HomeMy WebLinkAbout2013-012 Special Use Permit City Use Only
XB-1?00kl� Date Received:
YA1
TF.R Date Application Complete:
Letter of Completeness:
Planning Application Application No. , 0 )3 -USA
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
($750) ($1800) ($300)
Rezoning PUD Amendment Appeal
($1050) ($700) ($200)
Variance ,,.�
Special Use Permit Determination
($200) ($200) ($200)
Applicant Information:
{� W11 RtKS �
Name: 1'1F Rr11itC��� ��i2i; j4no NI�R. LIf I r�y�#ignature
Address: 'Sg 0( e-)Q0pkl�4r( &Q-0 U0rjICL` "4 Uttf,Ek
Office Phone: S(. , z,-Lf-(3 Cell: b5 f 6v s I C- b
c�,H
Email: C71u bV)MC;cAciu�S`1e,L.ai CsaM
Owner Information* (if different from Applicant):
Name: S`PVl 6�P y Yet. [(, 'o Signature
Address: VQ Alauh"L,53
Office Phone: 1) Cell: 671Z 30K 92-T
Email:�J j%�ffi 4/� <-s d7 CD✓Q i n e- _FAX: 64 Z Lqg S .Z
* The fee title owner of the pronerty must sicn this Application to make it official
Please provide a general description of your Application Request: S/o cepu fir r►�
Ch r ��
Address/Location of Property: 6roo S h'dAl
Legal Description of Property: K L- ` 7�
The applicant requests processing of this application and agrees to pay to the City of Brooklyn Center,within fifteen(15)days
after mailing or delivery of the billing statement,the actual costs incurred by the City for Engineering,Planning and Legal
expenses reasonably and necessarily required by the City for the processing of the application. Such costs will be in addition to
the application fee described herein. Withdrawal of the application will not relieve the applicant of the obligation to pay costs
incurred prior to withdrawal.
Application Fee$ v O Acct No.10100-4403 Receipt No.
City of Brooklyn Center-Business and Development — 6301 Shingle Creek Pkwy — Brooklyn Center NN 55430 (763)569-3300
Planning Application Page 1 Rev 5-21-12
i
City Use Only City Use Only City Use Only
Planning Commission Recommendation
Dates of PC Consideration Legal Notice Notices Mailed Action Taken Approved
Published Resolution No.
17 A013
i
Approved Denied this day of 20 / 3
subject to the following conditions:
Chairma
City Council Action
Dates of Council Legal Notice Notices Mailed Action Taken Approved Performance
Consideration Published Resolution No. Bond
_ Received
V Approved Denied this day of 20 ! 3
,
with the following amendment:
Clerk/Planning Commission Secretary
City of Brooklyn Center-Business and Development — 6301 Shingle Creek Pkwy — Brooklyn Center MN 55430 (763)569-3300
Planning Application Page 2 Rev 5-21-12