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� ���v��C!�� <br /> � C ity of O ro n o . �iA� 0 ? �U08 <br /> Subdivision Application �,�oFORONo <br /> Street Address: Application# Q °'33S Z <br /> ,�`0� 2750 Kelley Parkway Date Received: Z 2..2 � • <br /> Y Orono, MN 55356 Amount Paid: � <br /> � 0 . Staff: �-� <br /> Main: 952-249-4600 � Fee: . 7 <br /> � � fax: 952-249-4616 Renewal: . <br /> �� �tii4 Mailing Address: <br /> r`�x'ESBO�'� 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: �p s S��� �� S �o..� � <br /> Property Identification Number(PIN): � <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): 0 Abstract or ❑ Torrens, please check one <br /> ' Present use of prope ` `�Residential - � Other <br /> Zoning District: R�. � <br /> APPLICA��ORM TION: (Complete legal names and marital status required for each interested party) <br /> Name: \ ` -�c�{�s��s• � <br /> Phone (home): Q S� tJ(,�"-i - � �4 a, Phone (work): �S� `�fn'7^ �g9 � - <br /> � Address: ��.b �c�,:,.�� � �c�}� -'Ptr-� �oY.,.>no � �m v. S"S'3 � "� <br /> Email: �, � h�vs� �a- h�;.,s��'I�o�,.� . �;Z Fax: RS a-, �,f C� 1�-r ��-� <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �c►'� `�►-�Z � � <br /> Phone (homej,: �ira — �{�3� � 83� • Phone (work): ' <br /> �Address:` (�o �o•.,k4� S��l,�b5 (r�:�,�-^ !Zo a (�� j10 <br /> Email: Fax: <br /> EXlSTING 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) '�7 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 /> l�l Subdivision for New Building Sites p��rt 5���,� <br /> Number of Building Sites j, Existing Units <br /> New Units <br /> Total Units <br /> Proposed Gross Density ( Units per p�_ Acres <br /> Minimum Lot Size ' Square Feet Dry Buildable Land <br /> Proposed Use (check) '�7 Residential <br /> (� Other(specify) <br /> 10 <br />