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City of Orono
<br /> Subdivision Applicatior�
<br /> Street Address: Application #
<br /> ,�` o� 2750 Kelley Parkway Dafe Received:
<br /> Y�� Orono, MN 55356 Amount Paid:
<br /> O =�� � Staff:
<br /> �"'`'`� �. Main: 952-249-4600 Fee:
<br /> 3�;�>;:i"
<br /> +� �l' �',���,. �+ fax: 952-249-4616
<br /> � ;,�, c�,� �c, Renewal:
<br /> �� ��� " � ����, �ti Mailing Address:
<br /> L�k� ,���a�� P.O. Box 66
<br /> Ess Crystal Bay, MN 55323-0066
<br /> This application form must be completed in full.
<br /> 'ROPERTY INFORMATION:
<br /> 3ite Address: � � C��r' --�i�r� �ti ti`� �-�', �:�� ��,,n `�: �->��a'��
<br /> 'roperty Identification Number (PIN): ".�,��� j ) ;;� `�'�j��t;�-,�j-��
<br /> Attach legal description to application if not i clu ed on the survey.)
<br /> �ate Property Acquired (month/year): ,��}• ;-���„ ❑ Abstract or� Torrens, please check one
<br /> 'resent use of property: ❑ Residential Other
<br /> '_oning District: 6� i�,�. � �
<br /> �,PPLICANT INFORMATION: (Compiete legal names and maritai status required for each interested party)
<br /> Jame: ���r•c�•����t���-- ��-a��r��� �i'�cc���� ('���'�r� �i��•�
<br /> 'hone (home): _������--�� ��;�� a� Phone (work): �[�. ;��'.��{�. ,��c}�
<br /> �ddress: 6��� -�:c���l�l�'v,c.. iAz�. �v1�� lc. e'�t�ivr ,M �
<br /> :mail: Fax:
<br /> )WNER INFORM�TIUN: (Complete legal names and marital status required for each interested party)
<br /> dame: !�, ���i� �2r'��e-7^ ��Y�'rr�r�/
<br /> 'hone (home): �i� y�_ _t i"s� Phone (work):
<br /> �ddress: l t� 5-��-,�v-e S� PD �ik �l� rP�,s c�� rnti SZ�,.�� I
<br /> :mail: �:r-�-t�-e�l.c�tir, � ��o.} „r�cai I. Go� Fax:
<br /> :XISTING LAND USE:
<br /> lumber of Tax Parcels: �
<br /> �evelopment Size: �'. •�j Acres Dry Land
<br /> , �� Acres Wet Land
<br /> ��, '7�"�• Acres TOTAL, all parcels
<br /> resent Use (check one) � Residentiai; Number of Units: �
<br /> ❑ Other: (Specify)
<br /> resent Zoning District � a�,� �- � �`�.
<br /> ,
<br /> eog�o�ai: .
<br /> 1 Division for Tax Purposes
<br /> 1 Lot Line Rearrangement Only (no new building sites)
<br /> � Subdivision for New Building Sites
<br /> umber of Building Sites � Existing Units
<br /> a f�ew Units
<br /> s? Total Units
<br /> roposed Gross Density � Units per � '�' Acres
<br /> inimum Lot Size �,�� �j �{"�� Square Feet Dry Buildable Land
<br /> �o osed Use check - '�
<br /> p ( ) �1 Residential � _�
<br /> f, r;' �::-.
<br /> ❑ Other (specify) �_ '�� �:- '
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<br /> 10 , _ .., ,
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