    unanimous.


 Upon motion by             Mr.       Gardner and             seconded       by    Mr.          Simpson,       the    meeting adjourned
 at 6:l5 p.m.
 155



Page   seven



October     5,       1982




 "
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 Edward      H   Whiddon,      Sr.,    Chairman
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 William M.         Gardner,    Vice    Chairman




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 COUNTY
 HENRY
 GOVE
 ~~~~~~~

 mment


  THANK YOU FOR YOUR INTEREST IN HENRY
 COUNTY. GEORGIA. THIS PACKET INCLUDES THE
 NECESSARY DOCUMENTS NEEDED FOR
 DEANNEXATION REQUESTS TO BE HEARD BY THE HENRY
 COUNTY BOARD OF
 COMMISSIONERS.

 PLEASE NOT     ALL FEES ARE NON-REFUNDABLE. THERE ARE NO
 EXCEPTIONS.

 A                     MEETING ISADVISED, BUT NOT
 REQUIRED, FOR DEANNEXATION REQUESTS.
 THE HENRY COUNTY PLANNING AND ZONING DEPARTMENT
 WILL ONLY CONDUCT
  APPLICATION MEETINGS ON TUESDAY,
 WEDNESDAY, AND THURSDAY OF EACH WEEK. PLEASE
VISIT
 TO SCHEDULE A
 MEETING ONLINE.



 NO PRE-APPLICA TION MEE TING WILL BE
 CONDUCTED WITHOUTAN APPOINTMENT.




SHOULD YOU NEED FURTHER
 ASSISTANCE, PLEASE FEEL FREE TO CONTACT OUR OFFICE BETWEEN
 8:00 AM AND 5:00 PM, MONDAY THROUGH FRIDAY

 AT        (770) 288-75326.


 THE LOCATION OF ALL COUNTY
 RELATED BOARD MEETINGS IS:

 140 HENRY PARKWAY


 MCDONOUGH, GEORGIA 30253
\;                                HENRY COUNTY

 counw           DEPARTMENT OF PLANNING & ZONING
  ---------
 Gavernrrwni   -~




 Deannexation A                         Iication Checklist


 ALL REQUIRED DOCUMENTS ARE REQUIRED TO CONSIDER APPLICATION COMPLETE.




 INCOMPLETE APPLICATIONS WILL NOT BE :ACCEPTED                           -
 NO EXCEPTIONS




 REQUIRED                    COPEES                                        PROCEDURE                                                      STAFF INIT1A.}...
 ITEMS


 Pre-Application                              Must be obtained from a current              planner, signed, and dated within six (6)
 Meeting Notes                                months prior to submitting your
 application. (OPTIONAL)
  Application Form                            Signed by owner and notarized. In lieu of                           signature, applicant has
 signed and notarized a copy of a                          or             of Attorney".


 Only   owners     and those listed           as   applicant    or   agent/attorney will   be
 contacted with  regards       request Only owners and those listed as
 to   a

 applicant or agent/attorney have authorization to take action regarding a
 request.

  Ownership                                   Required for all property owners fried with an application and must be
 notarized.


 Campaign                                     Required for all property owners, applicants, agents, attorneys, etc.
 Disclosure Form                              with an application and must be notarized.


 Letter of Intent                             Must clearly state the request intent.

 Residential                                  Required for any deanexation request which includes any                         residential
 :
 Declaration                                  property.

 Deed of                                      Property deed showing all property owner(s) name(s) and legal description.
 Ownership

 As-buiit Survey                              Must be prepared and sealed              last     years by a professional
 engineer, landscape architect, or land surveyor registered in the State of
  (1 l x 17)
 Georgia. Said survey plat shall: 1) indicate the complete boundaries of the
 subject property and all buildings and structures existing therein; 2) include
 measurements of all        property lines;,3) include a notation as to the total
 acreage    or   square   footage of the subject property; and 4) include all
 setbacks, road                 correct scale, north arrow, and present zoning




 Surveys and Final Plats older than      years at time of submission may be
 accepted per  the discretion   of  the; Planning and Zoning Department
 Director




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 ACKNOWLEDGMENT



  A notary public or other              completing this
 only the identity of the individual
  who signed the document to which this certificate is
  attached, and not the truthfulness, accuracy. or
  validity of that document.
State of California
 Los Angeles
County 0f                                                    )


On              Iii/[M '15                  before me,
 Jesse Wang, Notary Public

 (insert name and title of the officer)

personally appeared                                     M AHC'fl 0 at
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who proved to me on the basis of satisfactory evidence to be the person(                           whose          nameqir)
subscribed to the within instrument and acknowledged to me that helspie                            ey executed the same in


person(
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 or the
 capacity{i      ,
 and that by
 entity upon be alf of which the
 signature};      on the instrument the

 acted. executed the instrument.
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 personys')
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
 cccccc
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WITNESS my hand and
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    iau an: person             made. within hm (2) wars immediately preceding
 is value                       525" nr more In a member
    mtrihminns aggmganng $250 or more    made gifts having in the aggregate

    Hem)               Board of Commissioners who will consider lhc application?

    Yes           No
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 must     the foiiou-ing information
 the appiirmnnrpmpcny                           aunt-neg representing the applicant
    war}: the Henry C oumy         Board of'Commissinncrs within ten ( 10) days     this application is


 Description          5350 or gmter given
 Commissionermnning Advisory                         Dollar amount of
 Cam ii              Contribution                lo Baird Member
 Board Mamba Name                                         1:




    We            mm the foregoing information is true and correct. this                     day of



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Strum to and subscribed before me this                                          day of




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is attached, and not the truthfulness, accuracy, or
ivalidity of that document.

State of California
County of                  Los Anqeles


Subscribed and sworn to (or affirmed) before me on this                               W?
day of                       mm 202, by                               DAM/074' MJHCTleu

proved to me on the basis of satisfactory evidence to be the
persongsrfwho appeared before me.
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A notary public or other officer completing this
certificate                          only the identity of the individual
who signed the document to which this certificate
is attached, and not the truthfulness, accuracy, or
validit        of that document.


State of California
County of                      Los Anqeles


Subscribed and sworn to (or affirmed) before me on this                         [3 1n
day of            Dwmam.                        ,
 20g, by          .931   M   w


proved to me on the basis of satisfactory evidence to be the
 who appeared before me.
    , ....................................................... .
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(Seal)                                                   Signature




OWWMWP
 E,
 HENRY COUNTY

  HENRY                        DEPARTMENT OF PLANNING & ZONING
   an.                _-'.:-




 APPLICATION FOR DEANNEXATION

 To the Board of Commimsioncrs of
 Henry             Georgia.

 We, the undersigned, all of the owucm of all real
 propcny of the territory described herein respectfully rcqucst that the Henry
 County Board of Commissioners accept the dcanncxation rgqucst of this territory from city boundaries, and extmd the
 services to include
 '                                                        County
 the samei


 2.    The          to be duunncxcd is cuntiguuus to
 existing unincorporated areas zuid complies with requirements established in
 0.C.G.A Title 36. Gimme/'36. The description of such         is attached hereto.
 territory


 0WNER(SJ NAME(3)                                           30m}


PHONE NUMBER
 EMAIL ADDRESS



DEANNEXATION FROM                               DHAMPTON                 EILOCUSI GROVE                           DMCDONOUGH             MCKBRIDGE
 i
 0                      i                             "



 33 0 K 6% r 11,45pt.
 -




 ,                /,
 '    0 Gf

LAND                                       2        IZ.                                             ACERAGE                     .




PARCEL ID NUMBER                              30-0      0       70                                  ZONING I,)ISTRICT(S)              S
 ONE FORNl PER PROPERTY. USE ADDITIONAL SHEETS 1F
 REQUIRED.
 |




SIGNATURE(S)                                                                                                      DATE   92"         "<95,
 DATE

 ALL PROPERTY OWNERS MUST SIGN AS 'l'llElR NAME
 APPEARS 0N T HE DEED. USE ADDITIONAL SHEETS 1F REQIImED.
 I




NOT           Y                    AND SEAL



(Office use only)
 00'5"




 l3?    pr        tgnat                                             ._'                     .;

 Pracedures\0ffice FonnstZoning                                   -
 Without Yr\2023 RevisionsWeannexationweannexatton
 Application. revused
  ska!                                                                                        3
 HENRY COUNTY
 (f I            -.
 DEPARTMENT OF PLANNING & ZONING
 g



 OWNERSHIP                VERIFEICATION
The undersigned is the / an owner of an interest in the lands
 described in the attached deannexation application, which
proposes to amend the Official Zoning Map of the deannexing municipal jurisdiction and Of
 Henry County, Georgia, and
concurs in the   application. The                          interest in the lands described in the application is as follows:



Location/Address                         3 Z0      l(i mum                                   'gr00/;5K ,'
 5/};                  .1
 ""023 I

Parcel ID Number                       (5 I36 010 K              (a



 nmne(s)                 M55                                                            Percentage Ofinterest:

 Percentage of interest:



We certify that the foregoing information is true and correct, this                          :

 day of      DEM                             ,
 528 $255"




Property               Printed                                                  Signature of Property Owner




Property Owner- Printed                                                         Signature of Property Owner




Sworn to and subscribed before me, this
 day of              QLM lam 2 Q g              ,                      .




