HomeMy WebLinkAbout2012-013 Site & Bldg Plan City Use Only
��j Of Date Received: os 3 ZO/ Z
BROOKE 11V
CENTER Date Application Complete:
Letter of Completeness:
Planning Application I Application No,J:�0/a 013—
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�' 1 GC 1'1
in512 Cve Gvass 'h C)
Address/Location of Property Xerxes Ave No and County Road 10 Brooklyn Center
Legal Description of Property: Shingle Creek Crossing 2nd Addition
Y Only Use Onl City �
City Use Only
Planning Commission Recommendation
Dates of PC Consideration Legal Notice Notices Mailed Action Taken Approved
Published Resolution No.
es 01
J Approved Denied this oK 0 day of — 20 r� ,
subject to the following conditions:
� r#
i'
Chairman
City Council Action
Dates of Council Legal Notice Notices Mailed Action Taken Approved Performance
Consideration Published Resolution No. Bond
Received
-7- ,/ b/ _
Approved Denied this day of _20 �a
with the following amendment:
Clerk/Planning Commission Secretary