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� : City of Orono � � <br /> � Subdivision Application <br /> Street Address: Application# O$ �3 $8 <br /> O��� 2750 Kelley Parkway � Date Received: Z.( O <br /> O Orono, MN 55356 Amount Paid: s"a <br /> Staff: , ,Q�. , . <br /> Main: 952-249-4600 � Fee: � 3s' <br /> fax: 952-249-4616 • Renewal: <br /> �� Gti`y Mailing Address: <br /> ��'EsBO�'� � � P.O. Box 66 SK��Pl�in — Mo ���ic hasrrinG <br /> Crystal Bay, MN 55323-0066 �'1bhtCC.S cw''S�c�� <br /> � This application form must be completed in full. <br /> PROPERTY INFORMATION: '( � S .. . <br /> Site Address: $�S W, t�.v . • <br /> Property Identification Number(PFN): � <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): ❑ Abstract or ❑ Torrens, please check one <br /> Present use of property: Q�esidential O Other <br /> Zoning District: �!�(Z— � � . • <br /> APPLICANT INFORMATION:��mplete°legal names and marital status required for each interested party) <br /> Name: �i�s n h <br /> Phone (home): G� �,�' y� y�7 �-- r� 7 q Phone (work): S 4,ry,. � <br /> � <br /> Address: .�r'D 5^ Yy; Il_pvV Dh. S � <br /> Email: YY' G-./r? r'c�` � Yh S �cl . c o •r� Fax: � <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: S a� .,� . ' <br /> . Phone (home): Phone (work): ' � <br /> Pcddress: <br /> Email: Fax: <br /> EXISTING LAND USE: <br /> Number of Tax Parcels: �, . <br /> Development Size: Acres Dry Land <br /> Acres Wet Land <br /> � . ����,r' Acres TOTAL, all parcels ' <br /> Present Use (check one) 0�'' Residential; Number of Units: <br /> � ❑ Other: (Specify) 3 1 D�S <br /> Present Zoning District R fR,— 1 a <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 /> 2, 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 <br />� ❑ Other(specify) <br /> 10 <br />