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; City of Orono <br /> Subdivision Applicat�on <br /> Streef Address: • Application # 5 "���'� <br /> � �� 2750 Kelley Parkway Date Received: �J� <br /> Orono, MN 55356 Amount Paid; )� <br /> �,.��.�, � staff: 1 �l�lil��'J • <br /> k��T� Main: 952-249-4600 Fee: J�,�''i) <br /> � t� '��`F�'rr- �+ fax: 952-249-4616 Renewal:� b <br /> �`� r • �'� ��`� Mailing Address: <br /> ���ESHO�`'� 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: `�� 4 ��U�t:z.�X�-�� �`�� <br /> Property Identification Number (PIN): r��-=lj: �� S-- ��o�� <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month�ar): �Abstract or ❑ Torrens, please check one <br /> Present use of property: � Residential ❑ Other <br /> Zoning District: �-%,�^ <br /> APPLICANT I . FORMA�10 • (C mpl te I gal names and marital status required for each interested party) <br /> Name: ��. <br /> Phone (home): S"Z- y ' �/ Phone (work): <br /> Address: � ,� � �yc, <br /> Email: Y.t D�. v��yc Fax: � <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: ��� ht,.e.�� <br /> Phone (home): . � Ph��w�). <br /> Address: � � �{ .,�� ���.e��, �yc S�"� <br /> Email: Fax: <br /> EXISTING LAND USE: <br /> Number of Tax Parcels: / ' <br /> Development Size: 1�, �S! Acres Dry Land � <br /> !��.� Acres Wet Land , <br /> f/.'f � Acres TOTAL, all parcels <br /> Present Use (check one) � Residential; Number of Units: <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 • <br /> Number of Building Sites / Existing Units <br /> / New Units <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) „ f7 � � <br /> � ��r.�;:;� ,-�'`°�`':::� ..r�`•�„,?r ��'�-1�1 <br /> — 1 0 — � F.'Jti�;i+f�J 5" ,�':� S`'i� '�' i a:i '::i J (% <br /> .. r .:TY 1'� t�ti� !,+ �. <br /> • ��J 1;�u7 1::�.q ey!"-'',',�v� �r.J1S'�• f <br /> e;�—° .:�i ;:� ,ry y �•;-�.� :� �� <br />