HomeMy WebLinkAbout2013-002 Preliminary Plat City Use Only Q
rn-,„r Date Received:
flROOK1,Y,V
c I rvrl;lr Date Application Complete:
Letter of Completeness:
Planning Application Application No. _Li
Apr eliminary:meeting with the Planning and/pr frigineering Staff.is.reguired prior to the submission.of a
Planning Application..No application.will beaccepted prior.to such;meeting ;:.City Staff shall.have five(5}.
business days.to.review:applications for.completeness..,Th.e 60-daystatutory review period does not be gin
until staff determines the application is complete.
Application Request
(Mark all that Apply)
Site&Building Plan Planned Unit Development X Subdivision Approval
($7S0) ($1800) ($300)
Rezoning PUD Amendment Appeal
($1050) ($700) ($zoo
Variance Special Use Permit Determination
($200) ($200) 1 ($200)
Applicant Information:
Name: Loren Van Der Slik Signature b."'9, _
Address:888 Las Olas Blvd, Suite 600, t=ort Lauderdale,FL 33301 0�
Office Phone:(954)302-5900 Cell:
Ismail: Ivanderslik@gatlindc.com FAX:(954)302-5901
Owner Information*(ifcliereni from Applicant):
Name: Signature
Address:
Office Phone: Cell:
Email: FAX:
a/he lee title owner ofthe orover'ty nnart sign this Applicalion to make ii oflicial
Please provide a general description of your Application Request:Submitting Preliminary Plat(Subdivision
Approval)for Shingle Creek Crossing 3rd Addition
300 S a e_cae k giaA sass;n
Address/Location of Property: Xerxes Ave.N and County Road 10, Brooklyn Center,
Legal Description of Property: Shingle Creek Crossing 3rd Addition
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.
Application Fee$300.00 Acct No.10100-4403 Receipt No.
City,of Brooklyn Ccnicr-Business and Development -- 6301 Shingle Creek Pkary- Brooklyn Center MIN 55430 (763)569-3300
Planning Application Page 1 Rev 5.21-12
City Use Only City Use Only City Use Only
Planning Commission Recommendation
Dates of PC Consideration Legal Notice Notices Mailed Action Taken Approved
Published esoEution No.
2
2Approved Denied this I day of 20 /J ,
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
pe aQ/2-Oa Received
Z _ ] D -O/
e-CA013-2-1
cc,A013 y_
XApproved Denied this Z3 day of (C_ 20 3
with the following amendment:
r
Clerk/Planning Commission Secretary
City of Brooklyn Center-Business and Development - 6301 Shingle Crwk Pkwy•- Brooklyn Cetuer 1%4N 55430 (763)569-3300
Planning Application Page 2 Rev 5-21.12