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� � Cit of Orono � <br /> , Y .�..� <br /> . Subdivision Application <br /> Street Address: Application# (�S- ��` ';'"Z <br /> �` 0� 2750 Keiley Parkway Date Received: �- �-pS- <br /> y' Orono, MN 55356 Amount Paid: <br /> 0,t?�,� � Staff: ��i 1�e.. �so-- ���t <br /> ��+'��� Main: 952-249-4600 Fee: �3)S"'. v a <br /> �a �� ��� � fax: 952-249-4616 Renewal: <br /> � �: <br /> �`,�5, . �'' '�� �ti Mailing Address: <br /> '�q�' ��og,� P.O. Box 66 <br /> EsK Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. <br /> PROPERTY INFORMATION.:. <br /> Site Address: �c��� ��1c SS� rPLe C.� <br /> Property Identification Number (PIN): 3',� � � �; � `?� 3 G'�f � <br /> (Attach legaf 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 <br /> Zoning District: <br /> APPLICANT�NFORMATION: (Complete legal names and marital status required for each interested party) <br /> N a m e: �C��,L�= .,_r� �e.:� l.c>>��E��..�„a... 7 �--. , -tv �c3�, ' <br /> Phone (home): �'`;� ��` �-Tg'`' Phone (�vrfer-!F): �e�t (� �1:�, ��� `�7� f' <br /> Address: t�S�I`�f ���z� ��� �[� e:� �� (.�a�� �'t �` C cfv�� c--c, f�.�- S � �� �"�- <br /> Email: ��.���n�,4vl�:.^�C �d.r�..�:1�:��.�.,� C;.=c:nr-, Fax: �"r' ��- �`�`3 -���C <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: --Jc��..� ; �� � �C,, �:,i �.ir�C�°'� <br /> Phone (h�errre): t;�,! �� %/ I Phone (work): �-..^ <br /> Address: ��� ���• :� C::.:c- ��.� ` <br /> Email: ���1� ax: /�C�e�.-� <br /> EXISTING LAND USE: <br /> Number of Tax Parcels: t <br /> Development Size: � Acres Dry Land <br /> •�-f 3 Acres Wet Land <br /> C .? / Acres TOTAL, all parcels <br /> Present Use (check one) ❑ Residential; Number of Units: <br /> - . : ❑ Other: (Specify) �..�R�l �� C <br /> Present Zoning District <br /> • . . 'f <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 t <br /> Proposed Gross Density (,�_ Units per (t�, �� r Acres �.?�( g��(a")' . <br /> Minimum Lot Size �� ,, Square Feet Dry Buildable Land <br /> Proposed Use (check) �� Residentiaf <br /> ❑ Other (specify) � � ���� <br /> - 10 - � ^�� �,;.�,�,�.;, �v"� <br /> � �� �t�.. ��,�� � .. ' <br />