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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. Box 66 <br />Crystal Bay, MN 55323-0066 <br />Application# Z.. q CJ S <br />Date Received=-: -2--~'2..~0----0-· ...,..1/,,___ <br />Amount Psiid: 4, '3.SQ ~ <br />Staff: z01\i-'-,-·'-\i-=--·~=-.i.--.-=------ <br />Fee: ~~rota <br />Renewal: <br />This application form must be completed in full. <br />PROPERTY INFORMATION: r , <br />SiteAddress: /20 Groi.-V\ u(oc,ck <br />Property Identification Number (PIN): O 3 ~ JI 7 -,;23 -I ,2 -r)()O ~· <br />(Attach legal description to application if not included on the survey.) <br />Date Property Acquired (monthryear): ____ □ Abstract or 10"Torrens, please check one <br />Present use of property: !2i'Residential □ Other · -------------------Zoning District: (< k~ -.. 1 ¥') . <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 USE: <br />Number of Tax Parcels: <br />Development Size: <br />Present Use (check one) <br />Present Zoning District <br />Proposal: <br />J <br />-~;_y,__ __ Acres Dry Land <br />(o Acres Wet Land --~--~:J~O'----Acres TOTAL, all parcels <br />o:i--Residential; Number of Units: _j_ <br />□ Other: (Specify) <br />(((<-:1r3 <br />□ Division for Tax Purposes <br />□ Lot Line Rearrangement Only (no new building sites) <br />~ Subdivision for New Building Sites <br />Number of Building Sites --~--Existing Units <br />Proposed Gross Density <br />Minimum Lot Size <br />Proposed Use ( check) <br />G New Units <br />7 Total Units <br />,;;z~ ~ Units per / Acres <br />c lu s-f .Q v~ Square Feet Dry Buildable Land <br />0""' Residential <br />□ Other (specify) <br />-10 -..... <br />'\ <br />.J