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_ � <br /> City of Orono <br /> � Subdivi�ion Applicat�on <br /> Street Address: Application #� r� .�' �% � ! <br /> � ('�� 2750 Kelley Parkway Date Received: �, •-?'?�-D�� <br /> Orono, MN 55356 Amount Paid: .-�; �'�i Cs e <br /> � �� � Staff: ����(',_ <br /> � Main: 952-249-4600 <br /> ��,: Fee: ..�=;�%U <br /> � � �j��`;'.�e�y �+ fax: 952-249-4616 Renewal: •— <br /> �'�c,�. � �����ti�' Mailing Address: <br /> ��EsK.o�" P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. <br /> PROPERTY INFORMATION: ° �n <br /> Site Address c-c.e,� �v�e., �- l.� cl I �b � � <<c�,� `��� ' <br /> Property Identification Number (PIN): ��, -��,�q� � �,@.,� �a$- �.va4�� �.�� � q <br /> (Attach legal description to application if no�ncluded on the survey,) <br /> Date Property Acquired (month/year): Gd,� �s„� L�Abstract or i�1'Torrens, please check one <br /> Present use of property: '�Residential ❑ Other C���-�,a., <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: (�o4n���.d�c.ve�o�r�..�� � '�',ne _ �, o � ��`►�. `�a�, <br /> Phone (f'tem�e):m�-, ��. e,E-�_ �.p�� Phone (work): [�. �ad ��¢� <br /> Address: d$�$� Wd Z`-1-a �luo.( Po e, Fs� �n Ge�� �°�+• �.� <br /> Email:� S�r.ti,� � �����.e �,e.a��Q s�tie. � ts9 M Fax: °�S`��- ��3 �-!eC <br /> OWNER INFORMA7'ION: (Complete legal names and marital status required for each interested party) <br /> Name: C.c�.v e-� ��cs�� �.�,-. C_�►aa,o�'�� G�� �e n� �-�-��ra�-�,C' <br /> Phone (home): _ tl� Phone (work): <br /> Address: C� C4�-� ��e � G <c��. � � �o�� t..��� �� a ���� <br /> Email: �� � �•+�.���, �t'i� � Fax: <br /> EXISTING LAND USE: ,�� <br /> fVumber of Tax Parcels; � °" ���`� a ` a <br /> Development Size: �f, �' �;'✓ Acres Dry Land �-4'�� �'^� �`�'�� ��������D �'° <br /> `�`�''- Acres Wet Land 8�� �, �.1a.�Q�� �� a <br /> 47 '� J <br /> ;� : '1-�;' Acres T�TAL, all parcels ���� �� ��� �� a �-�`��'� <br /> Present Use (check one) � Residential; Number of Units: � <br /> � Other: (Specify} ��,���fl� <br /> Present Zoning District � �.�� , � ��e�. <br /> 0 <br /> i'roposal: . <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangement Oniy (no new building sites) <br /> � Subdivision for New Building Sites <br /> Numberof Building Sites � Existing Units � ���'��-B � �-�� � <br /> � New Units <br /> �P p Total Units <br /> Proposed Gross Density � � Units per Acres <br /> Minimum Lot Size �a�� p Square Feet Dry Buildable Land <br /> Proposed Use (check) � Residential <br /> �:_� Other,(specifY) ��a.���, `���� tC�.�� a� �� ���z—.., <br /> _. n� ._ i n � <br />