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City of Orono <br />Subdivision Application <br />Street Address: <br />2760 Kelley Parkway <br />Orono, MN 55356 <br />Application # <br />Date Received: <br />Staff: <br />Council <br />Exhibit A <br />Main: 952-249-4600 <br />fax: 952-249-4616 <br />Malling Address: <br />Application Fee: <br />Escrow# & $ JF;t.;:;;~~----------7 <br />P.O. Box66 <br />C stal Ba , MN 55323-0066 Notes: <br />PROPERTY INFORMATION: • t _ ~r <br />SiteAddress: Lf:1f2<,5 ~lac;,~ <br />Property Identification Number (PIN): =re,. In . ~-; .. 11 · 00 Q5 <br />(Attach legal description to application if not lnclud:= the survey) <br />Date Property Acquired (month/year): L'1 ~ I □ Abstract □ Torrens (Please check one} <br />Present use of property: ~ Residential; number of Units _____ _ <br />t;l Other (specify) _____________________ _ <br />Zoning District: _,tL:(l..'--"-_ .. ....,I ...... J211a,_. _____ _ <br />Fax: ______________ _ <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) Name(s): _________________________________ _ <br />Phone (home):_____________ Phone (cell): __________ _ <br />Address: __________________________________ _ <br />Email: ________________ _ Fax: _____________ _ <br />EXISTING LAND USE: <br />, Number of Tax Parcels: <br />Development Size: <br />PROPOSED LAND USE: <br />□ Division for Tax Purposes <br />'isiet~bdivision for New Building Sites <br />~umber of Building Sites: <br />~ t <br />, Acres Dry Land . <br />, Acres Wet Larid · · . <br />Acres TOTAL, all parcels <br />Existing Units: <br />New Units: <br />Total Units: <br />Proposed Gross Density 1,... Units per l O • 11 acres <br />Proposed Use (check) Residential <br />Minimum lot Size: ~ ______ Square feet dry buildable land <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 notlfied 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 <br />plat <br />3. Title opinion. <br />4. Easements, covenants, etc. <br />5. Developers Agreement <br />6. Letter of Credit <br />Page 11 of 26 <br /># 3703 <br />NOV 2 0 ·2 □14 <br />CITY OF ORONO