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. � � Cit� of Orono . �r � <br /> �, . . <br /> Subdivision Application � <br /> Street Address: Application# �7- �2'7 <br /> � ,�`��� . 2750 Kelley Parkway � Date Received: 2� .-�j • . <br /> Oy O Orono, MN 55356 .Amount Paid: z ,S ,� �t0�� <br /> �� Staff: �L'�� �1-� <br /> � �� Main: 952-249-4600 Fee: �277s <br /> � �i •'���,' � fax: 952-249-4616 . <br /> ��� "��,� �ti� Mailing Address: Renewal: <br /> `��'ESxo4`'� P.O. Box 66 � , � <br /> � . � Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. � � <br /> PROPERTY (NFORMATION: . ' <br />- Site•Address: %�;�SO � �'SUa Q:�,���-�,� �% ,;,j-�. �� L�({�,ti� �N3 � <br /> Property Identification Number (PIN): i f- i►7-��3-33- Do u� �- jl-i1��-33-v�'�-6 <br /> (Attach legal description to application if not i cf�}ded on the survey.) <br /> Date Property Acquired (month/year): U1��'�I z��❑ Abstract or ❑ Torrens, please check one <br /> Present use of proper�y: ❑ Residential ❑ Other � <br /> � Zoning District: � _ <br /> AE'PLIGAf�T !t�lF RNfATIOM: ( o�°lete legal names and marital status requ�' ed for each inter sted party) � �/ <br /> Name: �j�r r� %r,( ucK �u� o-c G-e� � ���c�i� y�Z L/7�.���/'! <br /> Phone (home): , Phone (work): P •- � -� -� , <br /> Address:. .5'U� ��� . �. /� ,,�o ��c( _�� ' � ?C�o �./` y .c�Nz ��r " u�, /� �Iy/�ya';; <br /> Email: Fax: 6�N,S���97 <br /> OWNER INFORMA�IO�N: (Comp�e I gal names and marital status required for each interested party) <br /> Name: r e--� � <br /> �Phone (home): i �, Phone (work : csz( /� ^ _ <br /> Address: � L.7 b� ���,.�e �.. � , � �,�� � -�..� � - <br /> Email: � Fax: <br /> . EXISTING LAND USE: E <br /> <_ <br />.__N���nhe.r of��ax�PPaccel��_ . � � <br /> e L7/4 -�------ �;;-- <br /> Development Size: f�;,Sa= 1.�i9 i.s�=3��Acres Dry_Land E���,� ��o �i�S' � :_z <br /> . �j Acres Wet Land . � �� <br /> � ���� Acres I OTAL, all parcels `r� ��•:,..., , <br /> . f� � �;•�:' <br /> Present Use (check one) � Residential; Number of Units: � . �� �•�� <br /> , ' ❑ Other: (Specify) ,... <br /> Present Zoning Di`strict _ �l; - / , ; . /��� • ; <br /> . . �. <br /> Proposal: , � � � •�• " <br /> ❑ Division for Tax Purposes . . �:� � ' . ' <br /> � Lot Line Rearran ement Onl g ) � £` � <br /> g y (no new buildin sites •s .: <br />� �'cl Subdivision for New Building Sites � , � �.�:� t%� <br /> Number of Building Sites 2 Existing Units . <br /> � d New Units • � ��°' <br /> ��� � <br /> 2 Total Units �`�=� <br /> Proposed Gross Density 2 Units per .�,�� Acres �}a�s' <br /> Minimum Lot Size ��s° �. 2.o Y�i�,Square �eet Dry 6uildable Land S�i' C���o� � 1�<<�-�(LJc�`�_ <br /> Proposed Use (check) �7 Residential � . � ����IQ-�,q j e,�,�r����r�' . <br /> ❑ Other (specify) <br /> - . - 10 - <br />