HomeMy WebLinkAbout2011-006 PUD �ey =.y F M y' `P? ..✓5
"LA� " M"pti'mci XIPa 5
�' Of Planning Commission Application ltec
L YN TER Please Print Clearly or Type tppt`
r
Address /Street Location of Property
00 /' ee w t Q 1 vej
Legal Description of Property ! LD l , G' 1 ►� 4-f G a n a 4
Bern ep; n Go . / Ai Al
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 ,lo Information: Owntr Information:
Name ad 51 6W Name /700 ReClwc
Address /1 Q Freew c` / 131V) Address
Phone ( 679$ Fax (763 ) "I Phone �7k 6) "W6 Fax
Email eodd• Stle,-v f r Email �G � 5 �I w @ p ec; Si +c,— /hc,Gv
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) F-1 Other:
Description of Request: 1 l n ��S �"�t4 / l��b
,7 rk t �ti r � h# + T A h 4 he h e 4 762o h e � ex j 5 al � : � ►v a.,/
k 1 ?00 1=r-e ve, �1 ✓�,
O
Application Fee $ 4 0 0 " Acct No. 10100 - 4403 Receipt No. (O5 I
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 incurred prio o withdrawal.
Applicant (Please Print) Applican s Signature
Page 1
City of Brooklyn. Center - Business and Development - 6301 Shingle Creek Pkwy - Brooklyn Center MN 55430 763- 569 -3300
Planning Commission Application Form 9 -10
City Use Only City Use Only City Use Only
Planning Commission Recommendation
Dates of PC Consideration:
Action Taken: i �� � t ' �, . L)
Approved Resolution No. p 0
I
V Approved ❑ Denied this day of 20
subject to the following conditions:
Chairman
t? City Council Action
Dates of Council Consideration: -3 n
Action Taken: v
Approved Resolution No.
V Approved []Denied this � n4'r ` day of /, l r 20
with the following amendment:
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 9 -10