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'` . C i ty of 0 ro n o P��``'`brt A <br /> � Subdivision Application <br /> Street Address: Application# " �j � <br /> . O��0� • 2750 Kelley Parkway Date Received: �LI-O <br /> O Orono, MN 55356 Amount Paid: ,� <br /> Staff: � � <br /> Main: 952-249-4600 � Fee: <br /> fax: 952-249-4616 <br /> �� �� ti � Renewal: <br /> �� ;� • �� Mailing Address: � <br /> +9k��o��' 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: .3 0 �{ S S �S�x �p R.d. O Ro�,10 �N SS 3S(o <br /> Property Identification Number (FIN): p¢- � 17 -� 2..3 32 (}p22-. <br /> (Attach legal description to application if not mcluded on the survey.) . <br /> Date Property Acquired (month/year): �",���Z000 ❑ Abstract or❑ Torrens, please check one <br /> Present use of property: � Residential ❑ Other : <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> . Name: T►��o�lot��. •C. A�d� .�c<<Y L-e y� ��nn�av�1 <br /> Phone (home). � 9S z-Z�(9- S o 3 S Phone (work): �)Z- S o � -- �- 23.Z . <br /> • Address: 30 � Suss� a� �. 02oa.�a I►�t N SS3Slo <br /> Email: � � P.r►�,�ti► go3,5�y�.tsn o am Fax: qsz.-Z�{q-9o3 � <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: TH-�c�o�2� F, ���1 �3�.z-r L , i�rh r4nrN <br /> Phone (home). 9S�-Z'�°�- 8 0 3S Phone (work): 61 Z� $ 0 1 - � Z 3'Z, <br /> Address: 30 - sussex Zoad D��csno Mr� ,5S3S <br /> Email: �i em0.n►� go 3s �► �s✓� � C'�rrn Fax: 9.�Z-2�9- 03 � <br /> EXISTING LAND USE: . � <br /> Number of Tax Parcels: / � • <br /> Development Size: v, 3 Z Acres Dry Land � � � <br /> O. SY Acres V1%t Land � <br /> � . y 8 6 �Acres TOTAL; all parcels � <br /> Present Use (check one) � Residential; Number of Units: / <br /> ❑ Other: (Specify)_ <br /> Present Zoning District �t,�-�� <br /> Proposal: � ' . � <br /> ❑ Division for Tax Purposes � � � <br /> ❑ Lot Line Rearrangement Only (no new building sites) <br /> � Subdivision for New Building Sites ,liDrf : rN�f r.v�s o,���i,�.,r�ar 2 cor.y-. <br /> Number of Building Sites � Existing Units . <br /> ! New Units � <br /> . 2 Total Units � <br /> Proposed Gross Density . • 2 Units per �� Acres <br /> Minimum Lot Size y7, i2o Square Feet Dry Buildable Land <br /> Proposed Use(check) � Residential � � <br /> � Other(specify) . <br /> 10� <br />