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<br /> -_ City of Orono
<br /> Subdivision Application
<br /> Street Address: Application# 05 -3I6/
<br /> �(�� 2750 Kelley Parkway Date Received�/9 D.S�
<br /> Orono, MN 55356 Amount Paid: `fDO, �
<br /> � � Staff: ,J/k'lUl(.E
<br /> �� , Main: 952-249-4600 Fee:
<br /> � � , u-� � fax: 952-249-4616 Renewal:
<br /> �,c, Gti Mailing Address:
<br /> �9kESH04'� 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: �8 � o��!S�ore o a� � 3�`f• 35� iv � S� -3 G�/Uor�s�
<br /> Property Identification Number(PIN): � - �23- 22'OOD -Ob _z . !�sw�°'SS,
<br /> (Attach legal description to application if not included on the survey. �
<br /> Date Property Acquired (month/year): ❑ Abstract or j�Torrens, please check one
<br /> Present use of property: �Residential ❑ Other �
<br /> Zoning District: L,2.- �C,,,
<br /> APPLICANT I FORMATIQN: (Complete legal names and marital status required for each interesfed party)
<br /> Name: 0.red.. �lndr�
<br /> Phone (home): Phone (work): 7�3 2.�- S-SO�
<br /> Address: "72aC� �y�,, LH �T� ���
<br /> Email: —' ;a,,,,,,d�. ,��Jyfou.c,�s1•�claa,a.�,.�e,�.�Fax: 763-�f24�-S�SL.�--
<br /> OWNER IN ORMATION: (Complete legal names and marital status required for each interested party)
<br /> Name: �v/�6.�r � �c i �z-
<br /> Phone (home : 9�� y /- a a �. Phone (work): C9/�� a 5'G, _ 9 � a '�.,
<br /> Address: ��c�/,�- ~ ozT/� S c� �' p� ' �YJv� .v.D , N��v $'S 3� �
<br /> Email: ��2, r'rzl, Iz r= (.� rvJSn� . Co r�-� Fax: �a - 4 �'/- �C7�S+'�
<br /> EXISTING LAND USE: 3
<br /> Number of Tax Parcels:
<br /> Development Size: 3.7� Acres Dry Land'`��6� Y3'� s��-
<br /> �-� Acres Wet Land '^-3� /`�� 5g.�'�;
<br /> Acres TOTAL, all parcels
<br /> Present Use (check one) � Residential; Number of Units: 3
<br /> ❑ Other: (Specify)
<br /> Present Zoning District �,,,� � �[�
<br /> Proposal:
<br /> ❑ Division for Tax Purposes
<br /> � Lot Line Rearrangement Only (no new building sites)
<br /> � Subdivision for New Building Sites �z)
<br /> Number of Building Sites 3 Existing Units
<br /> � New Units
<br /> � Total Units
<br /> Proposed Gross Density �" Units per 3.85 Acres
<br /> Minimum Lot Size ��� Square Feet Dry Buildable Land ����, �or 8� l0-(5,
<br /> Proposed Use (check) � Residential
<br /> �7 Other(specify) - �,,�,
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