HomeMy WebLinkAbout2010-008 Site & Bldg Plan X 1� � of Planning Commission Application Date Received 5 r� L
r" POKL YN
ENTER Please Print Clearly or Type Application No.
Address tStreet Location of Property
,
Legal Description of Property
Owner �� ° ���'"" "� Phone No.
Address
�_ ,,•7 # + ��,�G FAX No.
�� N Y
Applicant ? y � " �� Phone No. 25�'"'�
Address 3 3' % C y y`` ° ' FAX No.
Type of Request: ❑ Rezoning ($1050)�� ❑ Special Use Permit ($200)
❑ Subdivision Approval ($300) eS=J Site & Building Plan Approval ($750)
❑ Planned Unit Development ($1800) ❑ Appeal ($200)
❑ Variance ($200) ❑ Other:
Description of Request: 16 U , L L' ' pO S
CV
Application Fee $ (� C' f Acct No. 10100 - 4403 Receipt No. ->C�
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 he em. Withdrawal of the
application will not relieve the applicant of the obligation to pay costs incurre rior to withdrawal.
Applicant (Please Print) Applicant's Signature
City Use Only Planning Commission Recommendation City Use Only
Dates of P. C. Consideration
Action Taken
Approved ❑ Denied this ; 7 day of '�1 20 l4 , subject to the
following conditions:
Chairman
City Council Action
Dates of Council Consideration ; / L{
Action Taken V
Approved ❑ Denied this L 04) day of 20 -LO—, with the following
amendment:
Clerk
City of Brooklyn Center - Business and Development - 6301 Shingle Creek Pkwy - B�bkl n Center MN 55430 763 - 569 - 3300
Planning Commission Application Form 12 -09