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:1 y <br /> City ofi 4rono <br /> Subdivision Appt�cation <br /> SfreetAddress: Application# �a' �✓�(Q 0 <br /> O�Q�O 2750 Kelley Parkway Date Received: p — <br /> Orono, MN 55356 Amount Paid: () <br /> Staff: <br /> Main: 952-249-4600 Fee: ¢� <br /> � �, � �* fax: 952-249-4616 RenewaL• <br /> � Gti`y Mailing Address: <br /> Ze��og,� P.O. Box 66 � <br /> Crystaf Bay, MN 55323-0066 <br /> This application form must be completed in full. <br /> PROPERTY INFORMATION: <br /> Site Address: �v�',o� � W,Ilov�l{1�rc.. ��v� 1�/t� 39•`Il�,- 23-3 Z- r���.� <br /> Property Identification Number(PIN): 3�4•i I N�� �3 -�a-�a5 f i 34-i1Y+•�23-�2- oco;� <br /> (Aitach legal description to application if not included vn the survey.) <br /> Date Property Acquired(month/year): �f Abstract or❑ Torrens, please check one <br /> Present use of property: ❑Residential �$Other <br /> Zoning District: �R-i�3 <br /> APPL.ICANT INFORMATION: (Complete legal names and marital status required for each in#erested party) <br /> Name: COYV1►�rl4ti�13Uv1G� C��rv�w-����.�"t��S . fl"1n�a1�G�- �uvc�.� 1�. PY3;-ccJ�� N�u.v�c,��e3,, <br /> Phone(home): lC�l• Zlo.3'1�1� lc-a1�� P one(work): _�O51.ZGtc�•loz�3 <br /> Address: 32� � �l �j5 02 <br /> Email: o c Le�v�ri � lo .�b- Fax: �j�i,2.�t i .f�a 3 <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: /�g_ ,Fk}}G�GI��(pL. <br /> Phone(home): Phone(work): <br /> Address: <br /> Email: Fax: <br /> EXISTING LAND USE: . <br /> Number of Tax Parcels: ,Z. <br /> Development Size: Acres Dry Land <br /> Acres Wet Land <br /> Acres TOTAL,all parcels <br /> Present Use(check one) ❑ Residenfial; Number of Units: <br /> 1� Other:(Specify) <br /> Present Zoning District R.tR-`l ti3 <br /> Proposal: <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangemenf Only(no new buifding si�es} <br /> L7 Subdivision for New Building Sites <br /> Number of Building Sites Existing Units <br /> New Units <br /> Total Units <br /> Proposed Gross Density 3 E� Units per � Acres <br /> Minimum Lot Size Square Feet Dry Buitdable Land <br /> Proposed Use(check) � Residential <br /> ❑ Other(specify) <br /> Subdivision Application Last Updated: IVovember 30,2009 <br /> � 10 R�CE�V�D <br /> APR 21 2010 <br /> C�TY OF URnntn <br />