 08:. ' c   -'   E
 Notary Public (Seal)

 1,,
 Procedulem                '
 Application\AP PLICATIONS   -
 Without Yr\2023 Revisions\Deannexation\Deannexatlon
 Application, revised
 9-28-2023.docx
 A}                             HENRY COUNTY

     HENRY Coumv                DEPARTMENT OF PLANNING & ZONING
     .m
 Government   m   --




 Residential            Declaration
     In order to comply with the United States Department of J
 procedures for the administration of Section 5
     of the Voting Rights Act of 1965 as amended,
 Subpart B, Section 51.28, the following information is required for
     the deannexation of any residential properties. Must be
 completed for ALL residential properties (regardless of
 zoning designation). Use a; many forms as needed.



 0        (sad                                   S
 a, G0 3
Location/Address                                                                                R.                            "
 p G-                           /

Parcel ID Number                             0 ,3 A o l O 3 7 000



 Total number of existing residential structures located on the subject
 parcel:

2.     Description              of    the     residential        structures      located                  the
 on               subject       property     as     listed     above:

 Wm \r (with                        Mame.



q
3.     Total number of person(s) residing within each structure:


4.     Age, Sex, and Race of each of those individuals:                          Age                      Sex                               Race
 USE ADDITIONAL FORMS IF NEEDED

 "1
 ASIr     \              WW
 F,
 Mn W                          t.




 Min                   [k                       Mam
 4*                                                 AL_
5.    Henry County Commission District:                             2
6.    City Council Voting District:                                )

 CERTIFICATION AND
 AUTHORIZATION
 'I hereby certify that, to the best of my knowledge and belief, the
 above listed information and all attached supporting
 documents are complete and accurate.




Applicant Signature                                                                                                  Date      [
 Procedures    Ice   Forms\20ning Appiication\APPLlCATlQNS   -
 Without Yr\2023 Revisions\Deannexation\Deannexation Application, revised
 HENRY COUNTY

  HEERY COUNTY          DEPARTMENT OF PLANNING & ZONING
 mun-mt   w-




 Campaign Disclosure Form
   Must be completed by ALL applicant(s),
 property owner(s), agent(s) and/or attorney(s). Use as many forms as
 needed.




CHECK ONE:              l/AP'PLICANT                                    PROPERTY OWNER                             AGENT        ATTORNEY             OTHER

Has the person described below made, within two
 (2) years immediately preceding the                  of this application campaign
contributions aggregating $250 or more or made gifts
 having in the aggregate a value of $250 or more to a member of the
Henry County                     Commissioners who will consider the application?

Yes         No


If Y_es_, the applicant/property owner/agent and/or
 attorney representing the applicant must               the following information
with the Henry County Board of Commissioners within ten
 (10) days; after this application is
 I




 Commissioner/Zoning Advisory                                                Dollar amount of                    Description of Gift $250 or greater given
 Board Member Name                                                  Cam ai        n   Contributibn                          to Board Member




We certify that the foregoing information is true and correct, this
 day                               ,




Applicant/Property Owner/Agent/Other Name                                    -
 Printed            Signature of Applicant/Property Owner/Agent/Other




Sworn to and subscribed before me, this
 day of                                    ,   M

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 Formsvoning Application\APPLlCATlONS Without Yr\2023 Revisions\Deannexation\Deannexation Application,
 '
 revised
 9-28-2023.docx
 LETTER




Henry count-y Board ofvCommissioners:
As deannexation requests are not subject to public
 hea:ri_ng
 requirements, please accept this
written request for the deannexation of my property from the City of Stockbridge for the
followingreasons:                                        i




    1) The territory to be deanneXed is contiguous to existing" unincorporated areas and
 complies with requirements establishedIn 0C. G. A Title 36, Chapter 36.
   2) prefer to liveIn unincorporated Henry County;
 i

   3) i prefer not to live within the city limits of

Therefore, I respectfully ask for you to accept this request for the deannexation of my property
from theCity of Stockbridge, and to extend
 CoUnty services to include the same.

Additional comments:




Signature


 "5                                                .51: (oar
Printer Name                                                 Date
 335




 A52
 HENRY  COUNTY
 {Tmwz nmengt
 i




  THANK YOU FOR YOURINTEREST IN HENRY COUNTY, GEORGIA. THIS PACKET INCLUDES THE
 NECESSARY DOCUMENTS NEEDED FOR DEANN       EXATION REQUESTS TO BE HEARD BY THE HENRY
 COUNTY BOARD OF COMMISSIONERS.


 PLEASE NOTE: ALL FEES ARE NON-REFUNDABLE. THERE ARE NO EXCEPTIONS.


 A PRE-APPLICATION MEETING IS ADVISED, BUT NOT REQUIRED, FOR DEANNEXATION REQUESTS.
 THE HENRY COUNTY PLANNING AND ZONING DEPARTMENT WILL ONLY CONDUCT
 APPLICATION MEETINGS ON TUESDAY,    WEDNESDAY; AND THURSDAY OF EACH WEEK. PLEASE
VISIT                                                                    TO SCHEDULE A

 MEETING     ONLINE.


 N0 PRE-APPLICA TI0N MEETING WILL BE CONDUCTED WITH0 UT AN APPOINTMENT.




SHOULD YOU NEED FURTHER ASSISTANCE, PLEASE FEEL FREE TO CONTACT OUR OFFICE BETWEEN
 8:00 AM AND 5:00PM, MONDAY THROUGH FRIDAY


 AT   (770)



 OF ALL COUNTY RELATED BOARD MEETINGS IS:


 140 HEN RY PARKWAY


 MCDONOUGH, GEORGIA 30253
 HENRY COUNTY
 DEPARTMENT OF PLANNING & ZONING


 Deannexation A                                           Checklist


 ALL REQUIRED DOCUMENTS ARE REQUIRED TO
 CONSIDER APPLICATION COMPLETE.


 INCOMPLETE APPLICATIONS WILL NOT BE                       ACCEPTED           NO EXCEPTIONS




     REQUIRED               COPIES                                         PROCEDURE                                                   STAFF INITIAL
 ITEMS


  Pre-Application                      Must be obtained from a
 current plariner, signed, and dated within six (6)
  Meeting Notes                        months prior to submitting your
 application. (OPTIONAL)
  Application Form                    Signed by owner and notarized. In lieu of owner 5 signature, applicant has
 signed and notarized a copy of a            or         of


 Only   owners      and   those    listed    as    applicant    or   agent/attomey   will   be
 contacted with      regards to     a   request. Only owners and those listed as
 applicant or agent/attomey have authorimtion to take action regarding a
 request.

  Ownership                            Required for all property owners                      with    an   application and must be
 notarized.


  Campaign                                           all property owners, applicants, agents,
 attorneys, etc.
  Disclosure Form                      with an application and must be
 notarized.
  Letter of Intent                    Must clearly state the request intent.             i


  Residential                         Required     for any deanexation
 request which includes any residential
  Declaration                         property.

  Deed of                             Property deed showing all property owner(s) name(s) and legal description.
 Ownership      .




 As-built Survey                      Must be prepared and sealed within
 the last      years by a professional
 engineer, landscape architect, or land: surveyor registered in the State of
  (11 x 17)
 Georgia. Said survey plat shall: 1) indicate the complete boundaries of the
 subject property and all buildings and structures existing therein; 2) include
 measurements of all  property lines; 3) include a notation as to the total
 acreage     or     footage of the subject property; and 4) include all
 square
 setbacks, road Frontage, correct
 scale, north arrow, and present zoning

 Surveys and Final Plats older than  years at time of submission may be
 accepted per the discretion of the Planning and Zoning Department
 Director.




Z:\Planning_Zoning\0ffice            Forms\Zoning Application\APPLlCATlONS Without Yr\2023 Revision5\Deannexation\Deannexation Application, revised
 -
 HENRY COUNTY
 {a If" DEPARTMENT OF PLANNING '& ZONING
    HENRY COUNTY
 rnmem




 APPLICATION FOR
 DEMNEXATION
 To the Board of Commissioners of Henry County, Georgia.


 1.    We, the undersigned, all of the owners of all real property of the territory described herein respectfully request that the
 Henry
 County Board of Commissioners accept the deannexation request of this territory from city boundaries, and extend the County
 services to include the same.


 2.    The territory to be deannexed is contiguous to existing                  unincorporated         areas    and complies with requirements established in
 0.C.G.A Title 36, Chapter 36. The description of such territory is attached hereto.




OWNER(S)NAME(S)                   .
 [Qua



PHONE NUMBER                                                                                     EMAIL ADDRES.



DEANNEXATION FROM                           DHAMPTON              EILOCUST GROVE                            DMCDONOUGH                    WKBRIDGE

LOCATION/ADDRESS                      3              its 1' r                                      5     00/5 5W1?                                     2/8!

LAND LOT/DISTRICT                                                                                ACERAGE                  ?   O


PARCEL ID NUMBER                      O          o   0     Coco                                  ZONING DISTRICT(S)                  5R

 ONE FORM PER PROPER'I'Y. USE ADDITIONAL SHEETS IF
 REQUIRED.



SIGNATURE(S)                               m                                                                DATE        1                 -




 DATE


 ALL PROPERTY OWNERS MUST SIGN AS THEIR NAME
 APE'EEARS ON THE DEED. USE ADDITIONAL SHEETS II" REQUIRED.
