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�ity of Orono <br /> PC Exhibit A <br /> Subdivision Application <br /> Street Address: Application# S= �3 ��/u l V N <br /> R�� 2750 Kelley Parkway — <br /> Q Orono, MN 55356 Date Received: ,t � <br /> Staff: <br /> Main: 952-249-4600 Z � <br /> y� � fax: 952-249-4616 Application Fee: <br /> �'+.rE�SH00.�'y Mailing Address: Escrow#&$ � <br /> P.O. BOX BF> <br /> C stal Ba , MN 55323-0066 Notes: <br /> PROPERTY INF RMATION: <br /> Site Address: L� ��7(�Q� �l�'�12-� � ��j-� �`��� ��c.� (�� <br /> Property Identification Number(PIN): �j�Z-1 1 �`L� � DO �� `� 3��1 ( �j Z�j� 2�(��6 <br /> Date Property Acquired (month/year): � ❑Abstract ❑Torrens (Please check one) <br /> Present use of property: �esidential; number of Units <br /> ❑ Other(specify) <br /> Zoning District: <br /> APPLICANT/AGENT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name(s): �-((2c��"�PHF't�— l�L��-..S <br /> Phone (prim ry): 61"Z- � 2�t 6 � i-f'� � ( <br /> Address: ��L S G-' i'�'`��1`T" /����c� G� �Y'�?1J� �5�� 4/ <br /> Email: J�--f�5�3 ff� _ S 4ar�/<k�- � C�vv� <br /> PROPERTY OWNER INFORMATION: ❑ check here if property owner is same as applicant <br /> (Complete legal names and marital stafus required for each interested party) <br /> Name(s): �7V � C f-(��► s go t�(,ts G�� f � � �ot.�-ES <br /> Phone(pnmary): �2 �f7� �"2`3�P 37.�5 G� f=-v�_4� <br /> Address: S �� D�tiv r rNN SS'�g/ <br /> � <br /> Email:_ . __,(�i.K,va./�Sfy�.c�v/-' ��.}�.-�kl.�._.c�.r• G��C6�P+`l�g ` ��'�,cc,��, <br /> o GL. �. <br /> EXISTING LAND USE: � <br /> Number of Tax Parcels: �/ <br /> Development Size: 2'7-�� Acres Dry Land <br /> �"S Acres Wet Land <br /> ��-�� Acres TOTAL, all parcels <br /> PROPOSED LAND USE: <br /> ❑ Division for Tax Purposes <br /> �ubdivision for New Building Sites � <br /> Number of Building Sites: Existing Units: <br /> New Units: <br /> Total Units: � <br /> --� <br /> Proposed Gross Density ' � Units per acres �''� . S� � ����� <br /> Minimum Lot Size: Ci Square feet dry buildabfe land <br /> Proposed Use(check�esidentia <br /> ❑ Other(specify) <br /> Subdivision Application-January 2016 <br /> P9fIP l <br />