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• , PC Exhibit A <br /> City of Orono <br /> Subdivision Application <br /> Street Address: 7 <br /> 2750 Kelley Parkway Application# �� <br /> SON(' Orono, MN 55356 Date Received: 01 l Z�� i?j <br /> Staff: ,I/�� <br /> Main: 952-249-4600 Application Fee: .20-'' <br /> fax: 952-249 4616 pp <br /> �t.k,sH01-'' Mailing Address: Escrow#&$ �I�� V,,L�p'�,'� <br /> P.O.Box 66 4 <br /> Crystal Bay, MN 55323-0066 Notes: <br /> PROPERTY INFORMATION: t <br /> Site Address: �.. �c� L,Jr, ^E�c.)-\ 0,4,-- 4 �, Ldn6 LS 5 e),21 nn Lc);'6,7 r._ <br /> Property Identification Number(PIN): 3 1.-(Ik—Z3-33— )O5 4 if 1/?' --2 3 ,--53 - 00S's <br /> (Attach legal description to application if not included on the survey) <br /> Date Property Acquired (month/year): 0 Abstract 0 Torrens (Please check one) <br /> Present use of property: XResidential; number of Units <br /> 0 Other(specify) <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status requiredfor each interested party) <br /> Name(s): /��0_,-Oci L11 L.(,� Lo r It ) (o6o 1,t <br /> Phone (home : Phone cell): (,/7_ -7 S/--7 !77 <br /> Address: /rOO S o :3 r u,'t AA._ co c.i za p, 14'1 N 5 --a) <br /> Email: (A.3 j l \; LAno :\--- t°v' c%4 \ , co,,A Fax: <br /> OWNER INFORMATION: (Co lete legal names and marital status r gg fired for each interested party) <br /> Name(s): 6�a c,c 21 L Lr� t.A.w; \\ 4-b 7 8— <br /> Phone (home): Phone (cell): 1/Z `7S ( I n <br /> Address: <br /> Email: L.i ;\ . ,' ez bLo a e_, r^c; \ 4 Co"1/1 Fax: <br /> EXISTING LAND USE: <br /> Number of Tax Parcels: Z• <br /> Development Size: 3- 11 Acres Dry Land <br /> •C Acres Wet Land <br /> 1-/. 1 Acres TOTAL, all parcels <br /> PROPOSED LAND USE: <br /> 0 Division for Tax Purposes <br /> ❑ Lot Line Rearrangement Only(no new building sites) RECEIVED'Subdivision for New Building Sites <br /> Number of Building Sites: Existing Units: <br /> New Units: € y JAN 3 0 2013 <br /> Total Units: . <br /> Proposed Gross Density . .1--- Units per l acres CITY OF ORONO <br /> Minimum Lot Size: Square feet dry buildable land <br /> Proposed Use(check) /Residential <br /> ❑ Other(specify) <br /> Minimum Material Required for Complete Preliminary Minimum Material Required for a Complete Final Plat <br /> Plat Application Application <br /> 1. Payment of fees 1. Payment of fees <br /> 2. Completed application form. 2. Signed certificate of Survey or mylar copies of formal <br /> 3. Preliminary plat information on Certificate of Survey. plat. <br /> 4. Certified Property Owners list 3. Title opinion. <br /> 5. A list of any other persons you wish notified of this 4. Easements, covenants, etc. <br /> application 5. Developers Agreement 1 , - il 5, <br /> 6. Letter of Credit i <br />