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. . CitY of Orono � <br /> ■ r ■ ■ ■ � <br /> Subdivrs�on Appl�cat�on <br /> Street Address: Application # U `� "'3�2��Y <br /> � Q� 2750 Kelley Parkway Date Received: i...:-'Li- 2t'�.� <br /> Orono, MN 55356 Amount Paid: �vc^�.c��a <br /> Q �, 0 Staff: tiZ��c..c., <br /> i�:,, Main: 952-249-4600 Fee: ���C,�v- � � <br /> a � �� �, fax: 952-249-4616 Renewal: <br /> �`�,c, � ' � �4ti Mailing Address; <br /> '� ' ��" w P.O. Box 66 <br /> `��EsKO�`' Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. <br /> PROPERTY INFORMATION; ,� <br /> Site Address: �-;i,��� � �/� ,�)�:/.� �i:�.;��,�.1� <br /> Property Identification Number (PIN): �`',r�:;e�-� ,�.�.;,� r����,;�" _� ��` ��'�;� ,,��3�7�: ��-s�:�"` <br /> ,(Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): ��� � �' �'� [�,°Abstract or ❑ Torrens, please check one <br /> Present use of property; ❑ Residential �Other �'r'�,r�r_,��'.zr�.J�;� <br /> Zoning District: �.. � <br /> / <br /> APPLICANT IN�ORMATION: (Complete legal names an marital status required for each interested party) <br /> Name: � `»� ��;,�7a.'�'�:,,/,�� <br /> Phone (home): � '`Phone (work); <br /> Address: <br /> Email: Fax: <br /> � OWNER INFORMATiON: (Complete legal names and • rital status required for each interested party) <br /> Name: �` ��� r�7��"t�-�=i��,� <br /> 3 <br /> Phone (home); Phone (work): <br /> Address: <br /> Email: Fax: <br /> EXISTING LAND USE: <br /> Number of Tax Parcels; -- <br /> Development Size: .� Acres Dry Land <br /> ..% Acres Wet Land <br /> „� Acres TOTAL, all parcels <br /> Present Use (check one) Ei�' Residential; Number of Units: <br /> � �ther: (Specify) �:'ld����,��'.�'��,�,��. <br /> Present Zoning District �2. � ' <br /> Proposal: . <br /> ❑ Division for Tax Purposes <br /> fl 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 /> � � <br /> - 10 - � � �� y,,. , � <br /> , ; � <br /> �s. � :� . . , . . <br />