Disclosure of Campaign Contributions  Ina accordance with the Conflict of Interest in Zoning Act, O.C.G.A., Chapter 36-67A, the  following questions must be answered:  Have you the applicant made $250 or more in campaign contributions to a local government official within two years immediately preceding the filing of this application?  yes,  no  Ift the answer is yes, you must file a disclosure report with the governing authority of Walton  County showing:  1. The name and official position of the local governing authority in Walton County to whom the campaign contribution was made. 2. The dollar amount and description of each campaign contribution made during the two years immediately preceding the fling of this application and the date of each such contribution was made.  This disclosure must be filed when the application is submitted.  Signature of ApplicantDate Check one: Owner_  Agent