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, <br /> r.-_ _ <br /> � <br /> � f,a <br /> City of Orono <br /> Subdivision Application � <br /> Street Address: Application# ' � Z <br /> ,�`�� 2750 Kelley Parkway Date Received: S Q <br /> y Orono, MN 55356 Amount Paid: -� 3 <br /> 0 � , Staff: e�- ' <br /> Main: 952-249-4600 Fee: � .��} <br /> � � � fax: 952-249-4616 RenewaL <br /> �� �tii5' Mailing Address: <br /> ��'ESHO�'� P.O. Box 66 CJ����, h Q��� , <br /> Crystal Bay, MN 55323-0066 <br /> . This application form must b.e completed in full. <br /> PROPERTY INFORMATION: <br /> Site Address: �j(oO I,t}a.�Ce�,�f�l Rd �ro��o, i71N 5�5.�j <br /> Property Identification Number(PIN): �'�- ��3-3`-pp�� �-��g�a3-ay-c�oo7i 3!n-Ilfc--aZ3-3l-OG//� <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): f� Abstract or❑ Torrens, please check one <br /> Present use of property: j�Residential ❑ Other <br /> Zoning District: R�- I R . <br /> APPLICANT FORMATIOf�: (Complete legal names and marital status required for each interested party) <br /> Name: ���i,.� .Stdtr Lcdl.�a��c�c-. ��...�,;�,.0 <br /> Phone (home): 3 - 7 $- G G Phone work): / Z • -- S/ J <br /> Address: � 9 S— 38n �4�� .V. / � �c! S <br /> Email: e cadl. w . co Fax: G /2- 339- S'/So <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> � Name: �'vr�i«y G�u,y�,.� LcNeri�. <br /> Phone (home): QS"2 7 3- Z�a 8 Phone(work): SZ - )3 -2 ua 8 <br /> Address: 3(pp W�� .�!d /2� . b�o•s.o .. M� WQVZLt�0. .�`54�A� <br /> Email: � Fax: <br /> EXISTING LAND USE: <br /> Number of Tax Parcels: 3 <br /> Development Size: 3;/�, Acres Dry Land <br /> /, � Acres Wet Land <br /> '7�p� Acres TOTAL, all parcels <br /> Present Use (check one) '� Residential; Number of Units: � <br /> � Other: (Specify) <br /> PresentZoning District �- f � <br /> Proposal: <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangement Only (no new building sites) � � <br /> . .�( Subdivision for New Building Sites � <br /> � Number of Building Sites ( � Existing Units � <br /> � New Units <br /> Total Units � <br /> Proposed Gross Density � Units per 3;�_ Acres <br /> Minimum Lot Size a7,$� Square Feet Dry Buildable Land <br /> Proposed Use(check) � Residential <br /> ❑ Other(specify) <br /> 10 <br />