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.. . � <br /> I ° <br /> City of Orono ��_�-� <br /> Subdivision Appiication <br /> StreetAddress: Application# ("j� °• �)(�(� <br /> O,�`(�� 2750 Kelley Parkway Date Received: ��-Z)_�-<, <br /> Y Orono, MN 55356 Amount Paid: r (jC;�, �� <br /> � 0 Staff: �✓tU IC_e.. <br /> Main: 952-249-4600 Fee: � ¢(�C°�:� c>c> <br /> � � ;,�:.,- � fax: 952-249-4616 Renewal: <br /> �,n� �� �ti Maili�7g Address: <br /> 9J�.ESx�i 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: g',�.'S Ql.� (.a2.�J��L, /l�,qy 1'��q� <br /> Property Identification Number(PIN): Qq -- t I"� — 13 —' 21 �"' 4� 1 �LI ,�N�' ��'�<j <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): I� Abstract or❑ Torrens, please check one <br /> Present use of property: � Residential ❑ Oth�r� <br /> Zoning District: L./� <br /> APPLICANT INFORMATION: (Complete legal na es and marital status required for each interested party) <br /> Name: -�v1� �Y M. '�' <br /> Phone (home): p'�--' Phone (work): 1.-- ^ d <br /> Address: '1. �'"j'L'� 1 'L <br /> Email: Fax: -"� <br /> OWNER INFORMATION: (Complete le al names a marital status required for e ch interested pa y) �� <br /> Name: � A N �' d ��n �'�"'° <br /> Phone (home : "' • C� Phone wor ): �,.,- <br /> Address: �5 p �YZ, � <br /> Email: Fax: • ' <br /> EXISTING LAND USE: 3 <br /> Number of Tax Parcels: <br /> Development Size: (/. Acres Dry Land <br /> Z ' Acres Wet Land <br /> _��� Acres TOTAL, all parcels <br /> Present Use (check one) �31 Residential; Number of Units: <br /> ❑ Other: (Specify) <br /> Present Zoning District �� ��_ <br /> Proposal: <br /> ❑ Division for Tax Purposes <br /> I� Lot Line Rearrangement Only (no new building sites) <br /> ❑ 5ubdivision for New Building Sites <br /> Number of Building Sites Existing Units <br /> New Unifs <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 /> - (0- <br /> �—z a� �)W a'�P! � . <br /> r3:s`.S ., f i� Ft ti�� � <br /> � .� �� Jrj � 1 A t..i l <br /> �, 4� ,rii <br /> r7�n j`• �,r,� Y�� ^ f 1 �y`9� ?� <br /> „Zy 4 :$` } k.t �'� �'� `I <br /> g--/p�y�i".KY,a y <br /> X7 Hl �'ry 1�.� !'��.�� �`'�%.4�+'"��' t� �j� �'.� ' <br />