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HomeMy WebLinkAbout2011-018 Preliminary Plat it !� � DePlanning Commission Application AU leei ROKL 1N E `TER �r l Please Print Clearly or Type � pp�>rcai�an.Ns Address/Street Location of Property 720 r U Ot AW j Legal Description of Property 4uS 4w3 Pt). 30 � W.5 Spa S3 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 Informattion: Name&OA 0n4r -}6 oy% -ZUJ���� Name -7d Q LPA ��f , uc- Address Pk4A/ , 3o)C (J" Address" S Phone Fax 763-612 Phone763'o2e�7- dl� Fax?63'o2�v'o�f�lo Email �}-Ix�- �1 a� lq( PIJP4R- 1"114 . Email � o�7LF} N�(IOQF� M/ f��tf� vY.► d� Type of Request: Rezoning($1050) Special Use Permit($200) Subdivision Approval($300) Site& Building Plan Approval($750) Planned Unit Development($1800) Appeal($200) Variance($200) Other: V L41 T- /U Description of Request: P1 4 Moui l o? A. r4-e eo S�n ks. of S'a.>+G as p�ciS 1 Application Fee$ Acct No. 10100-4403 Receipt No. It 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. QA Y;�,c Applicant(Please Print) Applicant's Signature Page 1 City of Brooklyn Center-Business and Development-6301 Shingle Creek Pkwy-Brooklyn Center MN 55430 763-569-3300 Planning Commission Application Form 9-10 City Use Only City Use Only City Use Only Planning Commission Recommendation I Dates of PC Consideration: Action Taken: Apo(V V Approved Resolution No. D� Approved ❑ Denied this_� day of 20 _, subject to the following conditions: t ai man City Council Action Dates of Council Consideration: I Y Action Talien: Amroum Approved Resolution No. T I H 4 9 h iApproved ❑Denied this day of /(10Oun b e'1✓ 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 763-569-3300 Planning Commission Application Form 9-10