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PC Exhibit A <br />City of Orono <br />Subdivision Application <br />Lot Line Rearrangement ONLY <br />StreetAddress: Application # "— 3-72750 Kelley Parkway <br />NQ Orono, MN 55356 Date Received: '] tG <br />�- <br />,. Main: 952 249-4{i0o stair: -d <br />fa)c 952-249-4616 Application Fee: ` 7obi <br /><t SHpQ Mailing Address: Escrow#&$ <br />P.O. Boot 68 <br />istal Bay, MN 5=3-0066 Notes: <br />PROPERTY INFO �TION: <br />Site Addresses: S / ®C/�. /�/irr� 3 �' y c %� <br />Property Identification Numbers (PINS): <br />(Attach legal description to application If not included out the surrey) <br />Date Property Acquired (month/year)-- 0 Abstract El Torrens (Please check one) <br />Present use of property: ❑ Residential; number of Units <br />0 Other (specify) %" A3 -- <br />Zoning District: <br />Fax: <br />PROPERTY OWNER 21NE RM TI (Ca lets legal a a arital status required ;each party) <br />Name(s): E , <br />Phone (home): gone (cell): <br />Address: N -4- it _S <br />Email: <br />EXISTING LAND USE: <br />Number of Tax Parcels: <br />Development Size: <br />Acres Dry Land <br />Acres Wet Land <br />Fax: <br />PROPOSED LAND USE: Acres TOTAL._, all parcels <br />© Lot Line Rearrangement (NO New Building Sites) <br />© Lot Line Rearrangement (New Building Sties) <br />Number of Building Sites: Existing Units: <br />New Units: <br />Total Units: <br />Proposed <br />Minimum <br />Proposed <br />Gross Density Units per I acres <br />Lot Size: Square feet dry buildable land <br />Use (check)0 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 />Subdivision Packet Last Updated. January 2014 <br />Tapp 6. � 1�154 <br />A?AR1-95- PAA,'Ar, Afiw jT3S! <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 titre. <br />4. Easements, covenants, etc. <br />5. Developers Agreement <br />S. Letter of Credit <br />Page 13 of 26 <br />#3726 <br />PEAR 17 2015 <br />Cry OF oRONO <br />