HomeMy WebLinkAbout2010-007 PUD Amendment, Site & Bldg Plan l of� 1� Planning Commission Application Date Received 4-1
N 'TER Please Print Clearly or Type Application No. —M -7
Address /Street Location of Property V V�_
Legal Description of Property 1 - (�" `��+,� r ; 9 � K (rp
Owner Phone No.
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Address 445 lAl 4t t'( l'.��� � 51 ' FAX No. 4 U0
Applicant Phone No. -(4 ` *" 54,5
Address �t��1 `��-- l� �`"c , �' �� FAX No.
Type of Request: ❑ Rezoning ($1050) ❑ Special Use Permit ($200)
❑ Subdivision Approval ($300) XSite & Building Plan Approval ($750)
X Planned Unit Development ($1800) ❑ Appeal ($200)
❑ Variance ($200). []Other:
Description of Request: _
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Application Fee $ Sao 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 described herein. Withdrawal of the
application will not relieve the applicant of the obligation to pay costs ' curred prior to withdrawal.
Applicant (Please Print) pplicant's Signature
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City Use Only Planning Commission Recommendation City Use Only
Dates of P. C. Consideration
Action Taken
❑ Approved ❑ Denied this C� day of 20 , subject to the
following conditions:
2
Chairman
City Council Action
Dates of Council Consideration
Action Taken f0 Vek (Y
Approved ❑ Denied this day of /&V 20 with the following
amendment:
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
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