HomeMy WebLinkAbout2004-003 Special Use and Site & Building Plan T ry L t y th _ .– NO. 4oe , — P. 3/3' --
City of Brooklyn Center
—�� Planning Commission Application
��e Received ,/ ,�/V / ��I ( � _ 1
1 I 'f ,,t y ' G �9s�a R��Cnt r`Innil n� r Application No. G � / 7 C 3
Address /Street Location of Property Z 9 2G
Legal Description of Property
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Owner 7ko a I ; 1. /
Address � -
rZ Phone No. Y
!2 - 35 -74 G
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Applicant
Address --
Phone No.
Type of Request; � Rezoning ❑
Variance X Special Use Permit
Subdivision Approval Site & Building
n g lan Approval
r Other:
Description of Request; 4 U Q /fc/
c1 d•, o '
Application Fee $ ��j Acct No, I OTOO -4403
Receipt No.
The applicant requests processing of this application and agrees to pay to the City of Brooklyn Center,
within fifteen (I 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 a
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withdrawal, s� //� n pplieant of the obligatiion to pay costs incurred prior to
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Applicant (Please Prin )
Appllcant'a Signature
PLANNING COMMISSION RECOMMENDATION
Dates of P. C. Consideration:
Approved Denied this day of > ,
,
following conditions: 20 subject to the
- --------- Chairman
CITY C-+� --- - - -- ^ ----- ---- ------- ---- -- -- ------^
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Dates of Council Consideration: �y (' �� --
Approved Denied this day of �; Y1 llvi -
amendm ®nt: 20 4 , with the owing
Clerk