HomeMy WebLinkAbout2011-012 Site and Building Plan % ��f Planning Commission Application KLYN P Print Clearly or Type tpplici
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Address /Street Location of Property
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Legal, Description of Property
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 M —lz � Name Rol
Addres 16 L 1 Lslz J�„ (L . N�/i�fi Address
Phone ? 11 2 2- Phone ty�0(5 M /V Fax
Email m /!Li' • I-4W2c4 IfZ-4-id,0 w„6ielf • L° Email
Type of Request: F Rezoning ($1050) F7 Special Use Permit ($200)
❑ Subdivision Approval ($300) Site & Building Plan Approval ($750)
F1 Planned Unit Development ($1800) Appeal ($200)
F Variance ($200) ❑ Other:
Description of Request:
C-
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Application Fee $ - 7 5. 00 // Acct No. 10100 - 4403 Receipt No. CO& 3a 5
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 prior to withd • . .
Applicant (Please Print) Applicant's Signature
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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:
t
Approved Resolution No.
A roved ❑ Denied this of 20 da ,
PP � Y
subject to the following conditions:
chair4an
City Council Action
Dates of Council Consideration:
Action Taken: Aq i cL �
Approved Resolution No. A0 A -
IoApproved ❑ Denied this l � day of 20
with the following amendment:
I
Clerk/Planning Commission Sec etary
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City of Brooklyn Center - Business and Development - 6301 Shingle Creek Pkwy - Brooklyn Center MN 55430 763 - 569 -3300
Planning Commission Application Forth 9 -10