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" � � � City of Qrono <br /> Subdivision Application �'C ExhibitA <br /> sr,�t pda�ss.� �s;�au�# �p - 3 1 <br /> .�p�VO 27so Keney paricway <br /> Orono,MN 55356 Date Reoeived: ..Z�, <br /> Stsff: ('j <br /> Main: 952-249-4600 r <br /> � fax: 952-249-4616 ApPlicatbn Fee: <br /> ��R oF4�� Mal!!ng Address: Escrow#8$ <br /> P.O.Box 66 <br /> C ta!Ba ,MN 55323-0066 �t�� <br /> PROPERTY INFORMA ON: <br /> Sfte Address: � � ��,�,, �;r� 553�.�' <br /> Property Identification Number(PIN}:_ rj�' --, j �'7_ ����yy �-- ��`�' <br /> Date Property Acquired (month/year): �(Abstracf ❑Torrens{Please check one) <br /> Present use of property: �f Resiciential; number of Units <br /> ❑ Other(specify) <br /> Zoning District: � <br /> APPLICANT/AGENT I F RMATION: (Co p/ete egal names and marital stafus required for each infer�ested Asrty) <br /> Name(s): <br /> Phone(primary): — Q— <br /> Address: p! <br /> Email: ; � <br /> PROPERTY OWNER INFORMATION: ❑ check here if property owner is same as applicant <br /> {Complete/ega/name nd m 'a/status qulred for ch Interested pa ) <br /> Name(s): r- �` �� 1 <br /> Phone{primary): J <br /> Address: � y <br /> Emali: �, t •��,,,� <br /> EXISTING LAND USE: � <br /> Number of Tax Parcels: <br /> Development Size: � Acres Dry Land <br /> 1 � Aaes Wet Land <br /> y.�,���� Acres TO7AL,all parcels <br /> PROPOSED LAND USE: <br /> 0 division for Tax Purposes <br /> �"Subdivision for New Bullding Sites � <br /> IVumber of Building Sites: Existing Units: <br /> New Units: 2 <br /> Total Units: � <br /> Proposed Gross Density Un1ts per � acres <br /> Minimum Lot Size: .�- Square feet dry buildable land <br /> Proposed Use(check}�Residential <br /> ❑Other(speclfy) <br /> RECEIVED <br /> MAR 2�2 2016 <br /> Subdlv;siw,Applicatlor►—Jsnuary 2016 �} � � � � �y p�pRONO <br /> P�3 �T <br />