 '




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Preap'plieation meeting:                                           Title:
 Date:
Application ychecked by:                                           Title:                                               Date:


BOC hieetingDate:                                        BOC Decision:                                                   Date:

Planning                 Signature:                                                                            Date:
 Procedures\0ffice Forms\Zoning Application\APPLtCAT|0NS                Without Yr\2023
 -


 Revisions\Deannexation\Deannexation Application, revised
 9~28.2023.docx
 HENRY COUNTY
 DEPARTMENT OF PLANNING & ZONING


 OWNERSHIP                 VERIEICATION
The undersigned is the / an owner of an interest in the lands                      described in the attached                          application, which
proposes to amend the                    Zoning Map of the deannexing municipal jurisdiction and of Henry County, Georgia, and
concurs    in the application. The                          interest in the lands described in the application is as follows:



Location/Address                _33 K            I {i       K 1'   174 DK      .
 1       /C       3   D (Vi
 '
 3            I

Parcel ID Number                    0 /'
 Jig) 0 026 one
 _




 name(s)             ,
 L 17:0 M         W0          95                            Percentage of interest:     Am:                        _




 Percentage of interest:



We certify that the foregoing information is true and correct, this                        4       day ofM
 _.




     A1919.v_ Ma? a? 5                                                              jaw: Mg                                                _




Property              Printed                                                      Signature of Property Owner




Property              Printed                                                      Signature of Property Owner




Sworn to and subscribed before me, this
 _/,Q                  i
 day of    M, g 25                                               .




 Notary Public (Seal)


2: \Planning_Zoning\0ffice Procedures\0ffice Forms\Zoning                            Without Vr\2023 Revisions\Deannexation\Deannexation Application, revised
 28- 2023. docx
 HENRY COUNTY

 DEPARTMENT OF PLANNING & ZONING
 my mum;
 GENE




 Residential            Declaration
 In order to comply with the United States Department of                               procedures for the administration of Section 5
     of the Voting Rights Act of 1965 as amended, Subpart B, Sectioin 51.28, the following information is required for
     the deannexation of any residential properties. Must be completed for ALL residential properties (regardless of

 zoning designation). Use as many forms as needed.



Location/Address                              (i {:42 i m                         S    0                                    S

Parcel ID Number                   0    W0! 0            0 0




1.     Total number of existing residential structures located on the          subject parcel:
2.     Description.     of   the   residential      structures     located        on     the     subject      property       as     listed     above:


 Wfflql/ATc:
 ,7                       Mm




3.     Total number of person(s) residing within each structure:               a

4.     Age, Sex, and Race of each of those individuals:            Age                   Sex                            Race
 USE ADDITIONAL FORMS IF NEEDED


 4/                        M
 352291 awwamgm/
 F.                                         ,.




5.     Henry County Commission District:            2

6.     City Council Voting District:                I


 CERTIFICATION AND AUTHORIZATION
 I hereby certify that, to the best of my knowledge and belief, the
 above listed information and all attached supporting
 documents are completeand accurate.




Applicant Signature                              M                                                 Date       [9
 Forms\Zoning Application\APPLlCATl0NS   Without Yr\2023 Revisions\Deannexation\Deannexation Application, revised
 9-28-2023.docx
 HENRY COUNTY

 awn?   COUNTY      DEPARTMENT OF PLANNING & ZONING
   Save




 Campaign Disclosure Form
   Must be completed by ALL applicant(s),
 property owner(s), agent(s) and/or attorney(s).~ Use as many forms as
 1
 needed.




CHECK ONE:       \/ APPLICANT                     PROPERTY OWNER                              AGENT            ATTORNEY                  OTHER

Has the person described below made, within two (2)
 years    immediately preceding the                  of this application campaign
contributions aggregating $250 or                or made
 gifts having in the aggregate a value of $250 or more to a member of the
 more
Henry County Board Of Commissioners who will consider the application?

Yes        No    4/
If Yes, the applicant/property owner/agent
 and/or attorney representing the applicant must                     the following information
with the Henry County Board ofCommissioners within ten (10)
 days; after this application

 Commissioner/Zoning Advisory                            Dollar amount of                     Description of Gift $250 or greater given
 Board Member'Name                             Cam     ai     n   Contribution                           to Board Member




 :

 -
 I
We certify that the foregoing information Is true and correct, this                     /:       day of                   96%


  kg                    m


Applicant/Property Owner/Agent/Other Name                    Printed            Signature of Applicant/Property Owner/Agent/Other




Sworn to and subscribed before me, this
 I
 day of                                      ,
 Egg           .




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 E if.        PUBUO              5:5
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 '2                r       "<5?55
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 Notary Public (Seal)
 Forms\Zoning Application\APPLlCATlONS       -

 Without Yr\2023 Revisions\Deannexation\Deannexation Application, revised
 LETTER OF       INTEENT


Henry County Board of Commissioners:


As deannexation   requests are not subject to public      hearing requirements, please accept this
written request for the deannexation of my property from the City of Stockbridge for the

following reasons:                                            '




   1)   The territory to be deannexed is contiguous to existing unincorporated areas and

 complies with requirements established in                     Title 36, Chapter 36.
   2)   i prefer to live in Unincorporated Henry                  '




   3)   I prefer not to live within the city limits of   Stockbridge.

Therefore, I respectfully ask for you to accept this request for the deannexation of my property
from the City of Stockbridge, and to extend County services to include the same.


Additional comments:




  j
Signature



 L
Printed Name                                                          Date
 prz,




 Application


 HENRY COUNTY
 G       m5: m:




 THANK YOU FOR YOUR INTEREST IN HENRY COUNTY, GEORGIA. THIS PACKET INCLUDES THE
 NECESSARY DOCUMENTS NEEDED FOR DEANNEXATION REQUESTS TO BE HEARD BY THE HENRY

 COUNTY BOARD OF COMMISSIONERS.


 PLEASE NOTE: ALL FEES ARE NON-REFUNDABLE.     THERE ARE NO EXCEPTIONS.



A PRE-APPLICATION MEETING IS ADVISED, BUT NOT REQUIRED, FOR DEANNEXATION
 REQUESTS.
   ,




 THE HENRY COUNTY PLANNING AND ZONING DEPARTMENT WILL ONLY CONDUCT PRE-
 APPLICATION MEETINGS ON TUESDAY,   WEDNESDAY,3AND THURSDAY OF EACH WEEK. PLEASE
 TO SCHEDULE A
 MEETING ONLINE.



 N0 PRE-APPLICATION MEETING WILL BE CONDUCTED WITHOUT AN APPOINTMENT.




SHOULD YOU NEED FURTHER ASSISTANCE, PLEASE-FEEL FREE TO CONTACT OUR OFFICE BETWEEN
 8:00 AM AND 5:00 PM, MONDAY THROUGH FRIDAY

 AT (770) 28 8-7526.




 THE LOCATION OF ALL COUNT   RELATED BOARD MEETINGS IS:

 140 HENR    PARKWAY


 MCDONOUGH,      EORGIA 30253
 HENRY COUNTY

   BMW comm?           DEPARTMENT OF PLANNING & ZONING
 *nmgzi'u:




 Deannexation A                         lication Checklist


 ALL REQUIRED DOCUMENTS ARE REQUIRED TO CONSIDER APPLICATION COMPLETE.




 INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED                                        NO EXCEPTIONS




   REQUIRED               C OPI ES                                            PROCEDURE                                                       STAFF INITIAL
 ITEMS


 Pre-Application                           Must be obtained from a current planner, signed, and dated within six (6)

 Meeting Notes                             months prior to submitting your application. (OPTIONAL)


 Application Form                          Signed by owner and notarized. In lieu of                              signature, applicant has
 signed and notarized a copy of a                            or              of


 Only    owners    and those       listed       as   applicant    or    agent/attomey   will be
 contacted with  regards       request. Only
 to    a                        owners     as and those listed

 applicant or agent/attorney have authorization to take action regarding a
 request.

 Ownership                                  Required for all property owners                       with an       application and must be
 notarized.


 Campaign                                   Required for all property owners, applicants, agents, attorneys, etc.
 Disclosure Form                           with an application and must be notarized.


 Letter of Intent                          Must clearly state the request intent.              .




 Residential                               Required     for any deanexation request which                    includes any     residential
 Declaration                               property.

 Deed of                                   Property deed showing all property owner(s) name(s) and legal description.
 Ownership

 As-built Survey                           Must be prepared and sealed within the last five years by a professional

 engineer, landscape architect, or land surveyor registered in the State of
  (1i x 17)
 Georgia. Said survey plat shall: I) indicate the complete boundaries of the
 subject property and all buildings and structures existing therein; 2) include
 measurements of all property lines; '3) include a notation as to the total
 acreage or square footage of the subject property; and 4) include all
 setbacks, road frontage, correct scale, north arrow, and present zoning



 Surveys and Final Plats older than years at time of submission may be
 accepted per the discretion of the Planning and Zoning Department
 Director.




Z:\Plannihg_20ning\0ffice Procedures\0ffice Forms\Zaning Application\APPLlCATION5     -
 Without Yr\2023 Revisions\Deannexation\Deannexation Application, revised
 HENRYCOUNTY
  A             $91?
 DEPARTMENT OF PLANNING & ZONING
  mama? comm
     vernmum.




