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- Cit of Orono � <br /> y -�.. <br /> - Subdivision Application <br /> Street Address: Application# Q� ~���� _ <br /> ,�` �� 2750 Kelley Parkway Date Received: /L �2.-- l'��� <br /> Y'" Orono, MN 55356 Amount Paid: �= <br /> 0,�;�. � Staff: <br /> ��'�'<•"_� - Main: 952-249-4600 Fee: ,..��r <br /> ��``;��� <br /> � � }' L � fax: 952-249-4616 <br /> �� � ��r �f`��y, �ti� Mailing Address: RenewaL <br /> � � � '��� <br /> y �� � P.O. Box 66 <br /> kESHO�' Crystal Bay, MN 55323-006G <br /> This application form must be completed in full. <br /> PROPERTY INFORMATION: <br /> Site Address: 3��`7� �' � y�0 �hc�re�i'�� ��. ��/7� �ci�-i c � �'� <br /> Property Identification Number (PIN): /�-//7-a3 y3 OU r4r , �7-�/�-a3 y3 �v q � 17�..//7-.�3 y3 0��� <br /> (Attach legal description to application if not included on the survey.) /7-//7-a3 y3 �D �9 <br /> Date Property Acquired (month/year): /- '� �Abstract or ❑ Torrens, please check one <br /> Present use of property: ,�Residential ❑ Other <br /> Zoning District: �� J � <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name; �� /� �'� � <br /> Phone (home): ' 9 sa - �i�s- i �ao Phone (work): 9Sa - S�7 3 - SaS� <br /> Address: �S�,P /-)rrlM`�a �-f-. �a� (/ �-i Za`�� J1�I h, �S3 i/ <br /> Email: Fax: <br /> OWNER INFOR ATION: (Complete legal names and marital status required for each interested party) <br /> Name: /� � �c�c,i�� ��-� � <br /> Phone (home): �,S-a- y�3 - /�'�O Phone (work): ryS� - �/�3 �S.�SC7 <br /> Address: o?SD� ���s �� ��� �e L�ca�••� fa /Y1 i� .5'S� 5/ <br /> Email: Fax: <br /> EXISTING LAND USE: <br /> Number of Tax Parcels; =r;�;;,.�;��:�:�. , <br /> Development Size: Acres Dry Land �" <br /> Acres Wet Land . <br /> Acres TOTAL, all parcels <br /> Present Use (check one) � Residential; Number of Units: <br /> ❑ Other. (Specify) <br /> Present Zoning District � /� J C <br /> Proposat: . ;-:j``:, �_ . . <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangement Only (no new building sites) .� - <br /> ❑ Subdivision for New Building Sites j� � <br /> -�.��::, �;�; <br /> Number of Building Sites Existing Units - <br /> New Units �j�t <br /> Total Units ��;"`"• ._ <br /> «a,._ -. <br /> �roposed Gross Density Units per Acres � j: � <br /> Vlinimum Lot Size Square Feet Dry Buildable Land <br /> 'roposed Use (check) O Residential �1 <br /> � Other (specify) c r,eaTP l`7 �!U e55 �a� in�%i2�� <br /> - 10 - <br />