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1-:City of Orono <br />Subdivision Application <br />I <br />Street Address: <br />2750 Kelley Parkway <br />Orono, MN 55356 <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 />Application # ^ <br />Date Received; W <br />Amount Paid; cIToO. ~ <br />Staff; /O <br />Fee Cj.: CO- o o_________ <br />Renewal ------------------ <br />PROPERTY INFORMATION: <br />Site Address: 2 i>' oul jCc.\el\ <br />Property Identification Number (PIN): 3 V - ! i*S 2 -^i <br />(Attach legal description to application if oot jpcluded^pn the survey.) <br />r Cid Lc.i^ Lm.U^ Ozw'' !*. iJ /-■ <br />- C> t.'e'’ • 7 4* ~! t 9 ■ t ^ f' cc 7 3S Jtf 1 j /'v.cce‘ <br />k J J . T I ■■ <br />Date Property Acquired (month/year):'’ ‘‘ *■ 'i'i'yt’ri't t3* Abstract or □ Torrens, please check one <br />Present use of property; Q Residential □ Other <br />Zoning District: /?f? / ti_____________ <br />APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name; »*»•<•<*»'> .i»7./ vs/'.i-G lKc\ir.tt <br />Phone (home). v Vj / V^ v- Phone (work); <br />Address; _2c^ >-i/. t.- g/i /,-l _________________________________________ <br />Email;l('c\Y': !1 0>\ trrf H A »r? S’C c'ir}Fax: <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name, \ ^ r*. i ,.*i i,^,^ /. /* .-i f <br />Phone (home): <br />Address: <br />7^Phone (work) <br />Email;Fax: <br />EXISTING LAND USE: <br />Number of Tax Parcels; <br />Development Size;Acres Dry Lard <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; (Specify) ________ <br />na iiS__________ <br />Proposal: <br />□ D vision for Tax Purposes <br />Lot Line Rearrangement Only (no new building sites) <br />□ Subdivision for New Building Sites <br />Number of Building Sites <br />Proposed Gross Density <br />Minimum Lot Size <br />'Proposed Use (check) <br />Existing Units <br />New Units <br />Total Units <br />Units per Acres <br />Square Feet Dry Buildable Land□□Residential <br />Other (specify) <br />•10