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_ Cit� of Orono <br /> Subdivision �4pplication <br /> Street Address: Application# <br /> � (� �` 2750 Kelley Parkway Date Received: <br /> '�1�� Orono, MN 55356 Amount Paid: <br /> � �'. 0 Staff: <br /> �''•"����� Main: 952-249-4600 <br /> '�=���; , Fee: <br /> � ��� ��'`��� fax: 952-249-4616 <br /> "''��4�'�`'�. �" Renewal: <br /> � ��� %;' _�;;�" .� <br /> �, �`�1n,, �� Mailrng Address: <br /> '��9 �"�'��;i�" � P.O. Box 66 <br /> kEsHo�`' Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. <br /> PROPERTY INFORMATION: <br /> Site Address: � � � �'��':c�,�.� �i��� �� �'�� 9����,�,1'v� <br /> Property Identification N�!mber (PIN): "''�•.�. � � q� '� � ' <br /> c��2"�l�.E�j �`� <br /> (Attach legal description to application if no inc uded on the survey.) <br /> Date Property Acquired (month/year): ��1�-� ❑ Abstract or � Torrens, please check one <br /> Present use of property: `I�.Residential ❑ Other <br /> Zoning District: � �- � y� <br /> APPLICANT INFORMl�TlOM: (Complete legal names and marit status required for each interested party) <br /> Name: �� �,. , v-. i � ";�� <br /> Phone (home): -��,'�, ��g ,�� °�c�. Phone (work : ��,���;, ��.� <br /> Address: ]� �, -�i-��;��1: t�e� ,?�,�� \� �i r,.�`� t�.� <br /> Email: Fax: <br /> OWNER INFORMATIOiV: (Complete legal names and marital status required for each interested party) <br /> Name: `:! ��t �, C llrs ��rr;�.��� <br /> Phone (home): g � a,.. � 0 4 � �c�0 k' Phone (work): �,� � 70 y 3�3 � <br /> Address: a Sr�r.� �O rr.m� rs' -� .�2, � �'-�„_, d' �dZG, iz�-� 7-'x 7�oS2 <br /> Email: .e I/ r s ,--- 6 �, . �� " Fax: � `�72 l� o � JO�O � <br /> EXISTING L D USE: <br /> Number of Tax Parcels: I <br /> Development Size: ���� �j Acres Dry Land <br /> � �� Acres Wet Land <br /> j`�� '�� Acres TOTAL, all parcels <br /> Present Use (check one) C� Residential; Number of Units; � <br /> ❑ Other: (Specify) <br /> Present Zoning District ��- � ,� <br /> B�ro�osaB: . <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangement Only (no new building sites) <br /> 6� Subdivision for New Building Sites <br /> Number of Building Sites � Existing Units <br /> , New Units <br /> � Total Units <br /> °roposed Gross Density Units per � -�- Acres <br /> Vlinimum Lot Size � �`7; �. Square Feet Dry Buildable Land <br /> �roposed Use (check) '� Residential . „ ., r •-� <br /> ❑ Other (specify) `` � � E � <br /> r� <br /> - 10 - ..� ��, .. , ��_._ � <br /> SE� !�. �',�.�' . r r:...:.. .,�..H.� r��':4.'�i.•�. . <br />