City of Walthourville Mayor and Council Workshop 4:00 PM-5:45 PM Walthourville Police Department AGENDA I. Call to Order Mayor Sarah B. Hayes II. Roll Call City ofv Walthourville III. Policies Mayor and Council IV. Financial Update CKH V. Adjournment Council CITY OF WALTHOURVILLE Mayor Sarah B. Hayes Elected Officials GTILES C City Administration Luciria L. Lovette, Mayor Pro Tem Nicolas Maxwell, Fire Chief Mitchell Boston Mrs. Ivy Norris, Finance Manager Patrick Underwood Christopher Reed, Police Chief Bridgette Kelly Mr. Dave Martin, Public Works Administrator Robert Dodd Mr. Luke R. Moses, City Attorney May 13, 2025 @ 6:00 PM Walthourville Police Department I. Call to Order Mayor Sarah B. Hayes II. Roll Call City Clerk III. Invocation Appointee IV. Pledge of Allegiance In Unison V. Adoption of Meeting Agenda Councilmembers VI. Adoption of Meeting Minutes Councilmembers April 22, 2025, Regular Meeting Minutes April 22, 2025 Executive Session Minutes April 29, 2025 Auditor Bid Opening and Special Called Meeting Minutes May 2, 2025 Special Called Meeting via TEAMS VII. Presentation(s) VIII. Agenda Item(s) 1. LCPC Mrs. Lori Parks Temporary Business License for a Sign Company for Branded Image Group. 2. City of Walthourville Councilmember Bridgette Kelly Auditor Status Update. IX. Department Comments City ofWalthourville Water Department Mr. Patrick Golphin Fire Department ChiefNicolas Maxwell Police Department ChiefChristopher Reed X. Citizens Comments Walthourville Citizens XI. Mayor's Update Mayor Sarah B. Hayes XII. Elected Officials' Comments City ofWalthourville Mayor Pro Tem Luciria L. Lovette Councilmember Mitchell Boston Councilmember Patrick Underwood Councilmember Bridgette Kelly Councilmember Robert Dodd XIII. Executive Session None XIV. Adjournment Mayor and Council When an Executive Session is warranted, it is called for the following: (Litigation, Personnel and Real Estate) .City ofWalthourville Mayor and Council Regular Meeting Minutes April 22, 2025 @ 6:00 PM Walthourville Police Department I. Call to Order: The meeting was called to order at 6:00 PM by Mayor Sarah B. Hayes. II. Roll Call: The roll was taken by the City Clerk. In addition to Mayor Hayes, the following members were present: Mayor Pro Tem Luciria L. Lovette Councilmember Mitchell Boston Councilmember Patrick Underwood Councilmember Bridgette Kelly Councilmember Robert Dodd The attendance ofthe Council constituted a quorum. III. Invocation: Was given by Mayor Hayes. IV. Pledge of Allegiance was recited in unison. V. Adoption of Meeting Agenda: The motion to approve was made by Mayor Pro Tem Lovette and the second was added by Councilmember Boston. Vote: 5-0 Motion Passed Unanimously. VI. Adoption of Meeting Minutes: April 8, 2025, Regular Meeting Minutes. The motion to approve was made by Councilmember Boston ànd the second was added by Councilmember Dodd. Vote: 4-1: Motion Passed. Councilmembers Voting Favorably were Boston, Underwood, Kelly and Dodd. Councilmember Opposed: Lovette. April 15, 2025, GMA Meeting Minutes. Mayor Hayes called for the motion and there was no response and no action taken. Minutes were disapproved due to no action taken by Council. Attorney Moses stated, "minutes are done to memorialize the city records. Therefore, voting on minutes is a record keeping mechanism, for the city. VII. Presentation(s): There were none. VIII. Agenda Items: 1. LCPC Mr. Todd Kennedy Mr. Kennedy presented a Business License Request fora a Bakery/Coffee Shop for Ms. Alexis Scott. The business owner is Ms. Alexis Scott and the business will be located at 4981 West Oglethorpe Highway and the property is zoned C-3. Ms. Scott stated her business is Faith Based, and she started the business during the pandemic. She specializes in baking goods, vegan baked goods and she uses organic products. The name ofthe business is HMBL with a corporation name ofChosen Hands and Humble Beginnings. The motion to approve was made by Mayor Pro Tem Lovette with the second added by Councilmember Boston. Vote:5-0: Motion Passed Unanimously. 1 Agenda Items (continued) 2. LCPC Mr. Todd Kennedy Mr. Kennedy presented a Business License Request for Type B Home Occupation to have a commissary/base of Operation for a Food Truck at a residence. The name ofthe business is South Peach Cuisine, LLC. The location is 146 Stephanie Drive. The owner is Mrs. LaToya Inman. She stated she wants mobility to move to different venues with her business. There will be no customers coming to the residence. The motion to approve was made by Mayor Pro Tem Lovette and the second was added by Councilmember Kelly. Vote: 5-0: Motion Carried Unanimously. 