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. • r. M - . - <br /> � � City of Orono � � <br /> . � Subdivision Application <br /> � , . � Sfreet Address: Application# � <br /> ��� 2750 Kelley Parkway Date Received; <br /> Orono, MN 55356 Amount Paid: <br /> Q � Q . Staff: � <br /> ��,: Main: 952-249-4600 Fee: <br /> ,� '•o,,, ,. � fax: 952-249-4616 � Renewal: � � � <br /> �',�, � � '?�� Gti`�' Mailing Address: � ' <br /> L'�k'ESHOy"� P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 . <br /> � This application�form must be completed in fult. <br /> PROPERTY INFORMATION: (l c' � <br /> Site Address: '3�S �o o���� 2-o��C l�av� �.�4 z . �� S� 3�1 <br /> Property Identification Number (PIN): �2�1'r7 Z3�3 0 00� ' • • <br /> � (Attach legal description to application if not included on the survey.) -- � - - <br /> Date Property Acquired (month/year): \o � ❑ Abstract or�Torrens, please check one � <br /> Present use of property: � Residential ❑ Other <br /> Zoning District: D�cov.o . � <br /> APPLICANT�INFORMATION: (Complete legal names and marital status required for each intecested party)• � � <br /> �Name: . . . . <br /> Phone (home): Phone (work): � � � � <br /> :�dress:• :� _ .. ._ - - -..- _ _ . . .. . . . <br /> aii:� - Fa�c:- <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) � . <br /> ,�-•.. , <br /> . Name: . W� � � , ��� a�: � u�'.� � <br /> Phone (home): �Z� Phone (work): �'Z 20- 3 <br /> Address: 3iS C�o c� '..� `Zo�.. ��ov.r, W iu �... � 3R <br /> �Email: • 9�_4-�? �- ��t €� . <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 /> ❑ 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 /> �ro osed Gross Densit Units per Acres � <br /> p Y <br /> Minimum Lot Size ; .,•_ . .- Square Feet Dry Buildable Land <br /> Proposed Use (chec4�) ; � ❑ .;>�,Re's.idential <br /> • ❑ ti;. Ot�ier (specify) <br /> 'l..�l 'Y'�> Sy... • . <br /> � 1 O <br />