HomeMy WebLinkAbout2012-019 PUD Amendment City Use Only
Planning Commission Application Date Received U I l 2
s (sr Please Print Clearly or Type Application No.
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Address/Street Location of Property Xerxes Ave North and County Road 10, Brooklyn Center, MN
Legal Description of Property Shingle Creek Crossing ,2nd Addition
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 Information:
Name Loren Stan Der Slik Name Loren Van Der Slik
888 E. Las Olas Blvd. Suite 600 888 E. 'Las Olas Blvd. Suite 600
Address Fart Lauderdale, FL 33301 Address Fort Lauderdale, FL 33301
Phone (954) 302-5900 Fax (954) 302-5901 Phone (954) 302-5900 Fax (954) 302-5901
Email Email
Type of Request: Rezoning($1050) F� Special Use Permit($200)
Subdivision Approval($300) ❑ Site&Building Plan Approval($750)
Planned Unit D velopment(SISN) F-1 Appeal($200)
X"In onetl,
Variance($200) Other:
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Description of Request:
PUD Amendment 3 to the approved PUD Amendment 2
Application Fee$ *1r.10' Acct o.10100-4403 Receipt No.
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.
Loren Van Der Slik C/0 William D. Matzek
Applicant(Please Print) Applicant's Signature
Page 1
City of Brooklyn Center-Business and Development-6301 Shingle Creek Pkwy-Brooklyn Center MN 55430 763-569-3305
Planning Commission Application Form 3-11
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„ city
Planning Commission Recommendation
Dates of PC Legal Notice Notices Mailed Action Taken Approved
Consideration Published Resolution No.
,/ 30_ -30_ -
— �e w'' ,ems- -Z, ,
Approved Denied this day of 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
20
with
/Approved Denied this t day of 20
with the following amendment:
Clerk/Planning Commission Secreta
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City of Brooklyn Center-Business and Development-6301 Shingle Creek Pkwy-Brooklyn Center MN 55430 763-569-3305
Planning Commission Application Form 3-11