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PC Exhibit A <br /> City of Orono <br /> Subdivision Application <br /> Lot Line Rearrangement ONLY <br /> S�tA�a,��: ��,��«,# C�— 3�7 <br /> �ON 2750 Kelley Pa�lcway pate Received: fl• <br /> � Orono,MN 55356 b����� �S <br /> Statf: <br /> Main: 952-249-4600 <br /> sF Z' fatt; 952-249-4616 APPrcation Fee: '—�0O <br /> ���'ESH04E'` MeilingAdd�ess: EgCrpyy#&$ v <br /> P.O.BOX G6 <br /> stal Ba ,MN 55323-0066 N°tes: <br /> PROPERTY iNFO 9I'15 N���/�� /� t��pL ����� 5�-3 s9 y��5 � <br /> Site Addresses: � K/7. /�/ <br /> Property Identification Numbers(PINs): <br /> (Attach legal description to applica�on if not inc/uded on fhe suivey) <br /> Date Property Acquired(month/year): ❑Abstract ❑To►rens(Please check one) <br /> Present use of property: ❑Residential; number o#Units <br /> O Other(specify) a �- � i -�-a3 - � a-��o� <br /> Zoning District: <br /> PROPER OWNER 1 INFO AT O : (Complete Ig�I n�mqs and marital status re ir or e ch interested party) <br /> Name(s): /VN /"/. !t/f�'/%� — �•e�/� <br /> Phone(home : 2 — Pho (cell): <br /> Address: S' ,C � s <br /> Email: F�: <br /> PROPERTY OWNER 2 INF�qRM TIq�(Co�r plete legal ar�gs a�ndr�arital status required f each interested party) <br /> Name(s):�1Z�1/E�(! L-. , !f'/I'T K!C/ �/1. Gi/�-�%Z� — ��1��/ED <br /> Phone(home): one(ceil): <br /> Address:�37S _ S/.0� -- - . .���iC,f}/Nt� /(l S-'"� S <br /> Email: F�: <br /> EXISTING LAND USE: ���E� -� 3 � <br /> Number of Tax Parcels: -T-Ov� �, � �/SA ,A <br /> Development Size: Acres Dry Land ��' <br /> Acres Wet Land �y,Lti/E,�j��',e _ /t�j��/€� <br /> Acres TOTAL,all parcels <br /> PROPOSED LAND USE: �/2�5- ��S/�� Q�, <br /> ❑Lot Line Rearrangement(NO New Build'+ng Sites) � �� <br /> ❑Lot Line Rearrangement(New Building Sites) /�j jP���,�/K���f"�-3� <br /> Number of Building Sites: Existing Units: <br /> New Units: <br /> Total Units: <br /> Proposed Gross Density Units per acres <br /> Minimum Lot Size: Square feet dry buildable land <br /> Proposed Use(check)�Residential <br /> ❑Other(speciFy) <br /> Minimum Material Requirad for Complete Preliminary Minimum Material Required for a Complete Final Plat <br /> Plat Application Application <br /> 1.Payment of fees 1.Payment of fees <br /> 2.Comp�eted application form. 2.Signed Ce�cate of Survey qr mylar copies of formal plat. <br /> 3. Pretiminary plat information on Certificate of Survey. 3.Current title commitment or certificate of tiUe. <br /> 4.Certif+ed Property Owners List 4.Easements,covenants,etc. <br /> 5.A list of any other persons you wish notified of this 5.Developers Agreement <br /> application. 6.letter of Credit �-f� _•��3_„��` �; <br /> Subdivision Packet Last Updated: January 2014 <br /> Page 13 of 26 �p� 17 2015 <br /> # 3 7 2� ����� o����� <br />