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HomeMy WebLinkAbout2010-006 Site & Bldg Plan 3 rBROOKLYN y o! Planning Commission Application Date Received D/ _DO NTER Please Print Clearly or Type Application No. Address /Street Location of Property _7 k d f Legal Description of Property * `'� g \Ock D SSey SUwy�S Q\ark ce'. - Zip, t, L,,4 n ('>lodr. k E R�Q(�.k orb' i�lo�lcZ I� RRrku , lSp' -'L'LR Owner Phone No. ItoItol - SU <'L 11200 `1Sc+l }w� [,bA.0 - 12) 4 Pa e_ 1 � . \Sb. '143- go.t- - 10 - 10 AddressV - up\_.��Mt j SS3toti Q R"-U KtJ S5A'1S FAX No. CAE -b-P - 1U 3- Sl,t. -4u Applicant �f�(e \ S� -ows� k` v"` { L �" Phone No. a� S4 - 1 -- 1c CpZ Address &\e-es Ro 1 �++' �e A60, rl; '��c KtN FAX No. Type of Request: ❑ Rezoning ($1050) ❑ Special Use Permit ($200) ❑ Subdivision Approval ($300) Site & Building Plan Approval ($750) ❑ Planned Unit Development ($1800) ❑ Appeal ($200) ❑ Variance ($200) ❑ Other: Description of Request: S� 4 ���rQ:» Qls . r .+u\ C 3LZ 15x- kb ��� ra��.k +'v+n Application Fee $ 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 # scribed her ' Withdrawal of the application will not } relieve the applicant of the obligation to pay co s in rred io thdr 1. Applicant (Please Print) Applicant's Signature City Use Only Planning Commission Recommendation City Use Only Dates of P. C. Consideration Action Taken { LN Approved ❑ Denied this ❑ _ delay of f ° 20 L , subject to the following conditions: Chairman Cit Council Action /� / Nv , Dates of Council Consideration _ , / O C I Ef, 1 a (y,��� a0 /� '7 /p Action Taken i V Approved Denied this gl(�'— day of — 20, with the following amendment: . - it Clerk City of Brooldyn Center - Business and Development - 6301 Shingle Creels Pkwy - B Center MN 55430 763 -569 -3300 I Planning Commission Application Form 12 -09 I