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`t, j ' ' " �' � <br /> : � � . City ofi Orono � <br /> y Subdivision Application � <br /> Streef Address: � Application# _ (��'2�av`� <br /> ��� 2750 Kelley Parkway Date Received: ,�_ <br /> O o Orono, MN 55356 Ari'tount Pa'd: <br /> • Staff: <br /> Main: 952-249-4600 �Fee: � <br /> fax: 952-249-4616 Renewal: <br /> ��L ��,ti`� Mailing Address: <br /> �Sxog. P.O. Box 66 <br /> • Crystal Bay, MN 55323-0066 <br /> This application form must be'compteted in ful1. ' <br /> PROPERTY INFORMATION: <br /> Site Address: 2 5 25� z 5 35 � Z 5�1� Sha d y w oo d T'L�, OroY,o , Nn �J <br /> Property Identification Number(PIN). Zcs 1 c�z31 t o0 3 0, 2 o ti��,�3 i�ao Zg �i Zo�� 7�3�o o zQ <br /> (Attach legal.descriptian to applicafion if not mcluded on the survey.) � Z�=��1_Z3_�� �p�„� <br /> Date Property Acquired (mon'th/year): �Ah. Zoo Z ❑ Abstract or�9,'Torrens, please check one <br /> Present use ofi property: � Residential �Other V ac ar: �- <br /> Zoning District: 8-�4 � � L'Q- 1 13 �.. <br /> APPUCANT INFORMATION: {Complete legal names and ma�ital status required for each interested party) � <br /> Name: kti� . �1ln��z. De.v�lo 'wnCV�� � Cd.. - � Co.�nfo,c4 . �a� �.VatN�rdtv► <br /> Phone (�:r��c. 4 52-5 5L- L og . Phone (work): q�S 2-�}�Fs•333�0 ' <br /> Address: 350_. Ea5'r µwy 21Z Cti�Sk,q� 1MN b S3 � 8 <br /> Email: Ua„o. V � K�.hg e11n��'z. co�nn Fax: 9 5 Z-4��i�- 3�19 G <br /> �. co��a�� : �lercu5 SG�nhC:d�er 9s2-54s -cy5a5 � <br /> OWNER 1NFORMATION: (Complete legal names and marital status required for each interested partyj <br /> Name: � Sa w�e <br /> Phone.,(home). Phone (work): <br /> Address: � � <br /> EmaiL .. . Fax: ' • <br /> EXISTING LAND USE: � <br /> Number ofTax Parcels: . 3 � � � <br /> Development Size: �..�-7 Acres Dry Land <br /> 1 .�Fo Acres Wet Land ' <br /> . 3.l0 7 Acres TOTAL, all parcels ' <br /> . Present Use (check one) ❑ Residential; Number of Units: , <br /> " �- Oth�er: (Specify) V� c�v�{" . � <br /> Present Zoning District g -�_ ,:� ��_ � �, <br /> Proposal: . • � <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangernent Only(no nevii building sites). � <br /> '� Subdivision for New Building Sites . <br /> Number of�Building Sites 3 _ . Existing Units � <br /> a New Units - <br /> 3 Total Units � <br /> Proposed Gross Density � Units per ,�.�'7 Acres � <br /> Minimum Lot Size Square Feet Dry Buildable Land <br /> Proposed Use (check) O Residential - <br /> L� Other(specify) O sr T i cc <br /> � - 10- � . � <br />