3. LCPC Mr. Todd Kennedy Mr. Kennedy presented a One Time Event Permit for the 1st Annual Summerfest along with the event organizer, Mr. Rodney Kelly. Mr. Kelly, is not related to Councilmember Bridgette Kelly. Mr. Kelly stated he will be using the former Bomaz Venue. He will be having Back-to-School Fest, complete with vendors, a car/bike show, a trail ride, bounce housès, water slides and a concert. The event will be held July 4h, 5th and July 6th.The event will be held on a Friday from 12-6 (possibly until 7 PM) and Saturday the event will be most ofthe day from 12 PM-9 PM (possibly until 10 PM). The Sunday Event will consist ofa Gospel Fest and Mr. Kelly was unsure of the time. This will be an alcohol free event, the City of Walthourville prohibits alcohol. He has informed the vendors that the City ofWalthourville prohibits alcohol. He will have security onsite during the event and the event will be in an enclosed area, within the fence. The building will not be used, only the parking lot. Accompanying Mr. Kelly was the owner of the property, Mr. Raul Reyes. Mr. Reyes stated he is excited about this opportunity, and it is available to the public to rent. Mr. Kelly said he will be having community events throughout the year. The motion to approve was made by Councilmember Kelly and the second was added by Mayor Pro Tem Lovette. Vote: 5-0: Motion Carried Unanimously. 4. City of.Walthourville City Hall The City Clerk and Attorney Moses presented the 2025-2026 GIRMA (Georgia Interlock Risk Management Agency) Property and Liability Insurance Renewal. Ms. Moss stated the GIRMA Renewal Annual Premium was $128, 597.00. Due to the city selling 5 vehicles on GovDeals, this reduced the city's fleet. Attorney Moses stated GIRMA is the "Gold Standard," in Municipal Coverage and the city has an advantage because GIRMA is willing to provide coverage. There are some cities that GIRMA will not insure. The Elected Officials questioned the number ofvehicles listed as 19 on the Member Contribution Breakdown and also Crime of$ 23.30 per employee. The council did not want to take any action until GIRMA could be reached again. Ms. Moss stated she would reach out to GIRMA and would update the Mayor and Council. She added the current 2024- 2025 insurance would expire on April 30th, at midnight. She proposed adding this item to the already scheduled RFP Bid Opening meeting on April 29th at 6:00 PM as a Special Called Meeting. 2 5. City of Walthourville Mayor and Council Mayor Hayes stated "the city has been in communication with the Tax Assessor's Office about a rollback rate for the proposed 2026 Millage Collection. She said during Budget Meetings the CPA Firm ofCKH had recommended 12 mills. She added that it is time to have the information to the Tax Assessor's for input on the notices that will be sent to citizens. She further added that CKH was working on reconciling the first quarter to ensure they had accurate workable numbers". Councilmember Underwood added the Fire Fee wasincluded in the 12 mills recommended by the CPA. He added that the city would have to eliminate the Fire Fee when/if the millage is implemented. Councilmember Boston stated his concern is, "we can't have a millage and a fire fee, and he reiterated again that the city is overspending. 97 Councilmember Dodd stated, "the city will need to build a cushion in revenue with the millage, but it won't happen instantly, and he thought that is why the CKH recommended12 mills. 9 Also, he added we must make some cuts in the Fire and Police Department. The Council stated they.would be better informed ifthey waited on the recommendation of CKH, allowing them time to reconcile the city's first quarter. The motion to take no action and to plaçe this item on the-agenda for the April 29th Bid Opening and Special Called Meeting was made by Councilmember Kelly and the second was added by Mayor Pro Tem Lovette. Vôte: 5-0: Motion Passed Unanimously. IX. Department Comments City of Walthourville Water Department City of Walthourville Mayor Hayes reported the city had received sèveral tap-in fees from new construction. The lift stations and wells are functional and operational. Utility disconnection will occur on May 5th. (An email was sent to the Mayor and Council on April 30', 2025 the Water Department would be attending training on May 6H-gh, therefore, utility disconnection will take place on May 12, 2025.) Fire Department Chief Nicolas Maxwell ChiefMaxwell reported thé Fire Department had answered 30 calls. The calls consisted of18 Medical, 2 Fire Calls, 6Motor Vehicle Accidents, and 4 Miscellaneous Calls. The Department is waiting patiently for the arrival ofthe Silverado. Police Department Chief Christopher Reed ChiefReed was in training and the report was presented by Major Anthony Hooker. We conducted firearms, use of force and taser recertification training, on Tuesday, April 