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- � �� Ci of Orono �� ���►� � <br /> tY <br /> Subdivisio�n Appiication <br /> Street Address: Application# <br /> ��� . 2750 Kelley Parkway , Date Received: <br /> Orono, MN 55356 Amount Pai • <br /> � � � Staff: <br /> Main: 952-249-4600 Fee: � <br /> � � fax: 952-249-4616 Renewal: <br /> �� �ti`�' Mailing Address: <br /> t`�kEsKO�'� 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: '�.`1 d t,�1 orr�N��� �D. P�l� y��r��, l�'1 r� �5�3 `�� <br /> Property Identification Number (PIN): �0�. ' t I 7 - d. ,3 — .3 P - Ctie+ S� <br /> (Attach legaf description to application if not included on the survey.) <br /> Date Property Acquired (month/year): �'j� ❑ Abstract or� Torrens, please check one <br /> Present use of property: �.Residential ❑ Other <br /> Zoning District: �'2o At� <br /> APPLICAN� INFO�ATION: (Complete legal names and marital status required for each interested party) <br /> Name: d ►v � o.�s, � . r �l�i��/r-c/ <br /> Phone (home): dr ^ ` G •' � Phone (work): <br /> Address: � � �,� n C�1 Tr9 ^ <br /> �maiL v C o0`��LL c �i(a C�'�lA�/4 • �a �M Fax: r <br /> OWNER INFO MATION: (Complete legal names and marital status required for each interested party) <br /> Name: .� a N C � -,b- . C� ��t h � � <br /> Phone (home): ��a. � �r �G - ? �t !�- Phone (work): <br /> Addfess: "ot 9�v cr p l �n or �/?TR 1'V <br /> Email: J cGl'�t� �� r� Y � ��1J I � F Ca iy Fax: �'' � - - 'Z <br /> �EXISTING LAND USE: <br /> Number of Tax Parcels: <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 • <br /> Proposal: <br /> ❑ Division for Tax Purposes <br /> �I. Lot Line Rearrangement Only (no new building sites) <br /> � Subdivision for New Building Sites <br /> Number of Building Sites -o Existing Units <br /> ` p New Units <br /> � Total Units • <br /> �roposed Gross Density Units per Acres <br /> inimum Lot Size . Square Feet Dry Buildable Land <br /> � Proposed Use (check) ❑ Residential <br /> ❑ Other (specify) <br /> - 10 - . <br />