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City of Orono <br />Subdivision Application <br />Street Address <br />2750 Keliey Pa'<way <br />Orono. MN 55356 <br />Wain 952-249^600 <br />fa* 552-249-4616 <br />Mailing Address <br />P O Box 66 <br />Cr/stal Bay. WN 55323-C055 <br />This application form must be completed in full. <br />Applicaton • <br />Date Rece;ved <br />AmountPa d. O-CO. <br />Sta^ o <br />Pee L<-CO <br />Renewal --------------------------- <br />PROPERTY INFORMATION; <br />Ste Address 2 9 det ac/.v fCc.x fi • 0 4 »•<?/./ l,L a rij . J l. ,.i ... t <br />Property Identification Number (PIN) 3 S' - / / 9 ~ ~ s- ? < . / / y w ^ j jj .• > ,¥-e.v. <br />(Attach legal description to application if pot ipduded^prj the survey.) <br />Date Property Acquired (rronth/year);‘ * *“/ Q Abstract or □ Torrens, please check one <br />Present u&e of property. □ Residential □ Other _______________________________________________ <br />Zoning District ^JilLill _______________ <br />APPLICANT INFORMATION: (Complete legal names and mantal status required fer each interested pa'ty) <br />Name' <br />J V 73 /‘.VY-Phore (none) __________________________ <br />Address 47/1, V <br />Phone (work). <br />Enail./rli ii D.m »•«* // n .K-» y . <br />OWNER INFORMATION: (Complete legal names and marital status required for eacS interested party) <br />Name: v ^ ^h___________________________________________ <br />Phone (home); <br />Address ___ <br />Email <br />Phene (work): <br />EXISTING LAND USE: <br />Number of Tax Parcels; r/n <br />Development Size ___Acres Dry Land <br />Acres Wet Land <br />Acres TOTAL, all parcels <br />Present Use (check one) <br />Present Zcn'ng District <br />GJ Residential. Number of Units: <br />□ Other. (Speofy) _________ <br />Proposal: <br />□ Division for Tax Purposes <br />Ei 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 />□ Residential <br />□ Other (specify) <br />.10- <br />Square Feet Dry Buildable Land