15, 2025. Neighborhood Watch will be held at the police department on Thursday, April 25, 2025, at 6:30 p.m. The Department will be conducting a firearms familiarization Class for Seniors and Civilians at a later determined date in May. Currently, they have answered 209 calls for service with 23 reports generated, 79 citations issued with 9 warnings for a total of88. There have been 4 vehicles crashes 3 Tipofthe week: We continue to encourage citizens to lock their car doors and report any suspicious activity within the neighborhoods to the police. The non-emergency number is 912-368-3911 and emergency number is 911. X. Citizens' Comments: Mr. Brendan Nobles stated he is a 20-year business owner. He listened to numbers being thrown out. The city needs an outside audit. They will be punishing the citizens by establishing a millage. He feels the money is being mismanaged. XI. Mayor's Update Mayor Sarah B. Hayes Reported she would be communicating with CKH about the estimated roll back number. She also stated on April 26th, : 2025, there would be a Tri-City Cleanup consisting of the cities of Allenhurst, Flemington, and Walthourville. This event will be, held at Johnnie Frasier Park from 9:00 AM-2:00 PM. April is Autism Awareness, and the event will be an Autism Family Friendly Event. Also, T- SPLOST will be back on the ballot in November. XII. Elected Official's Comments Mayor Pro Tem Lovette stated she wanted to commend Councilmember Underwood on a successful Easter Egg Hunt. The children and the community had fun. Councilmember Boston stated we need to look at expenditures.: He agrees with Mr. Nobles. Every department must be reviewed to see what expenditures can be eliminated. He would like the city to solicit the services ofDavenport ànd Associates, they are an Internal Financial Auditing Firm, and they review and look at ways that are most cost effective for municipalities. They have a proved track record, and he would like for the city to. retain their services. He is opposed to a millage that is equal or exceeds Hinesville or Savannah. He will contact Davenport and Associates and bring the information back to the Elected Body. He also would like to set up a date for a workshop to develop policies for the city. Councilmember. Underwood stated he would like to see policies for Vehicle Accidents, all Department Heads should attend the first meeting of the month, and all requested financial reports within 48 hours. The Elected Officials decided upon May 13, 2025, at 4:00 PM for the workshop. Councilmember Underwood, Thanked everyone for the assistance with the Easter Egg Hunt event. He said 3000 eggs were hidden and every one of them was found. He added that a GMA Associate attended a meeting on April 15th, and basically, he felt she tired to silence the council. He read a letter and said he was elected, and he would continue to speak and talk. Councilmember Kelly stated Mrs. Pam Helton from GMA came to a meeting on April 15th and she lacked proper decorum. She read a statement where she said a meeting was needed but Mrs. Helton was confrontational, not collaborative. Attorney Moses stated he spoke with a representative at GMA and was advised that GMA was not happy with Mrs. Helton. 4 Councilmember Dodd stated we are 40 days away from Hurricane Season and now is the time to prepare for Hurricanes. He will do a briefing in Walthourville. XIII. Executive Session: At 7:32 PM a motion to enter into Executive Session for Personnel was made by Mayor Pro Tem Lovette and the second was added by Councilmember Dodd. Members ofthe council took minutes for the Executive Session; the City Clerk was not present in the Executive Session. Vote: 5-0: Motion Passed Unanimously. At 8:30 PM the Mayor and Council entered back into Regular Session. Mayor Hayes stated Personnel was discussed and additional information would be forthcoming. XIV. Adjournment: At 8:32 PM the motion to adjourn was made by Councilmember Kelly and the second was added by Councilmember Boston. Vote: 5-0: Motion Passed Unanimously. 5 City of Walthourville Mayor and Council Auditor Bid Opening and Special Called Meeting Minutes April 29, 2025 @ 6:00 PM Walthourville Police Department I. Call to Order: The meeting was called to order at 6:00 PM by Mayor Sarah B. Hayes. II. Roll Call: In addition, Mayor Hayes the following members were present: Mayor Pro Tem Luciria L. Lovette Councilmember Mitchell Boston Councilmember Patrick Underwood Councilmember Bridgette Kelly Councilmember Robert Dodd The attendance ofthe Council constituted a quorum. City Attorney Luke R. Moses was present. III. Audit RFP#2025-01 Bid Opening Councilmember Bridgette Kelly She stated the City had generated an RFP for Auditor Services. The bid dates were open from April 