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� PC Exhibit A <br /> City of Orono <br /> Subdivision Application <br /> StreetAddress: Application# � g <br /> O�Q� 2750 Kelley Parkway Date Received• 0 - - p <br /> O Orono, MN 55356 Amount Paid: �' <br /> Staff: !� <br /> Main: 952-249-4600 Fee: � G�� � <br /> � <br /> fax: 952-249-4616 Renewal: <br /> �� Gti`� Mailing Address: <br /> �9�'ESH�4'� P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. <br /> PROPERTY INFORMATIO : <br /> Site Address: 2 '�. 1�1.. �0,� <br /> Property Identification Number(PIN): -- t ^2 -�Z� — a�1 ��O � fl <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): �( Abstract or 0 Torrens, please check one <br /> Present use of property: 'D�Residential ❑ Other <br /> Zoning District: 1!� �,4 <br /> APPLICANT INFORMATION: (Complete le al names a,n,d/marital status required for each interested party) <br /> Name: J11�{� �O� M . ��Y�O`V <br /> Phone(home): Phone (work): <br /> Address: ' '�., T,e,�'(_, ,L��/ �jj <br /> Email: Fax: <br /> OWNER INFOFZMATION: (Co ple e legal a es and m ital status regyired fo eac in erested party) �G� <br /> Name: _.) `-� kN �Ll � b� 1� ��HUL�. <br /> Phone(home): 'L - ') - 'L P one work): � ^ 0 <br /> Address: Q�'L 'O �,L <br /> Email: ' Fax: � � <br /> EXISTING LAND USE: � <br /> Number of Tax Parcels: <br /> Development Size: 'yl� . Acres Dry Land <br /> Acres Wet Land <br /> Acres TOTAL, all parcels . <br /> Present Use(check one) Residential; Number of Units: <br /> ❑ Other: (Specify) <br /> Present Zoning District L.,'� ) /-� <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 3 Existing Units R�CEtVED <br /> O New Units <br /> Tota� units MAR 16 20i0 <br /> Proposed Gross Density 3 Units per 26•6 Acres <br /> Minimum Lot Size 7 2 O �Square Feet Dry Buildable Land C�-�-Y OF ORONO <br /> Proposed Use(check) Residential <br /> 0 Other(specify) <br /> Subdivision Application Last Updated: November 30,2009 <br /> 10 <br />