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� Cit of Orono � <br /> . Y <br /> r . - S�u�division Application ������� <br /> , StreetAddress: Application# (�'�— ���� <br /> ,�` Q� 2750 Kelley Parkway Date Received: i�_�Ut� <br /> y�� Orono, MN 55356 Amount Paid:� �_2��5,o� <br /> O��'l� O Main: 952-249-4600 Staff: f�(.+1 L.�.. G c�/-�. <br /> �`�''�y;,T„r Fee: <br /> a •r �+ fax: 952-249-4616 <br /> '$`����� , 'f �ti`� M a i l i n g A d d r ess: . Renewal: <br /> \��EsHO�"� P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> This applicafiion form must be completed in full. <br /> ZOPERTY (NFORMATfON: � : <br /> e Address: � /� , �� „, � -- � <br /> �perty Identification Number (P N): - � •.• � <br /> :tach legal description to application if not incl ded on the survey.) <br /> :te Property Acquired (month/year): ��-=1-`'❑ Abstract or ❑ Torre s, please check one <br /> :sent use of property: ❑ Residential �I Other r�,�„/ L,c�,r� <br /> ning District: <br /> 'PLICANT N. ORMATION: ( omplete legal names and marital status required for each interested party) � <br /> me: �` ,` �r�N � � <br /> one (home): � 6 ` � �-� � Phone (work): T�,� �p,�_ � ��-p ��-- <br /> dress: <br /> �ail: i�.�-c�����;rt �- � —r�l P � 1''��i�f�p � 11 E� '� Fax� �� ..���l,_1�/ . <br /> � <br /> VNER IN OR ATION: ( omplete legal names and marital status required for each interested party) <br /> me: 4c` � !i' S a. <br /> one (home): D - � Phone (work): � <br /> dress: � ; � � ��,� � <br /> �ail: �/ � �ax: �— � <br /> ISTIN AND U E: � <br /> mber of Tax Parcels: • <br /> velopment Size: , ,� � Acres Dry Land , . <br /> Acres Wet Land <br /> � Acres TOTAL, all parcels <br /> :sent Use (check one) ❑ Residential; Number of Units: <br /> �I Other: (Specify) <br /> :sent Zoning District <br /> �posaL• . <br /> Division for Tax Purposes • � <br /> - Lot Line Rearrangement Only (no new building sites) � ��' '� ����b�=�' � � <br /> �. ���� :ti.� �}� � <br /> Subdivision for New Building Sites � , ��}� `� :�,> ��'-���:�;., :;Y � <br /> Sa,1fh�' v�;I S•'' p <br /> I' ti::: r:xv' "'' S <br /> �nber of Building Sites. ' Existing Units s ���z� ���.�y�� ,,��� _ ���;� .�� <br /> � New"Units ��-°"� <br /> - Tofal Units <br /> posed Gross Density Units per �._,_� Acres � <br /> imum Lot Size Square Feet Dry Buildable Land " <br /> posed Use (check) ❑ Residential ' � <br /> ❑ Other (specify) � <br /> ' - 10 - ' � <br />