3rd-April 251h The bid was adyertised twice in the Coastal Courier on April 3rd and April 17h, and it was also on the city's website and Facebook page. She reported the sole bid the city rèceived was from James Moore and Company from Gainesville, Florida. Councilmember Kelly opened the sealed bid in the public setting. The firm sent 10 individual packets to the city, all members of the Elected Body, City Attorney, City Clerk and Finance Manager were given copies. Councilmember Kelly referenced page 24 ofthe packet where the price breakdown was listed. The city is in need of having audits conducted from December 2021, December 2022, December 2023 and December2024. The cost for the audits are: December 31, 2021 $25,000 December 31, 2022 $26,000 December 31, 2023 $27,000 December 31, 2024 $28,000 Councilmember Kelly stated with the city only receiving one bid and with the bid being very costly what were the options? She stated she spoke to a firm in Jesup, they had submitted a proposal, prior to the bid being posted. Attorney Moses stated he felt the city could reach out to a previous contender and the city could consider this firm. 1 Councilmember Kelly stated she would contact the company to see if they were still interested and she would update the Elected Officials. IV. 2025-2026 GIRMA Renewal City of Walthourville The City Clerk stated she had worked with GIRMA to address the issues the body had at the April 22, 2025 Regular Meeting. The vehicles were updated and GIRMA had to remove some vehicles from their roster. They inquired about the Crime Listed on the Member Breakdown of $23.80 per employee. Mrs. Murray with GIRMA answered saying," 97 Crime coverage is a blanket sublimit of $500k for employee theft or dishonesty. It is part of the GIRMA package policyand we cannot exclude just that line of coverage. The Annual Premium for the City ofWalthourville will be $99,035.00 for the period of May 1,2 2025-April 30, 2026. The motion to approve the GIRMA. Annual Renewal was made by Councilmember Dodd and the second was added by Councilmember Kelly. Vote:3-2: Motion Passed. The premium will be paid using Option 3, 25% down-with the balance due in 4 monthly installment. Councilmembers voting favorably were: Patrick Underwood, Bridgette Kelly and Robert Dodd. Councilmembers opposed were: Luciria L. Lovette and Mitchell Boston. V. Millage/Estimated Rollback Mayor and Council Mayor Hayes stated that the city's CPA Firm-CKH was still working on the city's first quarter of expenses and revenue. They did not have the information. Initially during the 2024 Budget Meetings CKH recommended 12 mills. No action was taken and the city will have TEAMS meeting on May 2, 2025 with CKH. VI. Executive Session Mayor and Council None VII. Adjournment Councilmembers At 6:37 PM the motion to adjourn was made by Councilwoman Kelly and the second was added by Councilmember Boston. Vote: 5-0: Motion Passed Unanimously. 2 City of Walthourville Mayor and Council Special Called TEAMS Meeting Minutes for 05-02-2025 11:00 AM Meeting ID: 233 941 957 651 8 Passcode: ix2P06tx I. Call to Order: Mayor Sarah B. Hayes The meeting was called to order at 11:06 AM (due to a non-quorum at 11:00 AM). AM by Mayor Sarah B. Hayes. In addition to Mayor Hayes the following members of Council was present and acknowledged themselves: Councilmember Mitchell Boston Councilmember Patrick Underwood Councilmember Bridgette Kelly Councilmember: Robert Dodd The attendance ofthe council constituted a quorum. Mayor Pro Tem Luciria L. Lovette was present on the call, buts she did not acknowledge herself as being present. Attorney Luke R. Moses was present. II. Estimated Rollback/Millage Mayor and Council Mayor Hayes stated, "we are here to decide how much we need for a millage rate. She stated the estimated rollback can change, but iti is needed to allow the Tax Assessor to provide constructive notice to homeowners that the city will be initiating a millage. Councilmember Underwood stated he did not want the millage to be over ten. He added that cuts still needed to be made in the Fire and Police Department. Councilmember Dodd added he is in favor ofa a millage rate. However, "ifwe don't make a change, in the budget, a millage rate is not going to help." Councilmember Kelly stated she is in agreement for a millage, but "there must be cutbacks in all departments." 