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� EXHIBIT A <br /> City of Orono <br /> Subdivision Application <br /> Street Address: Application# �CJ�'��J" l�� <br /> ,�`�� 2750 Kelley Parkway Date Received: " � �,>_._ <br /> y- Orono, MN 55356 Amount Paid: Z D. im�- w v�-�.� <br /> � L�,� 0 Staff: JA�1/G ; _ <br /> Main: 952-249-4600 Fee: �J,a �� �p, <br /> � ' � o�s� � fax: 952-249-4616 Renewal: •�---"` <br /> �,c, �,ti Mailing Address: <br /> �.qk.�sxog,w P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. <br /> PROPERTY INFORMATION: <br /> Site Address: �l�/ �D �b��'T'" f�-ll�' � ��.Q�� �. <br /> Property Identification Number(PIN): 67 ° /�'� � Z,� - Z.y - ��/Z <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): �'EB 199�- � Abstract or� Torrens, please check one <br /> Present use of property: �Residential ❑ Other <br /> Zoning District: �2 - L,R <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party <br /> Name: LoQE� t}�+�:D �1'fh�'� .�OE"�7�/T` �i�1�42.�1E'b, <br /> Phone (home): ��'Z- �,c�y_ (,Q(��� Phone (work): (o/� - 9��- 96�'d <br /> Address: (�y/� T/mfj -��/.t'l�E Fpilt�A- S.5`raC39 <br /> Email: Go�� � �-��E T Fax: �/Z - �077 - .3S�S8 <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested part ) <br /> Name: Ga,QEiJ �l�..D �-.9�C�y �Cf-f�J�"IIZE/T- C/Y,�4�/�A, <br /> Phone (home): �`rj - �ylc� �c�,� ' Phone (work): (o(Z - !�l- 7'�a'o <br /> Address: (Pt��� Tim��,2 IZI.t�C� �D//J�4 /yi� SSLl3 5' <br /> Email; �,o2En�5 C� �1-�"'. �JE7'- Fax: <br /> EXISTING LAND USE: <br /> Number of Tax Parcels: J <br /> Development Size: Acres Dry Land <br /> Acres Wet Land <br /> Acres TOTAL, all parcels <br /> Present Use (check one) � Residential; Number of Units: <br /> ❑ Other: (Specify) <br /> Present Zoning District _�JZ - 1(� <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 /> - 10 - <br /> I J F:7 �"`�`yt <br /> � ��� � ,.t! � L t :j ��? 1 � <br /> � � � a✓ � li <br /> i:yf,�'^a. �, t .� � �. _ <br /> �,.-f r'�S .,,� � 4 <br /> 'fy �,';,. . .,. .. , . .. . ...trf� <br />