 APPLICATION FOR DEANNEXATION


To the Board of Commissioners of Henry County, Georgia.


 1.    We, the undersigned all of the owners of all real property of the territory described herein respectfully request that the Henry
 County Board of Commrssroners accept the deannexation request of this territory from city boundaries, and extend the County
 services to include the same.


     2.     The territory to be deannexedIS contiguous to existing
 unincorporated areas and complies with requirements establishedIn
 0 C. G A Title 36 Chapter 36 The description of such territory is attached hereto




OWNER(S) NAME(S)                           AK {5'4                      .5        07070

 Laws                  cm                                        oTU7b

PHONE NUMBER                                                                                          EMAIL ADDRESS



DEANNEXATION FROM                         El HAMPTON                ULOCUST GROVE                               DMCDONOUGH




LOCATION/ADDRESS                      Z25:              [1595525 DR,                                      5mg                   CHE

LAND LOT/DISTRI CT                    2   (/1;              '




 -
 ACERAGE                       .


 '




PARCEL 1D NUMBER                      Z 5 Q 5'40ng                                                ZONING DISTRICT(S)                     5
 ONE FORM PER PROPERTY. USE ADDITIONAL SHEETS IF REQUIRED.




S]GNATURE(S)                                                                                                    DATE                           Z
 _




 1
 -




 DATE            2     {)6 7.13752.
 ALL PROPERTY OWNERS MUST SIGN AS THEIR NAME APPEARS ON THE DEED. USE ADDITIONAL SHEETS IF REQUIRED.




NOT        RY          GNATURE AND SEAL


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Z:\Planning_Zonlng\Office Procedures\0ifice Forms\Zoning ApplicationMPPLlCATlONi-i            -
 WIthout Yr\2023 Revisions\Deannexation\Deannexation Application, revised
 9-28-2023.ch
 HENRY COUNTY

  HENRY
 DEPARTMENT OF PLANNING & ZONING
    (smemmem
    '-




 OWNERSHIP VERIFICATION

The undersigned is the / an owner of an interest in the lands described in the attached deannexation
 application, which
proposes to amend the                    Zoning Map of the deannexing municipal jurisdiction and of Henry County, Georgia, and
concurs in the     application. The                          interest in the lands described in the application is as follows:



Location/Address                                                 4/.
 "
 i                              I

Parcel ID Number


 name(s)
 W        0 I




 1 gm 5 (:
 gm
 010 7000


 3   T      _Q_

 07L!     0
 Percentage of interest:

 Percentage of interest:
 60 715

 067 c


We certify that the foregoing information is true and correct, this                         5       day of                                      2
 1016



 ,4 14am Show-x
Property              Primed                                                    Signature of Property Owner




 :amemct Sn w0
 '




 ms

Property              Printed                                                   .V

 nature of Property Owner




Sworn to and subscribed before me, this                      5                day of                                         ,
 M2"                .




 73":
 ! I




 pUBUC          -'
 :5
 W
 \
 83 p                                                          Notary Public (Seal)


Z:\Planning_Zoning\Office Procedures\0ffice Forms\Zoning Application\APPLtCATl0NS   -
 Without Vr\2023 Revisions\Deannexation\Deannexation
 Application, revised
 HENRY COUNTY

 DEPARTMENT OF
 PLANNING & ZONING

 Residential Declaration

     In order to comply with the United States
 Department of J                    procedures for the administration of Section 5
 of the Voting Rights Act of 1965 as amended, Subpart B,
 Section 51.28, the following information is required for
 the deannexation of any residential pmperties. Must be
 completed for ALL residential properties (regardless of
 zoning designation). Use as many forms as needed.



Location/Address                                                   1       DR      ,           00     33; 13 (ii         Gk 3 152,3]

Parcel ID Number                                0    0   7,7000



 1.     Total number of existing residential structures located on the subject
 parcel:       \
2.      Description    of    the     residential      structures       located         on    the      subject   property      as     listed     above:

 W are




3.     Total number of persOn(s) residing within each structure:


4.     Age, Sex, and Race of each of those individuals:                Age                   Sex
 USE ADDITIONAL FORMS IF NEEDED


 @                                            B 1 wk A PC
 a5                                            gwtok           AA
 35                   Mow                                    AA

 .32                  Fermw                Blow;          AA

5.     Henry County Commission District:                 2.

6.     City Council Voting District:


 CERTIFICATION AND AUTHORIZATION
 I hereby certify that, to the best of my knowledge and belief, the
 above listed information and all attached supporting
 documents are complete and accurate.




Applicant Signature                                                                                    Date     .2 05' J 0 2.5"
 Procedures\0ffice Forms\Zoning Application\APPLlCATl0NS Without Yr\2023 Revisions\Deannexation\Deannexation
 Application, revised
 -
 HENRY COUNTY

 COUNTY            DEPARTMENT OF PLANNING & ZONING


 Campaign Disclosure Form
     Must be completed by ALL applicant(s),
 property owner(s), age'nt(s) and/or attorney(s). Use as many forms as
 I




 needed.




 CHECK ONE:              ,4    APPLICANT                   PROPERTY OWNER                          AGENT            ATTORNEY             OTHER

 Has the person described below made, within two
 (2) years immediately preceding the         of this application campaign
 contributions aggregating $250 or more or made gifts
 having inthe aggregate a value of $250 or more to a member of the
 Henry County Board of Commissioners who will consider the application?

 Yes            No       \/
 ,




 lf Kg, the applicant/property owner/agent and/or
 attorney      representing; the applicant must           the following information
 with the Henry County Board of Commissioners within
 ten (10) days after this application is

 Commissioner/Zoning Advisory                              Dollar amount of                  =

 Description of Gift $250 or greater given
 Board Member Name                                 Cam    ai   n   Contribution                          to Board Member




L                                                      J




We certify that the foregomg information IS true and                                       J                         cembar
 correct, this    __
 day of                                                Q
 _V            _




 Cornell i0u
Applicant/Property Owner/Agent/Other Name                       Printed
 594343443 (M 91
 Signature of Applicant/Property Owner/Agent/Other




Sworn to and subscribed before me, this                AL                         day of   W, 2 Z 2                                              .




 E               '


 E
 5
 3..
 p

 555
 Q'
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 -




 M
 Notary Public (Seal)
Z:\P|anning_Zoning\Office
 ,




 Forms\Zoning Application\APPUCATIONS     Without Yr\2023 Revisions-\Deannexation\Deannexation
 Application, revised
 '




 9-2&2023.docx
 HENRY COUNTY

 chum?
   away mment
 DEPARTMENT OF PLANNING & ZONING
    ,   ,.




 Campaign Disclosure Form
 Must be completed by ALL applicant(s), property owner(s),
 agent(s) and/or attorney(s). Use           as
 many forms as
 needed.




 CHECK ONE:              l/APPLICANT                   PROPERTY OWNER                     f   AGENT                ATTORNEY               OTHER

 Has the person described below made, within two (2)
 years immediately preceding            the         of this application campaign
contributions aggregating $250 or more or made gifts having in the                                       a value of $250 or more to a member of the
 aggregate
 Henry County                    Commissioners who will consider the application?

Yes               No
 Boaryof
Eyes, the applicant/property owner/agent and/or attorney representing the applicant must file the following information
with the Henry County Board of Comm issioners within ten (10) daysTafter this
 application is

 Commissioner/Zoning Advisory                        Dollar amount of                      Description of Gift $250 or greater given
 'Board Member Name                        Cam     ai     n   Contribution                           to Board Member




We certify that the foregoing information is true and correct, this
 day of           M     b4 /              20} F


 (2c m    8 inc      \
 1
Applicant/Property Owner/Agent/Other Name                   -
 Printed           Signature of Applicant/ Property Owner/Agent/Other




 -



 /
 2m
 ,
 .




Sworn to and subscribed before me, this
 day of
 '




 ,   2 2%          .




 Notary Public (Seal)
Z:\Planning_Zoning\Office                   Forms\Zoning Application\APPLICATIONS   Without Yr\2023 Revisions\Deannexation\Deannexation
 Application, revised
 9-28-2023.docx
 LETTER OF INTENT




Henry County Board of Commissioners:


As deannexation requests are not
 subject to public hearing requirements, please accept this
written request for the deannexation of my property
 from the City of Stockbridge for the
following reasons:


    1) The territory to be deannexed is contiguous to existing unincorporated areas and
 complies with requirements established in O.C.Cj.A Title 36, Chapter 36.
    2)    I prefer to live in Unincorporated   Henry County;
    3)                                                Sto'ckbridge.
 I prefer not to live within the city limits of



Therefore, I respectfully ask for you to accept this request for the deannexation of my property
from the City of Stockbridge, and to extend County
 seryices to include the same.

Additional comments:




Signature



 14%?   a. m   9    [[5    W15 Camdlim
 '




 slum/5s         J l
 26       107/5
Printed Name                                                      Date
 35(




 HENRY EQUN'W
 {30%er


  THANK YOU FOR YOUR INTEREST IN HENRY COUNTY; GEORGIA. THIS PACKET INCLUDES THE
 NECESSARY DOCUMENTS NEEDED FOR DEANNEXATION REQUESTS TO BE HEARD BY THE HENRY
 COUNTY BOARD OF COMMISSIONERS.


