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City of Orono <br />Council <br />Exhibit D <br />Subdivision Application <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. Box 66 <br />C stal Ba , MN 55323-0066 <br />Application # <br />Date Received : <br />Staff : <br />Application Fee : <br />Escrow# & $ <br />Notes : <br />PROPERTY INFORMATION: / /) I I <br />Site Address: IS3S-8 o la A.1.t· -r o ; ·/\.IT /(di <br />Property Identification Number (PIN): 08-// 7 ~ 1-3 -'t <f -60-Z.,3 <br />(Attach legal description to application if not inc/u,ed on the survey) <br />Date Property Acquired (month/year): 9 -Z 6 o Cf t$i Abstract <br />Present use of property: 51' Residential ; number of Units __..._ ___ _ <br />□ Torrens (Please check one) <br />□ Other (specify) ________________________ _ <br />Zoning District: <-. 6 -t ts <br />APPLICANT INFORMATION: Co <br />Name(s): /4 r . <br />Phone (h Gffte):-'d'--'-___._~--~--~-................. -+--Phone (cell): c; s--L '2 .. r o -Io 7S <br />Address: _____________________________________ _ <br />Email: _________________ _ Fax: _______________ _ <br />OWNER INFORMATION: (Complete I <br />Name(s): lJ Iv <br />es _and marital status required for e ch interested party)· d <br />I< CL.(_ I X <br />Phone (home): _ __,,.--..,.------=-t".------ <br />Address: PO . l oY-3s I :J 9 Phone (cell): _______ .,..----,,---=----n, ,-f l#11 rl-h I ~,xqS 7 tl t ·-z- <br />Email: _________________ _ Fax: _______________ _ <br />EXISTING LAND USE: <br />Number of Tax Parcels : I <br />Development Size : __ 9~· -B'~q~_ Acres Dry Land <br />PROPOSED LAND USE: <br />___ ..;;;:O;..,,.,.._ Acres Wet Land <br />--4+-'-, bl~--'--Acres TOT AL , all parcels <br />D Division for Tax Purposes <br />D Lot Line Rearrangement Only (no new building sites) <br />IIDS ubdivision for New Building Sites <br />Number of Building Sites : Existing Units : <br />New Units: <br />Total Units: <br />u ) Proposed Gross Density ___ '1_ ___ Units per 7 1 tf S acres <br />Minimum Lot Size : ______ Square feet dry buildable land <br />Proposed Use {check)i:t Residential <br />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 th is <br />application <br />Subdivision Packet Last Updated : 04/01/2013 <br />Min imum Material Required for a Complete Final Plat <br />Application <br />1. Payment of fees <br />2 . Signed certificate of Survey or mylar cop ies 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 of24 MAR 17 201 4 <br />CllY OF ORONO <br />#365