HomeMy WebLinkAbout2012-006 Subdivision, Site & Bldg Plan City Use Only
X!j ol, Planning Commission Application Date Received^30
OA-L YX
YTER Please Print Clearly or Type Application No. dI -Do (p
r3o�sh l��l�C�►��"�o�s l ��,,�-�
Address/Street Location o roperty Xerxes Ave. North and County Road 10, Brooklyn Center, MN
Legal Description of Property Lot 2, Block 1 and Lot 3, Block 1 of Shingle Creek Crossing
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
888 E. Las Olas Blvd. Suite 600 888 E. Las Olas Blvd. Suite 600
Address Fort Lauderdale, FL 33301 Address Fort Lauderdale, FL 33301
Phone (954) 302-5900 Fax (954) 302-5901 Phone (954) 302-5900 Fax (954) 302-5901
Email Email
Type of Request: F-1 Rezoning($1050) F-1 Special Use Permit($200)
❑ Subdivision Approval($300) FX] Site& Building Plan Approval($750)
Planned Unit Development($1800) F-1 Appeal($200)
Variance($200) F-1 Other:
Description of Request: Submitting Preliminary Plat (Subdivision Approval) for Shingle
Creek Crossing and Site & Building Plan Approval for the separation, building,
and site improvements of the existing Sear' s and Food Court Buildings.
Application Fee$ $1, 0 5 0 Acct No. 10100-4403 Receipt No. V 5A
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 MZM�w' draw
Loren Van Der Slik C/O William D. Matzek
Applicant(Please Print) Applicant's ignatur
Page 1
City of Brooklyn Center-Business and Development-6301 Shingle Creek Pkwy-Brooklyn Center MN 55430 763-569-3305
Planning Commission Application Form 3-11
City Use Only City Use Only} _ City Use Only
Planning Commission Recommendation
Dates of PC Legal Notice Notices Mailed Action Taken Approved
Consideration Published Resolution No.
❑ 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
❑ Approved ❑Denied this day of 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 763-569-3305
Planning Commission Application Form 3-11