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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 stat Ba , MN 55323-0066 <br />PROPERTY INFQ~AJION ~ <br />Site Addresses: /{'LS :i" r}/tYp,/ lJ € <br />Application # <br />Date Received : <br />Staff : <br />Application Fee: <br />Escrow# & $ <br />Notes: <br />PC Exhibit A <br />Property Identification Numbers (PINs): _________________________ _ <br />(Attach legal description to application if not included on the suNey) <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 />PROPERT OWNER 1 INFO <br />Name(s):~r,c,s;.&iiiclf:j~~~~-;t.~~~~~_..!..,_.L:.......::...:::...!...:...!:....:....:~---__..:..-L..I-:...:::..::=-=~----- <br />Phone (home'J::..--,::r....c..=:_~9;.~~,....~-~'95~---,.....,7;,~~-,e;, <br />Address:•_::;u~:_.2:.__;~-~(..2:.2i~~=---.!:=!~.,,L.C..-~~~:..!.G;:.._.~a~~.L!Z.J~-~:...-~.=i!...-1-__ _ <br />Email: ________________ _ <br />EXISTING LAND USE: f AJl"e1!Jlf .s,. 3 . <br />Number of Tax Parcels : <br />Development Size: ______ Acres Dry Land <br />______ Acres Wet Land <br />______ Acres TOTAL, all parcels <br />Tai>.D ~-I J.1sA 11. <br />.5'tl-V€5Tl:~ -J.iJteR.1£1) <br />~~tf5" glro/S/t)e-eJ . <br />MlrP'--e ?vt-1"',1-1N.rs357 <br />PROPOSED LAND USE: <br />D Lot Line Rearrangement (NO New Building Sites) <br />D 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 D 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 172015 <br />CITY OF ORONO