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Cit of Orono � <br /> Y �s:.. � <br /> Subdivision Appl �cation <br /> StreetAddress; Application # �;�(s,--�j�`7�j <br /> �` 0� 2750 Kelley Parkway Date Received: ��z•2.1-�,c�o; <br /> y" Orono, MN 55356 Amount Paid: =,c_�c�, ��� <br /> � ;�� O Staff: i�-�.�1�., l�,L:.(-�=,-��,.� <br /> ���-:U;�;�-. , Main: 952-249-4600 Fee: ��� <br /> � 1'�����i;'-'��;';s., � fax: 952-249-4616 RenewaL � �-�L- <br /> `�� .:.v c:�. <br /> �'l��l�`I�p,,���''�,�'ti Maoiling A G6ress: <br /> 9kESH�¢' P. . BOX <br /> Crystal Bay, MN 55323-0066 <br /> This application form must be completed in fu(I. <br /> 'ROPERTY INFORMATION: <br /> �ite Address: �� / �,v�=-s �i �'—,�i������� (�i� • I �' tl�" G���,— �,�1=-���� (�(�. <br /> 'roperty Identification Number (PIN): r��� .�� -����-�3 y5��ni6 (i�v��- �7�- f��' -z3 - y3 �c���l�:� <br /> Attach legal description to application if not included on ihe survey.) c � <br /> �ate Property Acquired (month/year): /���iv ��hi��" ❑ Abstract or ❑ Torrens, please check one <br /> 'resent use of property: ,�Residentia{ ❑ Other <br /> ?oning District: <br /> -� J��y 9 .a��su��..e.�.��,,� 'zc�-L�� •-�e, CL"�'sl�crc• ;�'��e�`f <br /> � <br /> aPPLICANT INFORMATlON: (Complete legal names and marital status required for each interested party) <br /> �ame: �Tr�rti�r�s c� . j�r<����<� � <br /> 'hone (home): (r's2) y��,; �/'/ y� Phone (work): �'3? z) 9� 5�1 e: ��; <br /> �ddress: i�Pci i��.�- � .�,-.n���� �� . <br /> -mail: _,Icti' �e ��� ; v� �s , C��� Fax: <br /> ���� <br /> �WNER INFORMATIOiV: (Complete legal name/s.and marital status required for each interested party) <br /> �1ame: �7Y��1� �`��-'i� ���� �i Ll-i�,a�i 1 Y�1�'��� � <br /> �hone (home): 5��� Phone (work); <br /> �ddress: <br /> -mail: Fax: <br /> -XISTING �AND USE: <br /> �umber of Tax Parcels: <br /> �evelopment Size: Acres Dry Land <br /> Acres Wet Land <br /> Acres TOTAL, all parcels <br /> 'resent Use (checl< one) �� Residential; Number of Units� � <br /> ❑ Other: (Specify) <br /> �resent Zoning District <br /> ��o�os�9: <br /> � Division for Tax Purposes <br /> � Lot Line Rearrangement Only (no new building sites) <br /> � Subdivision for New Building Sites <br /> �lumber of Building Sites Existing Units <br /> (�lew Units <br /> Total Units <br /> 'roposed Gross Density Units per Acres <br /> Vlinimum Lot Size .,zla��'�.�— Square Feet Dry Buildable Land <br /> 'roposed Use (check) �. Residential <br /> , <br /> ❑ Other (specify) y �� ��- - <br /> - 10 - .� � ' `'i. <br /> -�„• ;., - - <br /> ;;: . . .. . . ....,. <br />