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HomeMy WebLinkAbout2011-019 Preliminary Plat City Use Only %4'of Planning Commission Application Date Received BROOKE W CENTER Please Print Clearly or Type Application No. Address/Street Location of Property&CM ZRW k WOO ,69 1.4C>1T0K's S 1:s it 2:84, Legal Description of Property A ® lA�gt' /�Tof=S X13 i 2 ka1-oyo 1 ©3'//F- 2 0 Z-0003 ; 03-1 fS-z/ 12.ow-7 03 11.-av8 A prelimi ry 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 Inf/ormation: Name , tes L L(A' Name "/ no�►�s 1 . WE�cQr 3V S rz 3se -*� AM Address Cs sev,w/6-S3(oq Address US5F4 1-1A.).6''3!c! PhoneM-44�- 46d Fax $,Z #�24( Phone Z/6- 44,4- _Fax 76;�- 42 c/-4/00� Email4wK nn aM Email "!(IM d.n a nw► Type of Request: F-1 Rezoning($1050) El Special Use Permit($200) ® Subdivision Approval($300) 7 Site&Building Plan Approval($750) Planned Unit Development($1800) El Appeal($200) Variance($200) 7 Other: Description of Request: A,&L kw a&l F✓14,i S-/l &6tj Ju v1 1�owl� Application Fee$'6X,a d Acct No. 10100-4403 Receipt No. ll 3a 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 withdrawal. Applicant(Please Print) Appli nt's Signature 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 �y� Planning Commission Recommendation Dates of PC Legal Notice Notices Mailed Action Taken Approved Consideration Published Resolution No. v 201 -O/ approved ODenied this 1-day of ;/ yVi-M be 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 d '71 1 Upproved O)enied this /a 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