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City of Orono <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. Box66 <br />Crystal Bay, MN 55323-0066 <br />Fee: <br />Renewal: <br />This application form must be completed in full. <br />PROPERTY INFORMATION: <br />Site Address: /S-.J s Ad;/IVJ /d .1/f..,/-r A 0,,,1 IJ <br />PC Exhibit A <br />-------- <br />Property Identification Number (PIN): -"-O__,J'._-~1_1_7_-~2~-3_-_?'~r_-_tJ~o=2_3 ____________ _ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): ____ l:!!, Abstract or □ Torrens, please check one <br />Present use of property: ')st Residential □ Other <br />Zoning District: _L..,_4.._ ... ;;;;......,,,.t._.fl...._ ___ _ <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: €" <br />Phone (home): ____________ Phone (work): <br />Address: <br />Email: Fax: -----------------EXISTING LAND U$E: <br />Number of Tax Parcels: 1 <br />Deve!opment Size: Acres Dry Land <br />o Acres Wet Land --"---~~~-?~9 __ Acres TOTAL, all parcels <br />Present Use (check one) ~ Residential; Number of Units: <br />□ Other: (Specify) <br />Present Zoning District L.~ -.t 8 =--=--=-=----- <br />Proposal: <br />□ Division for Tax Purposes <br />□ Lot Line Rearrangement Only (no new building sites) <br />:;BC Subdivision for New Building Sites <br />Number of Building Sites / Existing Units (r~11A llot,,v,v <br />Proposed Gross Density <br />Minimum Lot Size <br />Proposed Use ( check) <br />2 New Units <br />3 Total Units <br />.7 Units per o/'~ J'9 Acres <br />3/ .l Yt:t7 Square Feet Dry Buildable Land X Residential <br />□ Other (specify) <br />10 <br />cl 7 <br />;