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„ T'G �,�h�h� } A <br /> ” City of Orono � <br /> � � Subdivision Application . � <br /> Street Address: Application# � ' 3S5 <br /> ��� 2750 Kelley Parkway Date Received: ( ;: <br /> O O Orono, MN 55356 Amount Paid: <br /> . Staff: .� <br /> Main: 952-249-4600 � Fee: , <br /> � � fax: 952-249-4616 Renewal: m <br /> �� �,ti`� Mailing Address: <br /> . '�9k.��o�g,'�' P.O. Box 66 � � <br /> Crystal Bay, MN 55323-0066 � <br /> � This application form must be completed in full. <br /> PROPERTY INFO_ MATION: <br /> Site Address: S� ,c� ,�,E�� /� �' �� <br /> Property Identification Number(PIN): D.5'-. / <br /> (Attach legal description to application if not in luded on the survey.) <br /> Date Property Acquired (month/year): ��� I� Abstract or❑ Torrens, please check one � <br /> Present use of property: 1�Residential .0 Other � � <br /> Zoning District. . <br /> APPLIC OR ATION: (Complete legal names and marital status required for each interested party) <br /> Name: �� �� S� � <br /> Phone (home): Q S� - y�� _ � -�a-� Phone (work): Sa--- o'�- ' � � <br /> Address: .�?(op (,�o,M r��.S �.��/� �� � <br /> EmaiL•�I'r*,-� �-(e�oscr�-�c,.v��Y �6w�c1x��,, e.o�r►.Fax: 9 S�-��(�� -� � �9 <br /> OWNER IN MATIO : (Co lete legal na s and marital sta req ir for each interested party) <br /> Name: � " <br /> Phone (home : _ �g' 3 hone ( ork � <br /> Address: � � . <br /> Email: Fax: <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) C� Residential; Number of Units: � . . - <br /> ❑ Other. (Specify) � <br /> Present Zoning District `��2- �i3 <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 /> _3 New Units <br /> Total Units <br /> Proposed Gross Density Units per ' Acres <br /> Minimum Lot Size Square Feet Dry Buildable Land <br /> Proposed Use (check) ❑ Residential � � RECEIVEL� <br /> ❑ Other(specify) <br /> 10 � <br /> CITY OF ORONO <br />