7 Councilmember Boston stated he would prefer to set the millage at eight. He has also spoken to Mr. Payne and Mr. Payne stated setting it higher and then lowering it would not result in additional implications. Ifitis set lower, then increased higher additional notices would have to be distributed to the citizens. Mayor Hayes requested City Clerk Moss update the Elected Body on the meeting she had with Chief Tax Appraiser Mr. Payne on May 1, 2025. Ms. Moss stated the numbers that she was about to give was an estimate only, nothing definitive or substantial, SO please do not hold Mr. Payne accountable for the numbers, he was working with raw data. From estimation only if the City of Walthourville imposed the following mills the projected revenue could be: 3 Mills $201,885.00 6 Mills $403,770.00 8 Mills $538,360.00 12 Mills $807,540.00 Mayor Hayes stated she would prefer to set the rollback at the rate advised by the CPA. The rate could Always be decreased. Attorney Moses advised that it is safest to set it high then work backwards to decrease it. Mayor Hayes further added that, "time is ofthe essence, the information had to be submitted to Mr. Payne's office by close ofbusiness, today. She asked all members of the body, what is their preference for a rollback? Mayor Hayes stated she proposed 12. Councilmember Underwood proposed 12. Councilmember Kelly proposed 12 with the intention that they work with the CPA to decrease and amend the budget for this year (2025). Councilmember Dodd proposed 12 and said, "ifwe don'tmake cuts in the department, please let it be known that when we have the meetings to set the millage, I will not support. Councilmember Boston, proposed 12 and sated, "I am not voting for the millage ifwe don't make cuts in some department." 97 The motion to set the City of Walthourville's estimated rollback at 12 with the intention to make cuts for the current 2025 and upcoming 2026 Budgets were made by Councilmember Kelly and the second was added by Councilmember Dodd who reiterated again his stance on the millage if cuts are not made. Vote: 4-0: Motion Carried Unanimously. III. Adjournment: At 11:40 AM the motion to adjourn was made by Councilmember Kelly and the second was added by Councilmember Dodd. Vote: 4-0: Motion Carried Unanimously. - * INC.IVA RVI LE, G AIMANS MOVING WILE IMPRINING: AGENDA ITEM 1 LCPC Mrs. Lori Parks Liberty Consolidated Planning Commission = Report Governing Authority: The City of Walthourville Consoli * LCPC * lp Eu Comi 2i Mayor & Council Date: May 27, 2025 Business License: Temporary Business License for a Sign Company Business Owner: Branded Image Group 227 E Emory Road Powell, TN. 37849 Address: El Cheapo, 5879 W Oglethorpe Hwy. Property Owner: Nishang & Deeya LLC Zoned: C-3 (Highway Commercial) Comments: Branded Image Group has been hired by El Cheapo to re-facing 3 signs only at the above-mentioned address. They will be working temporarily at this site. The Liberty County Building Licensing & Building Dept. require the contractors to have a Georgia business license, since the location is in the city limits of Walthourville they are requesting a temporary business license be issued to perform the work on these signs. Recommendation: APPROVAL LCPC Staff: Ri aN Date: 5-8-25 Lori Parks City of Walthourville Business License Division Application for corporation or Limlted Liability Company LLC Occupation Tax Certificate C 4 K *The application must be filled out completely to obtain a City of Walthourville Occupation Tax Certificate. Payment must be filed with the application to obtain a City ofV Walthourville Occupation tax Certificate. This application will not be processed If Iti isr not accompanied by the appropriate taxi fee. You will not be billed. Please print with ink or type. In arder for the appropriate tax orfee to be determined the application accompanied by all appropriate documents must be submitted in person. Pursuant tol The Georgla Immigration Reform Act that was passed by the State Legislature and: signed by the Governor all persons applying for renewing a City of Walthourville Tax Certificate must provide a secure and verifiable document as required by O.C.G.A 50-36-1(e) (1) and sign and notarize the affidavit required by O.C.G.A 50-36-1 (e) (2) and the affidavit required by O.C.G.A: 36-60-6 (d). This Business is: N New Application Ownership Change / Date ownership changed & Certificate # ( I am filling a name/or address change for Certificate# Branded Image Group Name business as_ Business Phone#! ) 865-805- 6713 Name of Corporation/LLC". Branded Image Group Business Address 227 E Emory Rd Powell TN 37849 Mailing Address_ 227 E Emory Rd Home Address City State_ Zip. Email Address_ siatm.aw Full Detailed Description of Business Sign Company, fulfilling allimaging needs Number of employees (including ownership) in City of Walthourville Zero- we are not opening business in GA. Branded E-verify# (Required if 11 or more employees) Image Group will AMAHTREhNe State Sales Tax IDH Federal ID # 832146249 Owner Name Chanda Jenningsi Greg Ludwig SS# DOB DOES THIS BUSINESS REQUIRE A STATE LICENSE?, (VES). x (NO) (Please attach a copy ofy your state