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\ ' <br />City of Orono <br />Subdivision Application <br />Street Address: Application # 0 5 -3 \ 'Z.? <br />2750 Kelley Parkway <br />Orono, MN 55356 <br />Date Received : LP -;2..\-2-o::::25 <br />Amount Paid: <.s,cic>, oc:::, <br />Main : 952-249-4600 <br />fax : 952-249 -4616 <br />Mailing Address: <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Staff : "-.A. ,'\C...JL <br />Fee: (pOO . o o <br />Renewal : <br />This application form must be completed in full. <br />PROPERTY INFORMATION: /} <br />Site Address: 4 0o r .(//{) /JzJ; I<i.l..ft /11,4 <br />Property Identification Number (PIN): #' 6 3 11 7 23..12 {}f>k? S-"'"' ;r 2 3112 :lil ~ z tJO S'. ~ <br />(Attach legal description to application if not included on the survey .) <br />/ Date Property Acquired (month/year): AU Ci-/? ~ 2.. K Abstract or □ Torrens , please check one <br />Present use of property: □ Residential I g' Other _,_,f....:...,_E_c~~c-_A-:......:T.'-..r_Ml;;_;__c_.:....,/.l-='-=------------ <br />Zoning District: _ __,_yt-----'----"$"--------- <br />/ APPLICANT INFORMATION: (Complete legal names an marital status required for each interested party) <br />Name: $EE € <br />Phone (home): ____________ hone (work): <br />Address : <br />Email : Fax: ------------------- <br />/ OWNER INFORMATION: arital status required for each interested party) <br />Name : <br />Phone (home): ------------Phone (work): <br />Address: <br />Email: Fax : ----------------EXISTING LAND USE: <br />~ Number of Tax Parcels: <br />Development Size: <br />z__ <br />/ Acres Dry Land --'---- <br />/ Acres Wet Land ---- <br />/ Acres TOT AL, all parcels --'---- <br />• Residential ; Number of Units: <br />Jg' Other: (Specify) ;f Ee~ c/t r..rottJ,qL.. <br />Present Use (check one) <br />Present Zoning District -----,------------------ <br />{( S <br />Proposal: <br />□ Division for Tax Purposes <br />Er Lot Line Rearrangement Only (no new building sites) <br />□ Subdivision for New Building Sites <br />Number of Building Sites 2--Existing Units <br />New Units <br />Proposed Gross Density <br />Minimum Lot Size <br />Proposed Use (check) <br />•: <br />.. : .. 1i .. .:;•i <br />C> -----Total Units <br />----<----Units per ___ Acres <br />-----Square Feet Dry Buildable Land <br />□ <br />□ <br />Residential <br />Other (specify) <br />-10 - <br />·1--. ;::. .J <br />( ) <br />:~ <br />~~ ~~~f,:~ <br />J . ,>