HomeMy WebLinkAbout2010-004 Preliminary Plat C/ror Planning Commission Application Date Received
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N TER Please Print Clearly or Type Application No.
Address/Street Location of Property D 5 L �v o o\a In
Legal Description of Property � S sc�-°O`S `
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Owner St> 4 '"7- - I ` G �. _ . V"c- . Phone No. c 'tL03- ASO
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Address l 'l*e(w�a�c '�rooltl��*� KfJ 5`SAgS Gt
Applicant S�I C4 15 r I) C::� 0 Phone No. Q SZ- Q�q't - "Z $ C. Z
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Address 1 1350 (Z.o a Y_ c--, A e Ao O tk : rw. e-6 ,4<a K N FAX No. q 5 7 - - ° oAZ - - t U (1 Z
Type of Request: ❑ Rezoning ($1050) ❑ Special Use Permit ($200)
XS ubdivision Approv 1($300 ❑ Site & Building Plan Approval ($750)
❑ Planned Unit Development ($1800) ❑ Appeal ($200)
❑ Variance ($200) ❑ Other:
Description of Request: S c ' vus' lok s - oNe- �>U 4
DO . Acct No. 10100 - 4403 Receipt No. 5& 8 3 q
Application Fee $ � P
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 escribed her ' . Withdrawal of the
application will not relieve the applicant of the obligation to 7 rre ri r o ith wal.
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Applicant (Please Print) Applicant's Signature
City Use Only Planning Commission Recommendation City Use Only
Dates of P. C. Consideration a 5 _ D Pq cre, fir.'
Action Taken fuo �,
Approved ❑ Denied this day of J�r�r' 20, subject to the
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following conditions:
Chairman
City Council Action
Dates of Council Consideration 4-016-/o
Action Taken A P- -ProufcL (ckb 010)0
❑ Approved ❑ Denied this day of 20 , with the following
amendment:
C w�v
Clerk
City of Brooklyn Center -Business and Development - 6301 Shingle Creek Pkwy -Brooklyn Center MN 55430 763 - 569 -3300
Planning Commission Application Form 12 -09