HomeMy WebLinkAbout2012-015 Site & Bldg Plan City Use Only
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BIROO'A' Y L 11r Date Received: L a 1 Z
CENTER Date Application Complete:
Letter of Completeness:
Planning Application Application No.
A preliminary meeting with the Planning and/or Engineering Staff is required prior to the submission of a
Planning Application. No application will be accepted prior to such meeting. City Staff shall have five(5)
business days to review applications for completeness. The 60-day statutory review period does not begin
until staff determines the application is complete.
Application Request
(Mark all that Apply)
Site&Building Plan Planned Unit Development Subdivision Approval
X ($750) ($1800) ($300)
Rezoning PUD Amendment Appeal
($1050) ($700) ($200)
Variance Special Use Permit Determination
($200) ($200) ($200)
Applicant Information:
Name: Loren Van Der SLik Signature
Address: 888 E Las Olas Blvd, Suite 600 Fort Lauderdale FL 33301
Office Phone: 954-302-5900 Cell:
Email: FAX: 954-302-5901
Owner Information* (if different from Applicant):
Name: Signature
Address:
Office Phone: Cell:
Email: FAX:
* The fee title owner of the property must sign this Application to make it official
Please provide a general description of your Application Request:
T
1150 5 r n� c Lv 1'D551'h 9
Address/Location of Property: Xerxes Ave No and County Road 10 Brooklyn Center
Legal Description of Property: Shingle Creek Crossing 2nd Addition
City Use Only Cfty Use Only City U
Planning Commission Recommendation
Dates of PC Consideration Legal Notice Notices Mailed Action Taken Approved
Published Resolution No.
-/of 0 `S
Approved Denied this day of
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
V Approved Denied this 7 day of 20 / 0
with the following amendment:
i
Clerk/Planning Commission Secretary