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City of Orono <br />Subdivision Application <br />Lot Line Rearrangement ONLY <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. Box66 <br />C stal Ba , MN 55323-0066 <br />Application # <br />Date Received: <br />Staff: <br />Application Fee: <br />Escrow#&$ <br />Notes: <br />PROPERTYINF(}~A:rlON:.d 4?_ l.1.A D AJ <br />Site Addresses: "fLS :[ r;//fyjv l) € K..;:), ,Lrr/A-'/¾.E /'2,A/Al 1 '7 N, ST'} S"'? <br />PC Exhibit A <br />Property Identification Numbers (PINs): _________________________ _ <br />(Attach legal description to application if not included on the survey) <br />Date Property Acquired (month/year):_______ D Abstract D Torrens (Please check one) <br />Present use of property: D Residential; number of Units __ _ <br />D Other (specify), ____ _ <br />Zoning District: ___________ _ <br />PROPER <br />Name(s):....l.d~-UIJl!c~~~~~::.....!::;;:..,~.z..::-=---=-~~.;....::...:...;:.....:..=.. ___ .....;.-..1.--t..-=~~=------ <br />Phone (home1;:;;-::;-:::,/4_~~~';.,.-::-'...,~µ,.1:.-:-IW"':::!-~F-::::---r::r"7'r.. <br />Address:....!;C.;;i!..=2~L~!Z..Z.2£~;;:__!::,::::!:~U:.:Z.CLc:.t.:.!Gii:-.Q~Z!.~c....L.:!Z.£!!:!l--:i:::...it..:L=!~---Email: _________________ _ <br />EXISTING LAND USE: f~Pe-f01f Jil. 3. <br />Number of Tax Parcels: <br />Development Size: ______ Acres Dry Land <br />______ Acres Wet Land <br />______ Acres TOTAL, all parcels <br />TaZ>.D ~. j J..1 SA #I. <br />5'fLV'€~e._ -)11J£R.Fi=J) <br />~2-tfS-g Ito/~/<) e-,& . <br />#//tPt...e ?.ut1N,/,,f/V SS-3~'7 <br />PROPOSED LAND USE: <br />□ Lot Line Rearrangement (NO New Building Sites) <br />□ Lot Line Rearrangement (New Building Sites) <br />Number of Building Sites: Existing Units: <br />New Units: <br />Total Units: <br />Proposed Gross Density ______ Units per _____ acres <br />Minimum Lot Size: ______ Square feet dry buildable land <br />Proposed Use (check)□ Residential <br />□ Other (specify) ___________________ _ <br />Minimum Material Required for Complete Preliminary <br />Plat Application <br />1. Payment of fees <br />2. Completed application form. <br />3. Preliminary plat information on Certificate of Survey. <br />4. Certified Property Owners List <br />5. A list of any other persons you wish notified of this <br />application. <br />Subdivision Packet Last Updated: January 2014 <br />Minimum Material Required for a Complete Final Plat <br />Application <br />1. Payment of fees <br />2. Signed Certificate of Survey or mylar copies of formal plat. <br />3. Current title commitment or certificate of title. <br />4. Easements, covenants, etc. <br />5. Developers Agreement <br />6. Letter of Credit <br />Page 13of26 <br /># 3726 <br />MAR 1 7 2015