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� City of Orono ����
<br /> . Subdivisior� .Applica�ion �
<br /> ' Streef Address: Application# (j�- ?�` ��....
<br /> ,�` � �` 2750 Kelley Parkway Date Received: R- (�_�j�
<br /> Y" `�1�� Orono, MN 5535G Arnount Paid; �
<br /> � ::. � Staff: ��j IC�... C3-o----r-n��
<br /> `�����`�� Main; 952-249-4G00 ��
<br /> �,.,+.� (��"`�`'�`��. � fax: 952-249-4616 Ren1ewal: V�.�)�`. u�
<br /> '�^ '7/t F!h `S'
<br /> � � , � �, �ti Mailing Address;
<br /> �.9,r�1 ���'o�,�' P.O. Box 66
<br /> �sx Crystal Bay, MN 55323-OOGG
<br /> This applicafiion form must be compieted in fu(!.
<br /> 'ROP�RTY INFORMATION,:. .
<br /> �ite Address: dOtt��"�� v�titi� �ucc���'1,�. C.�
<br /> 'roperty Identification Number (PIN): ��.. j d � J � �-1 ; ��(�f `�
<br /> 'Attach legal description to application if not included on the suivey,)
<br /> �ate Property Acquired (month/year): ❑ Abstract or ❑ Torrens, please check one
<br /> 'resent use of propeity: ❑ Residential ❑ Other
<br /> Zoning District:
<br /> 4PPLICANT�NFORMATION: (Complete legal names and marital status required for each interested party)
<br /> Vame: JGI•,(,., c. _c�� �•e.� l_c�,�a�,r,�= �. _.(.�'vd t. c_y..�.�v�y-:-, ��`w t
<br /> �hane (home); ���`� y �;� �;�,; �?^� Phone (•wo�k): �w t (� �;l;�, �;�-.l `�'�� f'
<br /> qddress: i u�.(e.y- c'�'�,,-�� 1-��� 6�1� ��l ��� (�'�c�,�-�c� �'{ 5 C..aY.r �-c. l�� �-J ..y 'c
<br /> �'�ail: ��� �.:..-� � ���.i�z 1�:.�.�l' ���-�..�%1c•:��^�.>„t�- r'.rt���, Fax: ci C���� �F''7`� :�tC�C.
<br /> �—�.
<br /> UVI/NER IIVFORMAxION: (Complete legal names and marital status required for each interested party)
<br /> Name: -�ac:9�..�:s ��,.� �� �C, ��.�,.ir��;=�
<br /> Phone (h•om�): (;.�! '.:�.. ���j _7 i j � Phone (work): •.
<br /> Address: .��-�:��� �''L��c��•�:�.� ;h� r��:a C:uc•--,•�...�`.�� � °- j d
<br /> Email: �C>«�_ �ax: i�c���..L� ,
<br /> EXISTING LAND USE:
<br /> Number of Tax Parcels: �
<br /> Development Size: l � Acres Dry Land
<br /> '�,•�f 3 Acres Wet Land
<br /> �C�.`Z / Acres TOTAL, all parcels
<br /> Present Use (check one) ❑ Residential; Number of Units:
<br /> ❑ Other: (Specify) �,.�:;..,��! c;:�� A �.-�
<br /> Present Zoning District �
<br /> , �
<br /> �'�oposa6: . , , , ' - � , ' . .
<br /> ❑ Division for Tax Pur��oses ..
<br /> ❑ . Lot Lirie Rearrangement Oniy (no new building sites)
<br /> I� Subdivision for New Suilding Sites
<br /> Number of Building Sit�s ,�' Existing Unifs
<br /> (� New Units
<br /> Total Units
<br /> " �osed Gross Density �� Units per �t� ��Z � Acres ;�,�'j ��<v��� � ,
<br /> ,. ,imum Loi Size �,, o=� � � Square Feet Dry Buildable Land
<br /> Proposed Use (check) �b. Residential
<br /> ❑ Other (speciiy) :t� �fl -�.:az;.y� nct•.;��� ��;.;�::"s��✓� �j^��`�'4�?}� �
<br /> 1 �'� �,`, ,d+ ") �i� ..�,� py�
<br /> - 10 - �.��r�.�,��f; - ,� I;� _ � .: ' ,;
<br /> ua,�R 1,¢��,v °s� .� f;; ',., riL �J,y`�:'�`
<br /> �0 f-i� �5��� l�j.� ,.,.,.''y..., r���A .,.:rt•-*'/� �1�'a'T?'rr��' .
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