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fc <br />City of Orono <br />Subdivision Application <br />exhibit a <br />^net Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Main: 952-249-4600 <br />fax: 952-2494616 <br />Mamt}g Adrkess: <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />This application form must be completed in full. <br />Application# ^ t*. ‘^U^_ <br />Date Received: <br />Amount Paid: / jj <br />Staff: ,JmW <br />Fep’ <br />Renewal: <br />mammmii <br />mk fv H. <br />PROPERTY INFORMATION: ^ <br />Site Address; W ^Ct/2£ST’A/}>0£>/a:^C <br />Property Identification Number (PIN): CT> - /('f - ZA - "2M - oe>t-f‘2^ <br />(Attach legal description to application if not included on the survey.) <br />bate Property Acquired (month/year): Ffeg /99Z. □ Abstract or^ Torrens, please check one <br />Present use of property: J^Residential □ Other ________________________________ <br />Zoning District: /jg - ________ <br />APPLICANT INFORMATION: (Complele legal names and marital status required for each interested part; <br />Name;LpMj^__csiAcky rr <br />Phone (home): <br />h interested party) <br />Address: TtmAAJt <br />Email: A-irTide- r" <br />Phone (work): <br />__ Fax: 6,/z ‘ LT77 - <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested par(y) <br />Name;COA€jO ■•^rx»c^y :^ycj4aprn7^rr <br />Phone (home): 9.0, - <br />Address: /^rJiU TimA^jt Pi/v^ <br />Email: Atf. <br />Phone (work): <br />EXISTING LAND USE <br />Number of Tax Parcels <br />Development Size: <br />Fax: <br />6ai2 - 90/- <br />/y\A) <br />I <br />Acres Dry Land <br />Acres Wet Land <br />Acres TOTAL, all parcels <br />Present Use (check one) <br />Present Zoning District <br />^ Residential; Number of Units; <br />□ Other: (Spedfy) <br />■T f jAA <br />Proposal: <br />□ Division for Tax Purposes <br />^ Lot Line Rearrangement Only (no new building sites) <br />□ Subdivision for New Building Sites <br />Number of Building Sites ___________ExisUng Units <br />New Units <br />Proposed Gross Density <br />Minimum Lot Size <br />Proposed Use (check) <br />Total Units <br />Units per Acres <br />Residential <br />□ Other (specify) <br />-10- <br />Square Feet Dry Buildable Land <br />^ 1 <br />l-i r‘-> <br />p.^7