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2010-005 PUD/Rezoning, Site & Bldg Plan
R eceived car ��` Planning Commission A e 3 g A Date BROOk L EN C CENTER Please Print Clearly or Type Application No. A ND Address/Street Location of Property OS t QC00 b oA e -v acs Legal Description of Property L -o'r's 2 3 Q`o a< 0 C.se0 C-t%OA 5 W : ",V- V- 4J-S1 A'. o V% � L-A l Q100, 1 L -e -s k &JQ ,-4l o " • Lo (Llo 4k t Rc A. A- o (- So,te - x.&! 2! : 5 on SSD Z'LA 1 4 - 1- 3CM - Z o 0 0 Owner �S�J Z - i C .E ,1� ,P, �,nc, . Phone No. Ct<p , ;* - %U'i- ASO - 'SLSU 1�zo0 0 % Ave N, c,$4o Zgbk4% Awe AN. ss� 1-10, -Iu3- 1 --ta,o Address Vkc,rAt& N1,N SSI(0 \46*\ P • , • lc i NtJS!�' 1 TAX No. CA-N? - iul- 5"U - ckUa A Applicant %10- t Sk.." C-o v% Ske u c7� I o u,\ L L C-- Phone No. �J�Z - bo D - -10 Ce Z p 553 �1A3 Address �135� Qw�cer �a,,4 5..; -L { aaL7 l�.�ne- (an�c, h�N FAX No. - $`tz -- I (aCo'L Type of Request: Rezoning ($1050) ❑ Special Use Permit ($200) ❑ Subdivision Approval ($300) ❑Site & Building Plan Approval ($750) 9 PIanned Unit Developmen ($1800) ❑ Appeal ($200) ❑ Variance ($200) ❑ Other: Description of Request - Z.o� - 4�e - �ovr tok5 ;..-�u owe- p y ( � S`Ae- 0"'k reyo.t SOS Ct�, I ce - I- �,F IUD ��d -:••a a:� : ova at dL ,t�ti� �c i/L��••k svf7�✓Je Application Fee $ l D O — Acct No. 10100 -4403 Receipt No. 5 6 93 LJ 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 fe described her Withdrawal of the application will not relieve the applicant of the obligation to pa c sts i rred ri o ithdr A � � "kAe Applicant (Please Print) Applicant's Signature City Use Only Planning Commission Recommendation City Use Only Dates of P. C. Consideration ) � e c7 Action Taken © Approved ❑ Denied this 2- day of " C �1 20 subject to the following conditions: A V Chairman City Council Action Dates of Council Consideration / -/ t C ;/ Action Taken kpc fA ❑ Approved []Denied this P N day of 20 D with the following amendment: Clerk City of Brooklyn Center - Business and Development - 6301 Shingle Creek Pkwy - klyn Center MN 55430 763 - 569 -3300 Planning Commission Application Form 12 -09