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' PC Exhibit A <br /> City of �rono <br /> Subdivision Application <br /> Str�eei Address: Appfication# �f '? �� <br /> .,nNO 2T50 Kefley Parkway <br /> �w.� Drono�MN 55356 Dete Received: 0 <br /> a Mairr: 952-249-4&40 S�: <br /> y� �y fax: 952-249-4816 �°Wplication Fee: ��' <br /> t'� sKo��'� Ma111ng Address: Es<'.row#&S <br /> P.O.Bax 66 --- <br /> stal Ba ,MN 55323-U066 NO�� <br /> PROPERTY INFORMATlON: <br /> Site Address:_ 4505 West Branch Road <br /> Property Identifica#ion Number(PiN): 0711723210014 <br /> (Attach lega!de�ription fo epplication Jf»ot inc/uded on the sunrey) <br /> Date Property Acquired (month/year): Jen 20i4 �;I Abstract ❑Torrens(Please check one) <br /> Present use of property: �Residential; number of Units <br /> ❑Other{speafyj <br /> Zoning District: RR-1 B <br /> AP�LICANT INFQRMATION: {Complete legal names and marital sta#us required for each interested party) <br /> Name(s): Renee V.Wixon <br /> Phone(home):763-543-1878 Ph�e(cell): 763�58-7997 <br /> Address: 2375 E.Med�ine Leke Blvd. <br /> Email: RVWixon@gmall.oam F�: �q <br /> OWNER INFORMATIOIV: (Complete legal names and marital status required for each interested party) <br /> Name(s}: Renee V Wixon Revocable Trust <br /> Phone(home):763-543-1878 php��ce11�; 763-458-7997 � <br /> q����; 2375 E Medicine l.ake Blvd.,Plymouth,MN 55441 <br /> Email: ���xonQgmail.com Fax: NA <br /> DCISTINO LAND USE: <br /> Numbe�of Tsx Paroels: 1 <br /> Deveiopment Size: 4.71+ Acres Dry Land <br /> 4.82 Acres Wet Land <br /> 9. 3 ACres TOTAL, all parcels <br /> PROPOSED lAND USE: <br /> ❑Division for Tax Purposes <br /> Cd Subdivision for New Building Sites <br /> Number of Building Sites: Exls�ng Units: � <br /> I�ew U�its: �^ ��C���6ED <br /> Total Units: 2 <br /> Proposed Gross Density Z UNts per 9•5 acres <br /> APR - � 2015 <br /> M(nimum Lot Size: Square feet dry buiidable Iand <br /> Proposed Use{check)L�9 Residential ClIY OF 4RbN0 <br /> ❑Other(specifY) <br /> AAlnimum Material Requlred for Complete P►ellminary Mlnimum Material Required for a Complete Final Plat <br /> Plat Appllcation Applicatlon <br /> 1. Payment of fees 1. Payment of fees <br /> 2. Completed application form. 2. Slgned certificate of Survey or mylar coples of formal <br /> 3. Preliminary plat informa6on on Certificate of Survey, plat. <br /> 4. Certified Property Owners Ifst 3. Titie opinion. <br /> 5. A list of any othe�persons you wish not�ed of thls 4. E�sements,covenants,etc. <br /> application 5. Developers Agreement <br /> 6. Letter of Credit <br /> Subdlvisfon Padcet t.ast Updated: January 2094 <br /> Page 11 of 28 '� � � ' � <br /> 3 <br />