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. ����� � <br /> - � City of Orono . <br /> Subdivision Appiication <br /> Street Address: Application# 61 -33� <br /> �Q� 2750 Kelley Parkway Date Received: (o�yO-p� <br /> Orono, MN 55356 Amount Paid: (y(pp,00 <br /> O ,� O Staff: ��"�" � (�,rVI,VV� <br /> Main: 952-249-4600 Fee: <br /> a ,'� - � fax: 952-249-4616 � Renewal: ' <br /> �'.�t, . �titi Mailing Address: . <br /> �9kEsH.Og'� 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: I 5"1� �c�'� U�- � � � ��� IM/J 5 S35�Z <br /> Property Identification Number (PIN): '��, i i SS �3 �,a p o b3 <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (monfih/year): 0`"1 " ❑ Abstract or p Torrens, please check one <br /> Present use of propert : �Residential ❑ Other <br /> Zoning District: ���.fj = <br /> APPLICANT INFORM,4TION: (Complete le al names nd ma�rit�.I,status required for each interested party) <br /> Name: 1M.i�2_.�►,.�.�a� �.� l���L.e.�J ���'�►'�c� <br /> Phone (home): �15ad- �-1"L � o5�i b Phone (work): <br /> Address: ���o W�,v�.►,t�'o+� �1 e �na.ve r W�,� 3�1 <br /> Email: �Ine.��e.. w.�in , o ax: �t5ol .y"ll- 6 b� <br /> OWNER INFORMATION: (Complete legal names and marital stat s r�quire for each interested party) <br /> Name: !lV�1 u�,��.�a.l.�.�. �e�.�C e� G�� '1.�t���'i c- <br /> Phone (home): 95` — y�i� - �55 Phone (work): �a.w.�. <br /> Address: q�5;t�� l�,��e�lotik� ��1� � �e.Dl��..v-e,�., M/v . �55;'391 <br /> Email: Qi�n•2 � ��w,e;l�.o.l•�,o.��e.e..l�.o Fax: �'rJ`oZ - �-I`� I - r� (0�6� <br /> EXISTING LAND USE: � <br /> Number of Tax Parcels: � � � � - <br /> Development Size: y, 03�+ Acres Dry Land � <br /> ,2,s � Acres Wet Land <br /> (�,5 t Acres TOTAL, all parcels . <br /> Present Use (check one) �', Residential; Number of Units: � � <br /> ❑ Other: (Specify) <br /> Present Zoning District �R 1'(3 <br /> ProposaL• . . � <br /> ❑ Division for Tax Purposes <br /> '�. Lot Line Rearrangement Only (no new building sites) <br /> O Subdivision for New Building Sites <br /> Number of Building Sites � Existing Units <br /> � New Units <br /> � Total Units . <br /> Proposed Gross Density � Units per 6, s.� Acres <br /> Minimum Lot Size �7, �Lo Square Feet Dry Buildable Land CZ �'��fJ� <br /> Proposed Use (check); _, ,�� � �Residential <br /> • • '� . .,����' ' Other (specify) D l�rLOr �'a Co �o D�vR <br /> ... - 10 - . <br />