HomeMy WebLinkAbout2006-005 Site and Builidng Plan & Special Use Permit City of Brooklyn Center
Planning Commission Application 7
Date Received Application No.
Please Print Clearriv or Tvve
Address /Street Location of Property -53 75 Ale .� /
Legal Description of Property �/'a� T _- l' �2e`47 --TD
Owner s�� /C , '� ,S (�� Phone No.
Address 1� t d,� � l�/ Ai AX No.
Ap // i ' ?! Ll % ?�`�7�� 'J `'I Phone No.
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9 - ` .� FAX No. 15 --mb -4 /w
Address ��l'� GU „py� .,�
Type of Request: ❑ Rezoning ($1050) J!nj Special Use Permit ($200)
❑ Subdivision Approval ($300) Site & Building Plan Approval (5750)
❑ Planned Unit Development ($1800) []Appeal (5200)
❑ Variance ($200) 11 Other-
Description of R / e uest: - ,C)i/ ;���g l'O (/d/ �'P�kl�'� A - -
Application Fee $ (� e Acct No. 10100-4403 Receipt No.
The applicant requests processing of this application and agrees to pay to the City of Brooklyn Center,
within fifteen (15) days after mailing or delivery of the billing statement, the actual costs incurred by the
City for Engineering, Planning and Legal expenses reasonably and necessarily required by the City for the
processing of the application. Such costs will be in addition to the application fee described herein.
Withdrawal of the application will not relieve the applicant of the obligation to pay costs incurred prior to
withdrawal.
V / L�;W ;O-
A plicant (Please Print) Applicant's Signature
City Use Only PLANNING COMMISSION RECOMMENDATION. City Use Only
Dates of P. C. Consideration r- I
Action Taken
XApproved 11 Denied this // 7 day of 20 �, subject to the
following conditions: /
Chairman
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CITY COUNCIL ACTION
Dates of Council Consideration
Action Taken
Approved ❑ Denied this day of �'� Y 20 C' , with the following
amendment:
Clerk
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