license or certification) : Alle electrical, mechanical, plumbing, well drilling contractors,salon, moblle! home dealers, mobile! home installers, and any other contractort thatisr to have State requiredt as af Georgial License willl ber required to attach ac copy oft thel license to this application before insurance. -*Allo commercially used building may be subject to ani inspection for fire and safety code campliance prior to any certificate of accupancy or business license being issued. FORC OFRICEUSEONIY ZONING DEPT MAPPROVEDIOSAPADOVED: BY oi Cup DATE_ 5-4-35 FIRET DEPT ()APPROVED!) DISAPPROVED BY. DATE_ CITY COUNCIL (JAPPROVED () DISAPPROVED BY. DATE_ BUSINESS LICENSE DEPT DATER RECEIVED BUSINESS LICENSE ISSUANCE DATE Mailing Address: P.O Box K, Walthourvlle, GA 31333 Phone: (912). 368-7501 Office Location: 222 Busbee Road, Walthourville, GA 31333 Web site address: wwsdhohatbourdli-cem City of Walthourville Business License Division APPLICATION FOR CHANGE IN LICENSE 4 4 FOR THE YEAR DATE ACCOUNT NUMBER $25.00 CHARGE FOR RELOCATION $25.00 CHARGE FOR NAME CHANGE OF BUSINESS INDICATE THE CHANGE YOU ARE APPLYING FOR: ( JNAME ( JADDRESS NAME AND ADDRESS CURRENT INFORMATION OF BUSINESS: Current business name_ Branded Image Group Address: 227 E Emory Rd Powell TN 37849 Owner: Greg Ludwig and Chanda Jennings Manager: Nature of business: Branding company Sign Imaging 865-805-6713 Company Phone number: COMPLETE ONLY THE SPACE THAT WOULD APPLY TO YOUR CHANGE: New name ofbusiness: New: address of business: New manager: New phone number: The undersigned affirms that the above. stotements are true and correct to the best of his/herk knowledge and belief. This 01 day of May 2025 A. un 4e AUTHORIZED! SIGNATURE OF APPEPANT PERSONNALLYI before the undersigned appeared CuSe0 1A M who on Oath has sworn that the above information given therein ist true and correct. Sworn and subscribed before me this LD day of Mauy 2025 STATE OF OfapMOL ÇOUNTY OF Cimdy CTYOF Chicktho NOTARY PUBLIC TA. 1398 EXP. L 2028 P GRADY COUNTV/S FUBLIC *, € OF OKLE 1IIN Mailing Address: P.O Box K, Walthourville, GA 31333 Phone: (912) 368-7501 Office Location: 222 Busbee Road, Walthourville, GA 31333 Web site address: www rivolwalthourill-.com City of Walthourville Business License Division a hn 7 Are you, the applicant, the corporation, LLC or any: shareholder currently delinquent in payment of any taxes ort fees to any: state or local government? No Ifyes, please indicate the type oft tax or fee, and the amount due with the reason the tax is delinquent. LT Ifthis property is zoned residential, no clients, employees, sales, deliveries, storage ofi inventory, or equipment (initals) are allowed on the premises. Only one commercial vehicle not to exceed 12,500 Ibs Gross weight used as transportation by the occupant may be parked at the residence. 1 LT Iswear or affirm that have obtained or will obtain within thirty days ofthe date of this application a City of (initals) Walthourville Certificate of Occupancy: as required by the city ordinances. LT Iwill comply with the Zoning Restrictions stated above. (initals) Chanda Jennings affirm that the facts stated by me are true, understand any misrepresentation or fraudulent statement is grounds for automatic dismissal of this application and/revocation of the license. understand that all signs displayed on my premise must be permitted by the City of Walthourville, further understand that my business must aperate in compliance with all applicable state, federal and local laws, ordinances and regulations, and that the granting of this occupation tax certificate or payment of this occupation tax does not waive the right of any federal, state or local entity to regulate and enforce laws, ordinances and regulations. lunderstand that all decisions of the Business License Division may be appealed to the City of Walthourville. This_ 01 day of May 20_ 25 Chanda Jennings Legibly print name_ Signature of applicant_ per This application must be approved by the Liberty County Planning Commission Tax Map & Parcel# 041B004 Zoning Classification, 03 Approved by:A Date Approved: ni Pauhp) Date the request will be presented to Mayor and Council: 5-37-35 ***APPLICANT MUST COMPLETE THE AFFIDAVITS AND PROVIDE. A! SECURE AND VERIFIABLE DOCUMENT* Mailing Address: P.O Box K, Walthourville, GA 31333 Phone: (912) 368-7501 Officel Location: 222 Busbee Road, Walthourville, GA! 31333 Web site address: wwdalaattounlle.on CITY OF WALTHOURVILLE BUSINESS LICENSE DIVISION - LAWFUL PRESENCE AFFIDAVIT O.C.G. A. S 50-36-1(e)(2). AFFIDAVIT By executing this affidavit under oath, as an applicant for a loan, grant, tax credit and/or other public benefit, as referenced in O.C.G.A. $ 50-36-1, administered by the Georgia Department of Community Affairs, the undersigned applicant verifies one ofthe following with respect to my application for a public benefit: 1)_ Yes Iam a United States Citizen. 