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� City of Orono �. <br /> � - Subdivision Applic�tiot� �°° <br /> Street Address: Application# 0,5'�j��� <br /> ^ O� 2750 Kelley Parkway Date Received: <br /> �' Orono, MN 55356 Amount Paid: <br /> � _, � Staff: <br /> �°"�a - <br /> -��s.�w= Main: 952-249-4600 Fee: <br /> � ��M',�c;�:�� � fax: 952-249-4616 Renewai: <br /> �`�,���� '�'��� Gti�' Mailing Address: <br /> `�kESH�a4`'� P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> This application form must be completed in fuli. <br /> PROPERTY INFORMATION: <br /> Site Address: � u �- �� _� ��-�,(,� <br /> Property Identification Number (PIN): � -, g_���1� - rp.� <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): ���3_ � Abstract or ❑ Torrens, please check one <br /> Present use of property: � Residential ❑ Other <br /> Zoning District: ��� <br /> APPLICANT INFOR ATION: (Complete legal names and arital status equired for each interested party) <br /> Name: � h /' �v� -� �+n` G rM� <br /> Phone (home): Phone (work): „s - <br /> Address: /03� /v�'��-��- /1/. �/u.-c2o�.. wr,i� SSyyf <br /> Email: Z�� c��s�UL, �.nw, Fax: '��� S S�S- ///,.2 <br /> OWNER INFORMATfON: (Complete legal names and marital status required for each interested party) <br /> Name: —" �.L <br /> Phone (home): Phone (work): 1 <br /> Address: �7yS �IG�tc �oHC. t'j'1a�04- Gr��)� yt�l �v SS_Z/1 <br /> Email: Fax: ����TC��p- �,5� <br /> EXtSTING LAND USE: <br /> Number of Tax Parcels; �_ <br /> Development Size: Acres Dry Land <br /> Acres Wet Land <br /> a.5 Acres TOTAL, all parcels <br /> Present Use (check one) ❑ Residential; Number of Units: <br /> I$� Other: (Specify) _ �p �0.n-�- <br /> Present Zoning District ��V�p <br /> Proposal: . <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 /> 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 /> - 1 O _ + � `•Y:•�,'tRxr,t.`.1 !r�_���� � <br /> t�� T'.:� �� , �r � f'� <br /> u��'4- -. .,. - ��' <br /> �,, :.,, �_ : .. <br /> tr'.. .. ,. ., � <br />