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, �ity of Orono <br /> Subdivision Application <br /> Street Address: Application # UC.c�- �j I Lo �� <br /> � Q� 2750 Keiley Parkway Date Received: ��- 5_- (>c-'� <br /> Orono, MN 55356 Amount Paid; g (�, �? � <br /> O '�� 0 Staff: . <br /> ''", �� Main: 952-249-4600 Fee: ��lcy�<�� , <br /> ''��`'; .�,� �� (V, "' " r'�, <br /> ��\�', � fax: 952-249-4616 Renewal: <br /> _ ._ <br /> � (� ;_�'1,. , <br /> , ,�� _.�.._.__ <br /> �� ���� � "���,. pti Mailing Address: <br /> �Rk������g,ti P.O. Box 66 <br /> EsHo Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. <br /> 'ROPERTY INFORMATION: <br /> ite Address: � �G�� —�"`�;�r-,�`�r , �� �.��\�. �'��C � <br /> roperty Identification Number (PIN): ":����= j � ��' ����,�-J,�� � <br /> �ttach legal description to application if no inci ded on the�ey.) <br /> �ate Property Acquired (month/year): �����- �,° ❑ Abstract or �L�,Torrens, please check one <br /> resent use of property: esidential ❑ Other <br /> oning District: f�� -- i „� <br /> PPLICA T1 INFORMATION: (Complete le al names and marital status required for each interested party) <br /> ame: V� � � �� � ' .. <br /> hone (home): '7 `7 - , l ' Phone (work): �� ,� ��'(�;�' � <br /> d d re s s: I � C�'C..� .-�-ti��%i� �� �.,� i�.�� .��� l�. ����-\ Vt � <br /> mail: Fax: <br /> WNER IN�ORMATION: (Complete le�al names and marital status required for each interested party) <br /> ame: _���K�-rY` �4�� �-1.�i �,C �`►� <br /> �one (horne). ` �� S y l 7 l,�k:��.�`� Phone (work): � ��,.�� <br /> �dress: I�� 1��.::��- I�� �'�- 't-�-�.�1<-��rl � � 5�S=���' <br /> nail: Fax: _ <br /> KISTING LAN� USE: <br /> amber of Tax Parcels: I <br /> �velopment Size: � ;2.i�'( Acres Dry Land <br /> � ��� Acres Wet Land <br /> / a; :'��=j' Acres TOTAL, all parcels <br /> esent Use (check one) � Residential; PVumber of Units: �� <br /> Other: (Specify) <br /> esent Zoning District ;� �-- � .L'� <br /> ca�osal: <br /> Division for Tax Purposes <br /> Lot Line Rearrangement Only (no new building sites) <br /> ., Subdivision for New Building Sites <br /> imber of Building Sites � Existing Units <br /> � New Units <br /> z� Total Units <br /> �posed Gross Density ) Units per ��— Acres . <br /> �imum Lot Size ,,.��`�;�'�� Square Feet Dry Buildable Land <br /> �posed Use (check) ❑ Residential � �i ,_ i <br /> ❑ Other (specify) � '+ <br /> - 10 - `.�� �` (;; r�'`Y , <br /> . , <br /> , � <br /> � .:_` _.,:, ,�sF �,..�"� <br /> r: µ . --_ _. <br />