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HomeMy WebLinkAbout2014-011 PUD Amendment City Use Only XCEAB_1?0 �� DateReceived: OAZ 1�Al ITER Date Application Complete: Letter of Completeness: Planning Application Application No. O��I� " 0 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) ($200) Applicant Information: Name: 1-1�t1!�1&tis /�V�1�GJ�� u(' Signature Address: 5{o led ex'uo �' 1L M/V/ -5yl36 Office Phone: Cell: 74W Email: Ct►'vl FAX: Owner Information* (if different from Applicant): Name: CVC r5V�(>1t5�� L],(, Signature Address: Office Phone: ] 2- -5-3),, -7491 Cell: Email: FAX: * The fee title owner of the property must sizn this Application to make it official Please provide a general description of your Application Request: Do pwo ba c P Address/Location of Property: _0 5SO t�!1 � -`r✓ lJ�� ' 'tor% �1�' Legal Description of Property: The applicant requests processing of this application and agrees to pay to the City of Brooklyn Center,within fifteen(15)days after mailing or delivery of the billing statement,the actual costs incurred by the City for Engineering,Planning and Legal expenses reasonably and necessarily required by the City for the processing of the application. Such costs will be in addition to the application fee described herein. Withdrawal of the application will not relieve the applicant of the obligation to pay costs incurred prior to withdrawal. Application Fee$ I��D o Acct No.10100-4403 Receipt No. City of Brooklyn Center-Business and Development — 6301 Shingle Creek Pkwy — Brooklyn Center MN 55430 (763)569-3300 Planning Application Page 1 Rev 5-21-12 City Use Only Cit Use Only City Use Only Planning Commission Recommendation Dates of PC Consideration Legal Notice Notices Mailed Action Taken Approved Published Resolution No. +� Approved Denied this day of t 20 14, , 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 Approved Denied this 1 day of JU `y 20 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