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HomeMy WebLinkAbout2012-003 PUD Rezoning City Use Only � '`"� Planning Commission Application Date Received BROOK I,f iY Please Print Clearly or Type Application No. � Address/Street Location of Property 5401 69th Avenue N, Brooklyn Center, MN 55429 Legal Description of Property Lot 1 & Lot 2, Block 1 MARANATHA ADDITION 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 Deb Zarbok / Project Developer Name Maranatha Conservative Baptist Home Inc. Address 2845 Hamline Ave N, Roseville, MN 55113 Address 2845 Hamline Ave N, Roseville, MN 55113 Phone 651.631.6318 Fax 651.631.6301 Phone 651.631.6318 Fax 651.631.6318 Email dzarbok @seniorpartners.com Email dzarbok @seniorpartners.com Type of Request: F-1 Rezoning($1050) ❑ Special Use Permit($200) ❑ Subdivision Approval($300) El Site& Building Plan Approval($750) ❑ Planned Unit Development($1800) ❑ Appeal($200) ❑ Variance($200) ❑ Other: Description of Request: Redevelopment of current 97 bed Care Center within a PUD including an additional future Phase II of 29 - 38 Independent Living units. G� -7 T8i Application Fee$ 18o© Acct No. 101 00-4403 Receipt No. ,/ lo 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 o Fithdrawqf. Applicant(Please Print) Applicant's Sig t 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 r ` 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. �pproved [lenied this 3(51 day of M 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 ezo nc A-12- ✓ Old- 73 [approved 13)enied 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