 PLEASE NOT    ALL FEES ARE NON-REFUNDAELE. THERE ARE NO EXCEPTIONS.


 A REE-APPLICATION MEETING Is ADVISED, BUT NOT REQUIRED, FOR DEANNEXATION REQUESTS.
    THE HENRY COUNTY PLANNING AND ZONING DERARTMENT WILL ONLY CONDUCT PRE-
 APPLICATION MEETINGS ON TUESDAY, WEDNESDAY,     %_AND THURSDAY OF EACH WEEK. PLEASE
VISIT HTTP://WWW.CO.HENRY.GA.                                           TO SCHEDULE A

 MEETING ONLINE.




 N0 PRE~APPLICA TION MEETING WILL BE COND UCTED WITHO U] 'AN APPOINTMENT.




SHOULD YOU NEED FURTHER ASSISTANCE, PLEASE FEEL FREE TO CONTACT OUR OFFICE BETWEEN
 8:00 AM AND 5:00 PM. MONDAQY THROUGH FRIDAY

 AT (770)   288-7526.



 THE LOCATION OF ALL COUNTY RELATED BOARD MEETINGS IS:


 140 HENRY PARKWAY

 McDON OUGH, GEORGIA 30253
 HENRY COUNTY

 DEPARTMENT OF PLANNING & ZONING


 Deannexation A                           lication Checklist


 ALL REQUIRED DOCUMENTS ARE REQUIRED                    :To CONSIDER APPLICATION COMPLETE.

 INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED                             -
 NO EXCEPTIONS




     EQ U l R E!)                                                                                                                    STA FF

 ITEMS

 Must be obtained from a         current planner, signed, and dated within six (6)
Meeting Notes                       months prior to submitting your; appliCetion. (OPTIONAL)


Application Form                    Signed by owner and notarized; In lieu of                            signature, applicant has
 signed and notarized a copy                                or             of


 Only    owners      and those    listed       as   applicant    or   agent/attorney   will be

 contacted with       regards   to    a   request. Only     owners       and those listed   as


 applicant or agent/attorney have authorization to take action regarding a
 request.

 Ownership                          Required for all property owners                       with an application and must be

 Verification                       notarized.


 Campaign                           Required for all property owners, applicants, agents, attorneys, etc. filed
 Disclosure Form                    with an application and must be notarized.

 '




 Letter of Intent                   Must clearly state the request intent.



 Residential                        Required for any deanexationf request which                      includes any residential
 :         '




 Declaration                        property.

 Deed of                            Properly deed showing all       property. owner(s) name(s) and legal description
 Ownership

 As-built Survey                    Must be prepared and sealed within the last                          years by a professional

 engineer, landscape architect, or land surveyor registered in the State of
  (1 1 x 17)                        Georgia. Said survey plat shall: .1) indicate the complete boundaries of the
 subject property and all buildings and structures existing therein; 2) include
 measu1enrents       of all property      lines; 3) include a notation as to the total
 acreage      01   square   footage   of:the subject property; and 4) include all
 setbacks, road frontage, con'eet scale, north arrow, and present zoning
 classification.


 Surveys and Final Plats older tlian five years at time of submission may be
 accepted per the discretion of the Planning and Zoning Department
 :
 Director.




Z:\PIanning_Zoning\0ffice           Forms\Zoning Application\APPLlCATl0N:S        Without Yr\2023 Revisions\Deannexation\Deannexation Application, revised
 y.




 W' HENRY COUNTY
 ._           o
 m
 DEPARTMENT OF PLANNING & ZONING
 b




 APPLICATION FOR DEANNEXATION


To the Board of
NOTAR                  AND of
 Commissioners
 SIGNATURE             Henry County, Georgia.
 SEAL

 1           We, the undersigned, all of the owners of all real property of the territory described herein respectfully request that the Henry
 County Board of Commissioners accept the dcannexation request of this territory from city boundaries, and extend the County
 services to include the same.


 2.          The territory to be dearurexed is contiguous to existing unincorporated areas and complies with requirements established in
 O.C.G.A T[lie     Chapter 36 The description of such territory is attached hereto.


0WNER(S) NAMECS)                                               .
 324                       Mm L.


PHONE NUMBER                                                                                  EMAIL ADDRES



DEANNEXATION FROM                             DHAMPTON              DLocusr GROVE                           DMCDONOUGH                    MCKBRIDGE



LOCATION/ADDRESS
 '

 00/4              I'         Z    G   3     I

LAND LO'I'IDIS'l'Rl                                     L                                     ACERAGE                          .   3 '7

PARCEL ID NUMBER                        DI           0} 0 28 0                                ZONING DISTRICT(S)


 ONE FORM            PROPERTY. USE ADDITIONAL SHEETS IF REQUIRED.




SIGNATURE(S)                                                                                                DATE
 \8/ l3 OONmi.
 DATE


 ALL PROPERTY OWNERS MUST SIGN AS THEIR NA ME                                                    USE ADDITIONAL SHEETS I17 REQUIRED.
 \



 \
 W4 )10'9;
 ----------         l

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 ,3   .wrssion'n.              "




 -




(Office use only)




 '




 tea are                                                                             Date;
 -




 Forms\Zoning ApplicationmPPUCATIONS -; Without Yr\2023 Revisions\Deannexation\Deannexation Application. revised
 9-28-2023,d0jcx
 HENRY COUNTY
 DEPARTMENT OF PLANNING & ZONING


 OWNERSHIP VERIFICATION

The undersigned is the / an owner of an interest in the lands described in the attached deanneXation application, which

proposes to amend the           Zoning Map of the deannexing municipal jurisdiction and of Hemy County, Georgia, and
concurs in the application. The             interest in the lands descnbed in the application is as follows:



Location/Address                                                                       9mm, 8!}                                    3 OZ
 11m

Parcel ID Number                0 I Z #0] D                o oo



 name(s)              DQQI H4 mmmwwkrcentage of interest: 002::
 Percentage of interest:




We certify that the foregoing information is true and correct, this
 .amday           of                                     96        '5




Property Owner- Printed                                                     Signature of Property Owner




Property              Printed                                               Signature of Property Owner




 ,.


Sworn to and subscribed before me, this            1                       day of i     [2% (5.014                            M 23.




 4'           297,?   ,.
 (<9 3
 53.x                                    Notary Public (Seal)


Z:\P|anning_Zoning\0ffice             Forms\Zoning Application\APPLlCATiONS   -
 Without Yr\2023 Revisions\Deannexation\Deannexation Application. revised
 9-28-2023.docx
 HENRY COUNTY
 I                       _




 DEPARTMENT OF                           PEANNING & ZONING

 Residential Declagration
 In order to comply with the United States Department of Justicefs procedures for the administration of Section 5
 of the Voting Rights Act of 1965 as amended, Subpart B,                  Sectiori 51.28, the followinginformation is required for
     the deannexation of any residential properties.         Miist be completed for ALL residential properties (regardless of
 zoning designation); Use as many; forms as needed.



Location/Address                  1(5             may);
 Z ,7"                             ,
 06/! KR ; J) (752           GPrS '0 2,5"

Parcel ID Number                 oz
 I [G 0 j 0               00??!

1.     Total number of existing residential structures located on the           subject parcel: \

2.        cription    of   the    residential      structures:       located.           on   the     subject       property     as   listed   above:


 ERA/403.514 1% M0
 o

 a




 81)




3.     Total number of person(s) residing within each struicture:
 3

 Age, Sex, and Race of each of those individuals:         i    A                       Sex                             Race
 USE ADDITIONAL FORMS IF NEEDED                         vge
 E

 (29                           P                         E)
 :50                          l:

 a                             M                          B



5.     Henry County Commission District:                2-

6.     City Council Voting District:



 CERTIFICATlON AND AUTHORIZATION
 I hereby certify that, to the best of my knowledgeand beliefi the above listed information and all attached supporting
 documents are Complete and accurate.




 Hm;
 .




 6-
Applicant Signet                                                                                       Date             l3
 Forms\Zoning Application\AyPLICATlON$ Without Yr\2023 Hevisions\Deannexation\Deannexation Application, revised
 -




 '
 HENRY COUNTY
 DEPARTMENT OF PLANNING & ZONING



 Campaign Disclosure Form
   Must be completed by ALL applicant(s), property owner(s), agent(s) and/or
 I
 attorney(s). Use as many forms as
 needed.




CHECK ONE:       /APPLICANT                          PROPERTY OWNER                        gAGENT'             ATTORNEY
 '




 OTHER

Has the person described below made, within two (2) years immediately preceding the                                      of this application campaign
contributions aggregating $250 or more or made gifts having in the                                   a value of $250 or more to a member of the
 aggregate
Henry County Board of Commissioners who will consider the application?

Yes         No
 A
If Egg, the applicant/property owner/agent and/or attorney
 representing the applicant must         the following information
with the Heniy County Board of Commissioners within ten (10) days fafter this application is


 Commissioner/Zoning Advisory                                Dollar amount of                Description of Gift $250 or greater given
 Board Member Name                                 Cam      ai    1]   Contribution                        to Board Member




We certify that the foregoing infonnation is true and correct, this                                   of                  (or

 X.
