HomeMy WebLinkAbout2014-007 Site & Bldg PlanXBR0IC111 l9'
Planning Application
City Use Only
Date Received: 641631*
Date Application Complete:
Letter of Completeness:
Application No. Z01 " a s
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.
Site & Building Plan
X. ($750) /M L14
Rezoning
($1050)
Variance
($200)
Applicant Information:
Application Request
(Nlarlc all that Apply)
Name: Loren Van Der Slik Signature
Planned Unit Development
($1800)
PUD Amendment
($700)
Special Use Permit
($200)
Name: Loren Van Der Slik Signature
Address: 888 Las Olas Blvd, Suite 600, Fort Lauderdale, FL 33301
Office Phone:
Email:
(954) 302-5900
Cell:
lvanderslik@gatlindc.com FAX:
Owner Information* (if different fi-oan Applicant):
Name:
Address:
Office Phone:
Email:
Signature
Cell:
FAX:
* The fee title owner of the property must sign this Application to make it official
Please provide a general description of your Application Request: S • &CA.
i . A
Address/Location of Property:
Legal Description of Property:
Xerxes Ave. N and County Road 10, Brooklyn Center, MN
Single Creek Crossing 1-300. , (A
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.
74A
Application Fee $ Acct No. 10100-4403 Receipt No. q`'
_ C NII 55420 (76_,3) 569-3300
City of Brooklyn Center -Business and Development — 6301 Shingle Creels 1 xwy — tsrooiuY,� Center '""" J✓ Page 1 Rev 5-21-12
Planning Application
Subdivision Approval
($300)
Appeal
($200)
Determination
($200)
Address: 888 Las Olas Blvd, Suite 600, Fort Lauderdale, FL 33301
Office Phone:
Email:
(954) 302-5900
Cell:
lvanderslik@gatlindc.com FAX:
Owner Information* (if different fi-oan Applicant):
Name:
Address:
Office Phone:
Email:
Signature
Cell:
FAX:
* The fee title owner of the property must sign this Application to make it official
Please provide a general description of your Application Request: S • &CA.
i . A
Address/Location of Property:
Legal Description of Property:
Xerxes Ave. N and County Road 10, Brooklyn Center, MN
Single Creek Crossing 1-300. , (A
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.
74A
Application Fee $ Acct No. 10100-4403 Receipt No. q`'
_ C NII 55420 (76_,3) 569-3300
City of Brooklyn Center -Business and Development — 6301 Shingle Creels 1 xwy — tsrooiuY,� Center '""" J✓ Page 1 Rev 5-21-12
Planning Application
City Use -Only
City Use Only City Use Only
Planning Commission Recommendation
Dates of PC Consid ration Legal Notice Notices Mailed Action Taken Approved
Q- Published Resolution No.
r o _b
Approved Denied this Aq4K day of n�w20 1,
-11,81—+ +^ +1— Fniimeiino rnnrlitinnc-
Chairman
City Council Action
Dates of Council Legal Notice Notices Mailed Action Taken Approved Performance
Consideration Published Resolution No. Bond
Received
�014
Approved Denied this Q day of Q20_,
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