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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