HomeMy WebLinkAbout2011-005 Site and Building Plan ii�n
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rBR r,� of Planning Commission Application T�f?�ite R c i S .
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Address /Street Location of Property erxes Ave. North and County Road 10, Brooklyn Center, MN
Legal Description of Property "See Attached"
A preliminary meeting with the Planning Staff is required prior to the submission.of a Planning
Commission application. No application will be accepted prior to such meeting.
Applicant Information: Owner information:
Name Loren Van Der Slik Name Loren Van Der Slik
Address 101 South Main St., Dickson, TN Address South Main St., Dickson, TN
phone (615)446 -7109 F a x (615)446-7105 Phone (615)446 -7109 Fax (615)446 -7105
Email Entail
Type ofRequest: Rezoning ($1050) Special Use Permit ($200)
El Subdivision Approval ($300) l ° 1 Site & Building Plan Approval ($750)
Planned Unit Development ($1800) Appear ($200)
Variance ($200) Other:
Description of Request: ` r -
Site & Building Plan Approval for the Walmart
parcel.
Application Fee $ Paid AND Acct No. 101004403 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 cos i curred prior withpi wal.
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Applicant (Please Print) Applicant's Signat e
Page 1
City of Brooklyn Center - Business and Development - 6301 Shingle Creek Pkwy - Brooklyn Center MN 55430 763 - 569.3300
Planning Commission Application Form 10 -10
City Use only City Use Only City'.Use,'U►�ly
Planning Commission Recommendation
Dates of PC Legal Notice Notices Mailed Action Taken Approved
Consideration Published Resolution No.
3-:31-11
❑ Approved ❑ Denied this day of 20 ,
subject to the following conditions:
Chairman
City Council Action
Dates of Council Legal Notice Notices Mailed Action Taken Approved Performance
Consideration Published Resolution No. Bond
Received
W I ►1 �� l�t� 1�1
❑ Approved ❑ Denied this s day of M G 20
with the following amendment:
C W x t A W O S ' off - �
Clerk/Planning Commission Secretary
Page 2
City of Brooklyn Center - Business and Development - 6301 Shingle Creek Pkwy - Brooklyn Center MN 55430 763 - 569 -3300
Planning Commission Application Form 2 -11