2) Yes Iam a legal permanent resident ofthe United States. 3)_ N/A Iam a qualified alien or non-immigrant under the Federal Immigration and Nationality Act with an alien number issued by the Department ofHomeland Security or other federal immigration agency. My alien number issued by the Department of Homeland Security or other federal immigration agency is: N/A The undersigned applicant also hereby verifies that he or she is 18 years ofage or older and has provided at least one secure and verifiable document, as required by O.C.G. A. $ 50-36-1(e)1), with this affidavit. The secure and verifiable document provided with this affidavit can best be classified as: In making the above representation under oath, I understand that any person who knowingly and willfully makes a false fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of O.C.G.A. 16-10-20, and face criminal penalties as allowed by such criminal statute. Exeçuted this the lo day of Mau 20_25 m Chidkashogciry), CK (state). Sigpature of Applican Chandz Printed Name of Applicant Jeninys SUBSCRIBED AND SWORN BEFORE ME ON THIS THE le DAY OF MCu 2025 k3e NOTANFPUBLIC My Commission Expires: EXP. GRADYCOUNTV PUBLC OF OKLE 11 *This Affidavit must bes signed by the. same person who executes the Application Certification Form Letter Mailing Address: P.O Box K, Walthourville, GA 31333 Phone: (912) 368-7501 Office Location: 222 Busbee Road, Walthourville, GA 31333 Web site address: sumahalimeintike Form W-9 Request for Taxpayer Give form to the (Rev. March 2024) Identification Number and Certification requester. Do not Internal Department Revenue oft thel Service Treasury Got to www.irs.gow/Fonmw9: fori instructions andt thel latest information. send to the IRS. Beforey you begin.F For guidançe related! tot thep purpose ofF Form W-9. see Purpose ofFom, below. 1 Name ofe entty/individual. Ane entry isn required. (For a solep proprietor cr disregardede entity. enter thec owner'sr name onl line 1, and enter thet businessldisregarded entty'sr name onl line 2.) Branded Imae Group, LLC 2 Business name/disregarded entityr name, ifd differentf froma above. dj 3a Checkt thes appropriate box for! federalt tax classification oft thee entity/ndividual whosen namei is enteredo onl line 1. Check 4 Exemptions (codes apply onlyt to a only one oft the tollowing seven DoxES. certaine entities, notir individuels: de Individual/sole proprietor Ccorporation Scorporation Partnership Trust/estate seei instructions onp page 3): LLC. Enter the tax classificalion IC= Co corporation, S= So corporalion, Pa Partnership) S Exempt payee code ffany Note: Check the" uLC" box abqve and, int the entry space, enler the appropriate code (C, S, or P)fort the tax classification of thel LLC. unlessliti tis a disregarded entily. A disregarded entity should instead check the appropriate Exemplion from ForeignA Account Tax box fort thet tax classification of ds owner. Compllance Act (FATCA)r reporling Other (see instructions) code (its anyl - 3b If onl line3 3ay you checked' "Partnership" or "Trust/estate," 'orc checked" "LLC ande entered" "P"a asi its tax classification, andy you are providing this form toap partnership, trust, or estate in which you! have an ownershipi interest, check (Applles toa accounts maintained I thist boxt "fy youh have anyt torelgn partners, owners, ort beneficlarles. See Instructions . * outside the United States.) 8 5 Address (number, street, and apt ors suito no.). Soeb Instructions. Requester's namea and address (optional) 227 E. Emory Road 6 City, state, andZ ZIP code Powell," TN 37849 7 Lista accountr numberfs) here (optional) Parti Taxpayer Identification Number (TIN) Enteryour TINI int the appropriate box. Thé TIN provided must match ther name given on Iine 11 to avoid Socials security number backup withholding. Fori individuals, this s generally yours social security number (SSN. However, for a resident alien, sole proprietor, or disregarded entily, seet thei instructions for Part!, later. For other entities, iti is youre employer identification Aumber (EIN). Ify you do not have ar number, seel How to get a TIN, later. or Employeri identificotion number Note: Mt the account is inr more than oner name, see the instructions forl line 1. See also What Name and Number To Give thel Requester forg guidellnes on whoser number to enter. 