Applicant/Property Owner/Agent/Other Name                    -
 Printed             Signatiire of Applicant/Property




Sworn to and subscribed before me, this                                            dayofi



 6% I'o Vane
 29   261%       Q-
 I   C
 Q9 s                                                         .




 Notary Public (Seal)
 "'1: 0U N TY
 .




 ~
 I                  \                                           .




 Application\Al{PLlCATlONS Without Yr\2023 Revisions\Deannexation\Deannexation Application, revised
 -~




 9-28-2023.docx
 LETTER OF          INTENT

Henry County Board of Commissioners:


As deannexation requests are not subject to public
 hearing requirements, please accept this
written request for the deannexation of my property froim the City of Stockbridge for the

following reasons:


    1) The territory to be deannexed is contiguous to eXisting unincorporated areas and
 complies vyith requirements established in         Title 36, Chapter 36.
    2)   i prefer to live in Unincorporated
 County.
    3)   I prefer not to live within the city
 limits of

Therefore, I respectfully ask for you to accept this request for the deannexation of my property
from the City of Stockbridge, and to
 exteriid County services to include the   same.



Additional comments:




Signature                                       l



 \3
Printed Name
 /\ 3 19g
 Date
 6'
 42:-
 a      w


 HENRY COUNTY
 *

 ovem m cm:   ~




  THANK You FOR YOUR INTEREST IN HENRY COUNTY. GEORGIA. THIS PACKET INCLUDES THE

 NECESSARY DOCUMENTS NEEDED FOR         DEANNEXATION REQUESTS TO BE HEARD BY THE HENRY
 COUNTY BOARD OF COMMISSIONERS.



 PLEASE NOTE: ALL FEES ARE NON-REFUNDABLE. THERE ARE NO EXCEPTIONS.


 A                   MEETING Is ADVISED, BUT NOT       REQUIRED, FOR DEANNEXATION REQUESTS.
 THE HENRY COUNTY PLANNING AND ZONING DEPARTMENT WILL ONLY CONDUCT
 APPLICATION MEETINGS ON    TUESDAY, WEDNESDAY;AND THURSDAY OF EACH WEEK. PLEASE
VISIT                                                                          TO SCHEDULE A

 MEETING ONLINE.




 N0 PRE-A PPLICA TION MEETING WILL BE COND UCTED WITH0 UT AN APPOINT[MENT.




SHOULD YOU NEED FURTHER ASSISTANCE, PLEASE FEEL FREE TO CONTACT OUR OFFICE BETWEEN
 8:00 AM AND 5:00 PM, MONDAY THROUGH FRIDAY

 AT   (770) 28



 THE LOCATION OF ALL COUNTY RELATED BOARD MEETINGS IS:


 1.40 HENRY PARKWAY


 MCDONOUGH, GEORGIA 30253
 \:                         HENRY COUNTY
 DEPARTMENT OF PLANNING & ZONING
   HENRY sou NF!
 m2: 1r




 Deannexation A                        lication Checklist


 ALL REQUIRED DOCUMENTS ARE REQUIRED TO
 CONSIDER APPLICATION COMPLETE.


 INCOMPLETE APPLICATIONS WILL NOT BE                      ACCEPTED         NO EXCEPTIONS




    REQUIRED                COPIES                                       PROCEDURE                                                      STAFF INITIAL
 ITEMS


  Pre-Application                      Must be obtained from a current
 planner, signed, and dated within six (6)
  Meeting Notes                       months prior to submitting your
 application. (OPTIONAL)
  Application Form                    Signed by owner and notarized. In lieu of                        signature, applicant has
 signed and notarized a copy of a                            or        of Attorney".


 Only   owners      and those   listed       as    applicant or agent/attorney will be
 contacted with      regards   to   a   request; Only        owners   and those listed   as

 applicant or agent/attorney have authorization to take action regarding a
 request.

  Ownership                           Required for all property owners                       with an application and must be
 notarized.


  Campaign                            Required for all property owners, applicants, agents, attorneys, etc.
 Disclosure Form                      with an application and must be notarized.


 Letter of Intent                     Must clearly state the request intent.            I


 Residential                          Required    for any deanexation request which includes                       residential
 any
 Declaration                          property.

 Deed of                              Property deed showing all property owfner(s) name(s) and legal description.
 Ownership

 As-built Survey                      Must be prepared and sealed within the last
 years by a professional
 engineer, landscape architect, or land surveyor registered in the State of
  (11 x 17)
 Georgia. Said survey plat shall: 1) indicate the complete boundaries of the
 subject property and all buildings and Structures existing therein; 2) include
 measurements      of all property      lines; 3) include a notation as to the total
 acreage    or      footage of the subject property; and 4) include all
 square
 setbacks, road frontage, correct scale, north arrow, and present zoning



 Surveys and Final Plats older than                    years at time of submission may be
 accepted    per the discretion         of the     Planning and Zoning Department
 Director




Z:\Planning_Zoning\0ffice            Forms\Zoning Application\APPLlCAT|ONS        Without Yr\2023 Revisions\Deannexation\Deannexation
 Application, revised
 -




 9-28-2023.docx
 '



 ""
    '




 HENRY COUNTY
 DEPARTMENT OF PLANNING & ZONING
 -   -




 APPLICATION FOR DEANNEXATION


To the Board of Commissioners of Henry County, Georgia.

 1.   We, the undersigned, all of the owners of all real property of the territory described herein respectfully request that the Henry
 County Board of Commissioners accept the deannexation request of this territory from city boundaries, and extend the C0unty
 services to include the same.


 2.   The territory to be deannexed is contiguous to existing unincorporated areas and complies with requirements established in
 0. C. GA Title 36, Chapter 36. The description of such territory is attached hereto.




OWNER<S)NAME(S)                              0                  :ul out             Towns.



PHONE NUMBER                                                                                           EMAIL ADDRESS



DEANNEXATlON FROM                             El HAMPTON          El LOCU ST GROVE                                     DMCDONOUGH                         WKBKIDOE



LOCATION/ADDRESSV                     355        Kg         3                                                               i       i           64?       567(8)

LAND LOT/ DISTRICT                                                                                      ACERAGE


PARCEL ID NUMBER                        013      0    oz        000                                     ZONING DISTRICT(S)                       5

 ONE FORM PER PROPERTY USE ADDITIONAL SHEETS IF REQUIRED.




 396
SIGNATUREXS)                 Mg
 DATE


 ALL PROPERTY OWNERS MUST SIGN                          NAME                                        THE DEED. USE ADDITIONAL SHEETS IF REQUIRED.
 I
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 use   only)

 meeting:                                     Title:                                                            Date:



 Title:                                                        Date:
Application checked by:

BOCJMeeting Date:                                           BOC Decision:                                                               Date:


Planning                      Signature:                                                                                        Date:

 Procedures\0ffice Forms\20nlng Application\APPLlCATlONS                 -
 Without Yr\2023 Revisions\Deannexation\Deannexation Application, revised
 HENRY COUNTY
 ,




 DEPARTMENT or PLANNING & ZONING
  {{ENBY.GOUNW
   -   -
 n'mmzr




 OWNERSHIP
 VERIFEICATION
The undersigned is'the / an                  owner               of an interest in the lands described in the attached deannexation application, which

proposes to amend the                             Zoning Map of the deannexing municipal jurisdiction and of Henry County, Georgia, and
concurs in    the application. The                                        interest in the lands desicribed in the application is as follows:



Location/Address                     436 5'                           K      (473*!) K
 ,'            .
 s cc  i
 74334) 64;                         Cm           23!

Parcel ID Number                           0/                    0   O       o oo



 name(s)                         [/0 K. [i                    N}COLL                    SON/E
 '




 0
 Percentage of interest: 40%

 Percentage of interest:


 /


We certify that the foregoing information is true and correct, this                                  3            day of             C                           Q2 5


 g?
 r




   L066
Property Owner- Printed                                                                        Signature of Property Owner




Property              Printed                                                                  Signature of Property Owner




 .




 /
Sworn to and subscribed before me, this                                  g                   day of    m,                                                   .




 'I

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 W4
 _......_
 .~
 _.              .          .




 39' 12-3629 20?f-"'6*;s$                                                                  Notary Public (Seal)
 l
 OUNTY %\\\\\\\
Z:\Planning_Zoning\Office                                  Forms\Zcning Applicaticn\APPLICATiONS   Without Yr\2023 Revisions\Deannexation\Deannexation Application, revised
 HENRY COUNTY
    {W                    DEPARTMENT OF PLANNING & ZONING
     =?HENRY COUNTY
     -~v




 Residential                Declaration
    In order to comply with the United States Department of                                  procedures for the administration of Section 5
     of the Voting Rights Act of 1965 as amended, Subpart B, Section 51.28, the
 following information is required for
     the deannexation of any residential properties. Must hie completed for ALL residential
 properties (regardless of
 zoning designation). Use as many; forms as needed.
