Memorandum - Birmingham, Alabama
BIRMINGHAM LAND BANK AUTHORITY
Board of Directors
HEAGER L. HILL, CHAIR
ADAM SNYDER, VICE CHAIR
CHARLES BALL, SECRETARY
City of Birmingham
710 North 20th Street, City Hall
Birmingham, Alabama 35203
HONORABLE WILLIAM A. BELL, SR.
MARSHALL ANDERSON
GWENDOLYN BATES CALHOUN
REVEREND JOHN LOVELACE CANTELOW
Application Review Checklist
Date: ___________________
Name: _________________________________ Phone: _____________________
Address: ____________________________ City___________ Zip __________
Email: ________________________________
Name of Business or Non Profit ________________________________________
Address of Property Requested: _____________________________ Zip ________
Please answer the following:
Yes No
Do you live next door to this property? ___ ___
Do you live in the same neighborhood of this property? ___ ___
Is this property a vacant lot (no structure)? ___ ___
Is anyone else occupying or maintaining the property? ___ ___
What is the intended use of property?
_____ Private Yard _____ Community Garden
_____ Private Garden _____ Community Park
_____ Home for Yourself or Family _____ Rental Home
_____Other- describe _________________________________________________
[pic]
Staff Use Only
______ADOPT A LOT _______SIDE LOT _____GENERAL REQUEST
Parcel ID Number: ____________________________________________
Tax Delinquent Year: ______________ Identification: ____________
Proof of Property Ownership____________________________________
$50 Administration Fee: __________ $500 Earnest Money: _________
Notes:_____________________________________________________________
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