8 3 - 2 1 6 2 4 9 Part!l Certification Under penalties of perjury, Icertifyt that: 1.7 The number shown ont this form is my correct taxpayeri identification number (orl I amv waiting for a number tob bei issued to me); and 2.lamr not: subject to backup withholding because (a)lame exempt from backup withholding, or (bjlhaver not been notified by the Internal Revenue Service (RS) thati ams subject tot backup withholding as ar result of al failure to report alli interest or dividends, or (c)t the IRSH has notified me thatl am nol longer subjectt to backup withholding: and 3.lam al U.S. citizen or other U.S. persor (defined below); and 4.7 Thel FATCA code(s) entered on this form (f any) indicating thatla am exempti from FATCAI reporting is correct. Certificationi instructions. Your must cross outi item 2 abovei ifyoul have been notified! by the IRS thaty you: are currently subject to backup withholding becausey you have failed to report all interest and dividends ony yourt tax retum. Forr real estatet transactions, item 2 does not apply. For mortgagei interest paid, acquisition ora abandonment ofs secured property, cancellation of debt, contributionst to ani individualr retirement arrangement (RA), and, generally, payments other thani interest ando dividends. you arer notn Jequirdte-signt the certification, buty youn must provide your correct" TIN. Seet thei instructions for Part!l. later. Sign Signature of Here U.S. person Date 2/2025 General Instructions New line 3b has been added to this form. Afl flow-through entity is required to complete this line to Indiçate thati ith has direct ori indirect Section references aret to the Intemal Revenue Code unless otherwise foreign partners, owners, or beneficiaries wheni it provides the Form W-9 noted. to another flow-through entity in whichi it has and ownershipi interest." This Future developments. For thel latest Information about developments changei is intendedto provide ai flow-through entity withi information relatedt to Form W-9 and its instructions.; such asl legislation enacted regardingt the status ofi its Indirect foreign partners, owners,or after they were published, go to www.is.gowFomw9. beneficiaries, so thatito cans satisfys any applicabler reporting requirements. Fore example, ap partnershipt that has anyi indirect foreign What's New partners may ber requiredt to complete Schedules K-2 andk K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). Line 3al has been modified to clarify how a disregarded entity completes thisl line. An LLCt thati is a disregarded entity shouldo checkt the Purpose of Form appropriate bax fort thet tax classification ofits owner. Otherwise, it individual should check the" "LLC" box and enter itsa appropriate tax cassification. Ani or entity (Form W-9 requester) whol Is required to file an information retum with thel IRSi is giving yout this form because they Cat. No. 10231X Form' W-9 (Rev. 3-2024) THE LIBERTY CONSOUDATED PLANNING COMMISSION DIRECTOR- - JEFF RICKETSON, AICP 100 MAIN: STREET, SUITE 7520 HINESVILLE, GA 31313 ie Com LIBERTY COUNTY SIGN PERMIT APPLICATION REQUIRED INFORMATION FOR SIGN PERMIT APPROVAL (ANI MCOMPETENNCHONWLB: RETURNED TOAPPUCANT WITHOUT ACTION) 1.Lettero of Autharization from Property/Building Owner 2.Scaleds Site Plan 5-Inventoryafothers signs ons same parcel 6. Winds structural loadi Information 3.Scaledsignt 4. Electrical Permit Drawing fori Illuminated Signs 7. EngineeredF Footer Details 8. ULC Certificate for Electric Sign SIGN OWNER INFORMATION Name Satyanararayna Narahari Business Name El Cheapo Business Address 5879 Oglethorpe Hwy Type of Business Gas Station Business Phone 516-506-1930 Mobile Phone 516-506-1930 Emall Address Signature nw Aninz 2 (USDMPT replesntie BUILDING OWNER INFORMATION Name Satyanararayna Narahari Typec of Ownership Individual; Corporation; Other Malling Address 5879 Oglethorpe Hwy City Walthourville State GA Phone 516-506-1930 Moblle Signature_ agprag CONTRACTOR/NSTALER INFORMATION Name Branded handa Image Group E-Mail Address mpdrsdegepas Qusige Business License #2 20337438810 Issuing Gty/County Explration Date SIGN INFORMATION Wall Stanchion/Pylon Window Parapet Mansard Projecting_ Canopy_ Monument_ Entrance Pole & Panel Sandwich Board Other One tenant Mult-tenant SIGN SPECIFICATIONS Sign Height for Pylan/Monument: Signs 359" Single Face Double 5lgn Face Area 81.56 - REFACE Building Front (Length x Height) (notr requiredforf freestandings signs) Face Proposed Distancel between leadinge edge of sign to right-of-way 30' Estimate (Amin. of 10ft. isn required) ZONINGI REVIEW LCTM 0418 Parcel Q04 Zoning District C3 Approved As: Conforming Non-Conforming 021 LA a 5-9-25 Reviewer'sN Name/Title Date STRUCTURA/BECTRICALI REVIEW Installation Plan APPROVED DISAPPROVED Structural Plan APPROVED DISAPPROVED Electrical Plan APPROVED DISAPPROVED FINALF REVIEW APPROVED DISAPPROVED DATE Permit# Project# Chack # INCIVT * RVI LE, GP MIWAYS MOVING WILLE IMRENING AGENDA ITEM 2 City of Walthourville Councilmember Bridgette Kelly Auditor Status Update