 I
 I


Location/Address                       65                  1'       DR,   -
 3/"00k? I? g} D                         02/8/

Parcel ID Number                     0 13 n D to 7/             DO 0




1.         Total number of existing residential structures located on the            subject parcel:             /
2.         Description    of   the     residential       structures       l0'cated      on    the      subject       property      as     listed     above:

 79m                         M




3          Total number of person(s) residing within each structure:                          3
4.         Age, Sex, and Race of each of those individuals:               Age                  Sex                            Race
 USE ADDITIONAL FORMS IF NEEDED


 b S
 i:                       Apatmiimg                   a.


 2;)                                                a
 m                       Maw


5.     Henry County Commission District:                        Z

6.     City Council Voting District:                            J


 CERTIFICATION AND AUTHORIZATION
 I hereby certify that, to the best of my knowledge and belief, the above listed information and all attached
 supporting
 documents are complete and accurate.




 "



Applicant Signature                                                                                      Date        ,/
Z:\Planning_Zoning\Office Procedures\0ffice Forms\Zoning Application\APP LICATION'S; Without Yr\2023 Revisions\Deannexation\Deannexation Application, revised
\F                                  HENRY COUNTY

     ,   -'
 (30V
 (:0.wa
 :1 I:
 DEPARTMENT OF                    PLANNING & ZONING

 Campaign Disclosrire Form
 Must be completed by ALL applicant(s), property 'owner(s),
 agent(s) and/or attorney(s). Use as many forms as
 needed.




CHECK ONE:                         ,4 APPLICANT          PROPERTY OWNER                       a   AGENT           ATTORNEY                 OTHER

Has the person described below made, within two (2) years
 immediately preceding the       of this application campaign
contributions aggregating $250 or more or made gifts having in the
 aggregate  a value of $250 or more to a member of the

Henry'County Board of Commissioners who will consider the application?

Yes                     No


If                   the applicant/property owner/agent and/or attorney representing the applicant must                     the following information
with the Henry County Board Of Commissioners within ten (10)                                          this application is


 Commissioner/Zoning Advisory                        Dollar amount of                     Description of Gift $250 or greater given
 Board Member Name                     Cam      ai   n   ContributiOn                         to Board Member




 ,.__.._




We certify that the foregoing information is true and cOrrect, this                      S            day of           66W                    ,
 353


 Lara                  a           (Lhasa? Mm
Applicant/Property Owner/AgenUOther Name                         Printed            Signature of Applicant/Property Owner/Agent/Other




Sworn to and subscribed before me, this                                            day   am, 2                                                    .




 COUNTY                                                      Notary Public (Seal)
 Il

 Forms\Zoning Application\APPLlCATlONS Without Yr\2023 Revisions\Deannexation\Deannexation A #3 plication, revised
 .




 9-28-2023.docx
 LETTER OF INTENT




Henry County Board of Commissioners:


As deannexation requests are not subject to public hearing requirements,
 please accept this
written request for the deannexation of my property
 from the City of Stockbridge for the
following reasons:


    1) The territory to be deannexed is contiguous to existing unincorporated areas and
 complies with requirements established in                 Title 36, Chapter 36.
   2)   I prefer to live in Unincorporated Henry    County:
   3)   l prefer mat to live within the city limits of
 Stockhridge.
Therefore, I respectfully ask for you to accept this request for the deannexation of my property
from the City of Stockbridge, and to extend County                 to include the same.



Additional comments:




Signature



 [and K 10) (9 J6                                                       A; 5/908?)
Printed Name                                                      Date
 37K               Dz,




 W
 .




 HENRY COUNTY
 Wemme



  THANK YOU FOR YOUR INTEREST IN HENRY         COUNTY, GEORGIA. THIS PACKET INCLUDES THE
 NECESSARY DOCUMENTS NEEDED FOR DEANNEXATION REQUESTS TO BE HEARD BY THE HENRY

 COUNTY BOARD OF COMMISSIONERS.


 PLEASE NOTE: ALL FEES ARE NON-REFUNDAiBLE. THERE ARE NO EXCEPTIONS.


 A 'PRE-APPLICATION MEETING IS ADVISED, BUT NOT REQUIRED, FOR DEANNEXATION REQUESTS.
 THE HENRY COUNTY PLANNING AND ZONING DEPARTMENT WILL ONLY CONDUCT PRE-
  APPLICATION MEETINGS ON TUESDAY,     WEDNESDAY,; AND THURSDAY OF EACH WEEK. PLEASE
VISIT                                                                         TO SCHEDULE A

 MEETING   ONLINE.


 N0 PRE-APPLICA TION MEETING WILL BE COND UCTED WITHOUT AN APPOINTMENT.




SHOULD YOU NEED FURTHER ASSISTANCE, PLEASE FEEL FREE TO CONTACT OUR OFFICE BETWEEN
 8:00 AM AND 5:00 PM, MONDAY THROUGH FRIDAY

 AT   (770) 288-7526.



 THE LOCATION OF ALL COUNTY     RELATED BOARD MEETINGS IS:

 140 HENRY PARRWAY


 MCDONOUGH, GEORCIA 30253
 RF                          HENRY COUNTY

   gem? counw                DEPARTMENT OF PLANNING & ZONING
 Alf-'4'




 licatIion Checklist
 ALL REQUIRED DOCUMENTS ARE REQUIRED TO
 CONSIDER APPLICATION COMPLETE.



 INCOMPLETE APPLICATIONS WII.L NOT BE                    ACCEPTED            NO EXCEPTIONS




     REQUIRED                COPIES
 PROCEDURE                                                  STAFF INITIAL
 ITEMS


  Pre-Application                       Must be obtained from af current planner
 signed, and dated within six (6)
  Meeting Notes                         months prior to submitting              application. (OPTIONAL)
 your
  Application Form                      Signed by owner and notarized. In lieu of owners signature, applicant has
 signed'and notarized a copy of a                             or         of

 Only owners and those; listed as applicant or agent/attorney will                         be
 contacted with     regards to a request; Only owners and those                   listed   as

 applicant o1 agent/attorney have authorization to take action regarding a
 request
 '
 -




  Ownership                             Required for all property owners                      with   an   application and must be
 notarized.


  Campaign                              Required for all property owners, applicants, agents, attorneys, etc.
  Disclosure F orm                      with an application and must be notarized.

  Letter of Intent                      Must clearly state the request intent.


  Residential                          Required    for any deaneXation request which includes
 any                     residential
  Declaration                          property.

  Deed of                              Property deed showing all property 0M11er(s)name(s) and legal description.
  Ownership

 As-built Survey                       Must be prepared and sealed within the last
 years by a professional
 engineer, landscape architect, or land surveyor 1"egistered1n the State of
  (11 x 17)
 Georgia. Said survey plat shall: 1) indicate the complete boundaries of the
 subject p1 operty and all buildings and structures existing therein; 2) include
 measurements of all        property lines; 3) include a notation as to the total
 acreage    or   square   footage of the subject property; and 4) include all
 setbacks, road frontage,        correct    scale, north arrow, and present zoning
 class1f' cation


 Surveys and Final Platsiolder than                   years at time of submission may be
 accepted    per the      discretion of the       :Planning and Zoning Department
 Director




2: \Planning_Zoning\0ffice            Forms\Zoning Application\APPLiCATlONS Without Yr\2023 Revisions\Deannexation\Deannexation Application revised
 9- 23- 2023. docx
 HENRY COUNTY
 '
 '                                                      V


 1                     :
 EL}        :5

 DEPARTMENT OF
   HENRY coumv
     -   -

 "Government:
 PLANNING '& ZONING

 APPLICATION FOR
 DEANNEXATION
 To the Board of Commissioners of Henry
 County, Georgia.
 1.     We, the undersigned, all of the owners of all real property of the territory described herein respectfully
 request that the Henry
 County Board of Commissioners accept the deannexation request of this territory from city boundaries, and extend the
 County
 services to include the same.        '




 2.     The territory to be deannexed is contiguous to
 existing                            unincorporated
 areas and complies with requirements established in
 006/! Title 36, Chapter 36. The description of such territory is attached hereto.




 0WNER(S)NAME(S)                                   Aaui-              10%?

 Jnmf/S         L      ow:

 PHONE NUMBER                                                                                            '2         EMAIL


 DEANNEXATlON FROM                                       IZIHAMPTON          DLOCUST                    dROVEi                                 DMCD                             c.    w




 LOCATION/ADDRESS                                        {            mi                                                                   cl:       1"         i        G Pr        6L8!

 LAND LOT/DISTRICT                                               z,                                                 ACERAGE                                      -
 t


 PARCEL ID NUMBER                                   Di           0 '10 z 0 o 00                    .
 ZONING DISTRICT(S)                                      5

 ONE FORM PER PROPERTY. USE                         AliDlTlONA L SHEETS [I7 REQUIRED.


 ,2
SIGNATURE(S)                                                                                                                                   DATE                                    392:9
 DATE                  6               10
 ALL PROPERTY                               SIGN       IEIR NAME            APPEAERS ON THE DEED. USE ADDITIONAL SHEETS IF REQUIRED.
 uiuuuum i

 e
 4%,,5,,        )
 {535on
 3*                            is}.
 5                             s.
 3"- m
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 =                     __
 =     =                                          J



N0           A           SIGNATURE AND SEAL
 21':
 531g];                /3      -

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 ,


 20,1?

 __
 ____                   ._     _
 _




:Pregapia'iicatidn meeting:                                                   Title:                                                                         Date:


Application                            by:                                    Title:                                                                         Date:


BOCMeeting_Date:                              .



