HomeMy WebLinkAbout2004-009 PUD Amendment City of Brooklyn Center
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` / Planning Commission Application���
Date Received Application No. '
Please Print Clearly or Tv I+a
Address /Street Location of Property 1 1 I5 -��� -1
Legal Description ofaProperty c+ C. ReQlster d ' tr 1
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Phone No'.1 �J& 7
Address
Applicant fi- aQ&Ia � ` Phone No.
Address 7 /ol �esf 7 ��t' loran i ng-Irn I� n! �5�3�
Type of Request: Rezoning F Variance Special Use Permit
Subdivision Approval Ll Site & Building Plan Approval
Dq Other: 1 1,/ JO
Description of Request: t V
Acct No. 1 01 00 -4403 Receipt No.
Appl�catiort Fee 5 �U� � �o ! l
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 incu d prior to
withdrawal.
Applicant (Please Print) Applicant's Signa, ure
PLANNING COMMISSION RECOMMENDATION
Dates of P. C. Consideration: c L
Approved _. Denied this day of _ �/ 20_`�, subJect to the
following conditions:
Chairman
Dates of Council Consideration:
Approved � Denied thls day of 20 with the following
amendme t:
d
Clerk