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City of Orono <br />Pre -Application Meeting Form <br />(This form is to be completed by a City Planner during your pre -application meeting.) <br />For Ofrce Use 0 1 <br />City Planner MeetingDatelTime: �T'O Zor PCDate-Date: 4914'e <br />What is the purpose of a pre -application meeting? <br />Pre -application meetings aid the applicant in preparing a complete proposal, inform them of the procedures and requirerne <br />of the city code, and identify policies or regulations that create opportunities or problems for the proposal. <br />PROPERTY INFORMATION: <br />Site Address(es): K/ Q a <br />Property Identification Number(s) (PIN): !/Z --ey 3 - 3a - e -)y2 <br />Zoning District: Size of Property <br />DESCRIPTION OF REQUEST: <br />(,Sketch Plan <br />0 Preliminary Plat <br />(Class II 1 III) <br />Conservation Design? <br />17 YES E3 NO <br />Other: <br />Wetland Delineation? <br />0 YES 0 NO <br />Sewer? 0 YES ❑ NO <br />If yes, from where? <br />Ownership: <br />Septic? 0 YES 0 NO <br />Applicant's <br />v Initials: BILLS AND ESCROW: The land use application fee is for city staff time and overhead oasts <br />only. Owner and/or Applicant shall pay for consultant expenses incurred in review of this <br />Marty application and/or additional staff tim of covered in initial application fee, as well as provide <br />Owner's an escrow in the amount of $ to guarantee payment of the above. <br />Initials: * 1 . V <br />OTHER INFORMATION: <br />PLEASE NOTE: Your subdivision application will NOT be accepted without a pre -application meeting during which this <br />form will be completed by City staff. <br />Applicant Signature: Date: $D ✓U <br />2017 <br />v+roperty owner Signature: Date: 1/ p .0 <br />SuWMsbnAppftatian—Jamwy2017 Page 4 # 3977 CITY OF ORONO <br />