 _
 BOG Decision:
 >
 Date:


 Signature:
 '




 ____
 __'_;                                               Date:
Z:\Planning~Zoning\Office                                Forms\Zoning Application\APPLlCATlOfNS Without Yr\2023 Revisicns\Deannexation\Deannexation Application, revised
 -




 9-28-2023.docx
 HENRY COUNTY

 DEPARTMENT OF
    HENRY COUNTY
 .
 PLANNING & ZONING

 OWNERSHIP VERIEICATION
The undersigned is the / an owner of an interest in the; land-s
 described in the attached deannexation application, which
proposes to amend the                         Zoning Map of the deannexing munipipal jurisdiction and of Henry County, Georgia, and
concurs in the   application: The                             interest in the lands described in the application is as follows:                    V




Location/Address                               7f        C    M
 '



 ,
 0 OK                         Go?
Parcel ID Number                        0 I       D [0   o 006



 name(s)                       &N N       i        3" Lbi                                  Percentage of interest:

 3%?)          L           Lab?                                Percentage of interest:           @517


We certify that the foregoing information is true and correct, this                                       day of




p
    24/7025 3J/A24   e             52                                                  i5                      ,                   4

Property                 Printed              v                                       Signature Of W                    wner
 I




 ,IJBUZ
Property                 Printed                                                      Sign
 0 "(J
 _ure 0    Prope       Owner




 q 7% i ___day                       IM
 t



 A

Sworn to and subscribed before me, this                                                     of
 .A
 29 233




 #41929 29:12: 0Q.- S:                                                       Notary Public (Seal)
 0                 \




 Forms\Zoning Application\APPClCATlONS   -
 Without Yr\2023 Revisions\Deannexation\Deannexation Application, revised
 HENRY COUNTY

 Baum mum            DEPARTMENT OF
 (1)0 xii rasmem                                         PLANNING & ZONING
 Residential            Declaration
     In order to comply with the United States Department of
 S. procedures for the administration of Section 5
 of the Voting Rights Act of 1965 as amended,                          B, Section 51. 28, the following information'is required for
 Subpart
 the deannexation of any residential properties. Must
 Ibe completed for ALL residential properties (regardless of
 zoning designation) Use as many forms as needed.


 .!
Location/Address                       7                          /      :DR-               S     0161? 121'    91'       GA      3o 2,3]
Parcel ID Number                     0/     Pie 0      o   oo 0




 1.     Total number of existing residential structures        located   on the     subject parcel:             /

2.      Description       of   the    residentiai      structuresE     located        on        the   subject       property   as         listed       above:
 I

 i




3.     Total number of person(s) residing within each
 structure:

4.     Age, Sex, and Race of each of those individuals:                                                                    Race
 USE ADDITIONAL FORMS IF NEEDED

 x
 q




 @97:                         F                                    [7% W

 (0&7                      M                                      2..




5.     Henry County Commission District:

6.     City Council Voting District:                       /

 CERTIFICATION AND AUTHORIZATION
 I hereby certify that, to the best of
 my knowledge and belief, the above listed information and all attached supporting
 documentsare complete
 and accurate


 7
 I




Applicant Signature                                                                              _
 Date
 Pr              Forms\Zo   g A                 ATIQNS WithoutYr\2023 Revisions\Deannexation\Deannexat'on Application, revised
 -




 28-2023.docx
 X;                    HENRY COUNTY

 DEPARTMENT OF PLANNING & ZONING
 COUNTY
   -
 (Eavemme: 11:




 Campaign D1sclosure Form
   Must be completed by ALL applicant(s), property owner(s),
 agent(s) and/or attorney(s). Use as many forms as
 '
 :


 needed.




 :
CHECKONE:              Z       APPLICANT             PROPERTY OWNER                                              ATTORNEY             OTHER

Has the person described below made, within two (2) years                         immediately
 preceding the       ofthis application campaign
contributions aggregating $250 or more or made gifts havingin the aggregate a value of $250 or more to a member of the
Henry County Board of Commissioners who will consider the application?
 l
Yes             No                                                                       1


 i
[f Ye__s_, the applicant/property owner/agent and/or attorney                representing the applicant must             the following information
with the Henry County Board OfCOmmissioners within ten (10) days after this
 applicationis



 Commissioner/Zoning Advisory                            Dollar amount of                       Description of Gift $250 or greater given
 Board Member Name                              Cam   at   n   Contribution                          to Board Member




We certify that the foregoing information is true and correct, this
 day of                                      $19




Applicant/Property Owner/Agent/Ot               r Name        Printed               Signature of        plican    roperty O   ner/Agent/Other




 -




 1

Sworn to and subscribed before me, this                                            day                                               23     .




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 "'SEJUNTY.                                                         Notary Public (Seal)
 Forms\Zoning Application\APPLtCATlONS Withojut Yr\2023 Revisions\Deannexation\Dean,nexation Application, revised
 9-28-2023.docx
 HENRY COUNTY

   HENRY COUNTY                      DEPARTMENT OF PLANNING & ZONING
   .........
 (5mm: r.nm-L m.




 Campaign Disclosrire Form
 Must be completed by ALL applicant(s), prOperty owner(s),
 agent(s) and/orvattorney(s). Use
 '
 as many forms as

 needed.




 CHECK ONE:                      l/APPLICANT
 ,




 PROPERTY OWNER
 |
 AGENT               ATTORNEY                OTHER

 Has the person described below made, within two (2)

contributions aggregating $250 or more or made gifts having in the
 years     immediately preceding the                     of this application campaign
 a value of   $250 or more to a member of the
 aggregate
 Henry County                                                               who will consider the
 application?
 5
Yes                      No


 If Xgs, the applicant/property owner/agent and/or
 attorney     representing the applicant must                    the following information
with the Henry County Board of Commissioners within ten
 daysi after this application is            filed:


 Commissioner/Zoning Advisory                                             Dollar             nt of                    Description of Gift $250 or greater given
 BoardMember Name                                             Cam     ai    n   Co    tribution                              to Board Member




 f
 glday
 .                    .




 ZEWQ
 i                                                                                                          .




We certify that the foregoing information is true and correct, this                                                   //               of                                        92;

 1W5                                L. 33L                                                                         5                        Q
Applicant/Property Owner/Agent/Other Name                                          -
 Printed             8        mt            of Applicant/Prop            tier/Ag    t/Other




Swomto and
 |                         mthis                                  day Of             DXM a,
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 Notary Public (Seal)
Z:\Pianning_ZonIng\Office Procedures\0ffice Forms\Zoning Application\APPLlCATI                            NS   -

 Withdut Y}\2023 Revisions\Deannexation\Deannexation Application, revised
 '




 9-28-202 .docx
 LETTER OF INTENT




Henry County Board of Commissioners:


As deannexation               are not   subject to public hearing requirements, please accept this
 requests
written request for   the deannexation of my property from the City of Stockbridge for the
following reasons:     I
 |
 The territory to be deannexed is contiguous to
    1)                                                        existing unincorporated      areas and

 complies with requirements established in                 Title 36, Chapter 36.

   2)    I prefer to live in Unincorporated Henry
 County;
   3)    I prefer not to live within the city limits of
 Stockbridge.

Therefore, l respectfully ask for you to accept this request for the deannexation' of my property
from the City of Stockbridge, and to extend County
 seniices to include the same.

Additional comments:




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Henry County                                                                 EXECUTIVE SUMMARY


 BOARD OF COMMISSIONERS MEETING


Meeting Date:                                            Department Requesting Agenda Item:

 January 20, 2026                                                   Planning & Zoning

Action Type:                                            Attachments/Exhibits for Agenda Item:

 1.    Executive Summary
 .
 2.    Resolution
 A c t ton requeSted by 30C
 3,    Staff Report


 I:     For informational purposes only




Presenter:        Toussaint Kirk, Cluster Leader



Agenda Item:

 Henry County       has received      a   request for deannexation from the City of Stockbridge           to

 Unincorporated Henry County for a total of six (6) properties located at 330, 335, 345, 355,
 365, 375 Kerrith Drive consisting of a combined 7.068 +/- acres in Land Lot 25 of the 12th
 District. District 2



Applicant: Various Owners                                       Case Number: DE-AX-25-02
 Commission District: District 2


Background/Summary:

 The owners of the subject property are requesting the 100% deannexation method from the

 municipal boundaries of the City of Stockbridge to the unincorporated limits of Hemy County



Financial Implications/Considerations: N/A


 The project is budgeted.                                                                      01'




 The project will require the use of Fund Balance.


 If yes, please state amount


 The project will require no funds.                                                            Of




 The project is grant funded and will require                  % match
 and those funds are/are not budgeted.


 Is this request a Capital Project and part of the Capital Project

 List?




 P:\BOC\BOC Executive Summaries\2026\.lanuary            Manderley (6 lots), 01-20-2026 BOCdocx
Additional Comments / Recommendation:


 It is Planning & Zoning staffs opinion that the deannexation would not be detrimental to the

 health, safety, and welfare of the residents and property owners of the area to be deannexed or
 to the area remaining within the City of Stockbridge.




 P:\BOC\BOC Executive Summaries\2026\January        Manderley (6 lots), 01-20-2026 BOC.docx
