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i <br />9 <br />City of Orono <br />Subdivision Application <br />A-f <br />street Address: <br />2750 Kelley Parkway <br />Orono. MN 55356 <br />Application # (o <br />Date Received: <br />'ONV <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />This application form must be completed in full. <br />Amount Paid: ^ "3~^zs ^ <br />Staff: <br />/frC A^J.rr\ <br />Renewal: •— <br />PROPERTY INFORMATION: <br />Site Address; _ /2<0 <br />Property Identification Number (PIN): <br />^Attach Ipnal ___»^ttach legal description to application if not induded on^he^u^ey ^ <br />Zoning District: j? ^ :7 KS <br />t ome). _------- Phone (work): s-^lr- /^c,f <br />-------------------------------------------------------- Fax: <br />Nam^e^^ FORMATION: (Complete l£gal names a^ marital stalus required for each interested party) <br />. Phone (home): <br />Address: f :in <br />Email:Aci.J n,i. <br />EXISTING LAND USE: <br />Number of Tax Parcels: <br />Development Size: <br />Phone (wori<[! <br />Fax: <br />I <br />I V • Acres Dry Land <br />- (p_____Acres Wet Land <br />2X1_____Acres TOTAL, ail parcels <br />Present Use (check one) <br />Present Zoning District <br />Residential; Number of Units: <br />D Other: (Specify) <br />^-------------------- <br />Proposal: <br />□ Division for Tax Purposes <br />Lot L'ne Rearrangement Only (no new building sites) <br />^ Subdivision for New Building Sites <br />Number of Building Sites / Existing Units <br />___________ New Units <br />^ ^ ^ ■ ____________Total Units <br />-°?rm Acres■"'irnum Lot Size <br />posed Use (check) <br />' ■■■■ I i—— -- f- r ^wi <br />Square Feet Dry Buildable Land <br />0^ Residential <br />□ Other (specify) <br />-10-#HO 1 fi