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r <br />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 />Application # <br />Date Received: --'-'=-11,,,..........,.-"'--~- <br />Amount Paid:,., __ ..----...!~~-- <br />Staff: <br />Fee: <br />Renewal: _______ _ <br />This application form must be completed in full. <br />PROPERTY INFORMATION: <br />Site Address: /S"..15" $d;ht/J /d.1.U-r A OA ,1 <br />Property Identification Number (PIN): ..:;.O...,J':..........:-1....:.1_7_-.......;2=3'----"-7'___,~;__---=-C)....:.o-=2=-3;;.._ ____________ _ <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (month/year): ____ ~Abstract or □ Torrens, please check one <br />Present use of property: ~ Residential □ Other <br />Zoning District: _L....,4:..,.._-_,1........,./l"------ <br />OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br />Name: t <br />Phone (home): ____________ Phone (work): <br />Address: <br />Email: ----------'------------EXISTING LAND U$E: <br />Number of Tax Parcels: <br />novolnnmont .~i70· --.. -• .... r-·'•'--·•· .. -·--· <br />1 <br />Acres Dry Land <br />o Acres Wet Land ---- <br />Fax: <br />__._Z:.::;_• J>>:.......:.9' __ Acres TOTAL, all parcels <br />Present Use (check one) ~ Residential; Number of Units: <br />□ Other: (Specify) <br />Present Zoning District L.~ -18 =-'--'---~----- <br />Proposal: <br />□ Division for Tax Purposes <br />□ Lot Line Rearrangement Only (no new building sites) <br />;g:: Subdivision for New Building Sites <br />Number of Building Sites / Existing Units (ro/1. IJot-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 .t._/,, J''f Acres <br />7' .l 5Ct? Square Feet Dry Buildable Land <br />,K Residential <br />□ Other (specify) <br />10 <br />DEC ]( 'I