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t 1 <br /> � - � PC Exhibit A <br /> , - <br /> ��� . <br /> '�'� � � - City of Orono <br /> z - <br /> Subdivision Application <br /> StreetAddress: Application# -.3�� <br /> ,�`Q 2750 Kelley Parkway Date Receive�,c� $' / <br /> Y � Orono, MN 55356 Amount Paict�� 7D0, 07� <br /> � � Staff: /yJ e <br /> Main: 952-249-4600 Fee: <br /> � �+ fax: 952-249-4616 Renewai: <br /> �'�,c, �tii5r Mailing Address: <br /> '�9k.Esxo.g,� P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. <br /> PROPERTY INFORMATION: <br /> Site Address: ���� ti��� -�C,� 02a�o v�-t„�►. SS3SCe <br /> Property Identification Number(PIN): o$-//7 _��a,33- 0029 <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): ❑ Abstract or❑ Torrens, please check one -. <br /> Present use of property: �3:Residential ❑ Other <br /> Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: 3S-IS Gapy��-�.-- ��-�,c�n-S �� <br /> Phone (home): CG�z> z�Z-�c3 Phone(work): 2�31 �Z=-�� <br /> Address: 35is' �5%�-�=r � /.��v� �+-i. �c5 P°i�F�.,,�,.�-�� a-,-„✓�� rs'`L`-�--1 <br /> Email: �'�,-�+c�.�cFc . .�I�� Fax: <br /> :Y'S'/�tT�-I ��� C�I�G�. AJ�r '�GI� I'lal��j <br /> OVIINER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: <br /> Phone(home): Phone (work): <br /> Address: <br /> Email: Fax: <br /> EXISTING LAND USE: <br /> ' Number of Tax Parcels: �P <br /> Development Size: j,Z�{. Acres Dry Land . <br /> � Acres Wet Land <br /> (:Z4 Acres TOTAL, all parcels � <br /> Present Use (check one) ,�" Residential; Number of Units: 6 <br /> ❑ Other: (Specify) <br /> Present Zoning District L�Z- tC: <br /> Proposal: <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangement Only(no new building sites) <br /> � Subdivision for New Building Sites (Z��a,c,� �"� � �� 3 �ECEIYED <br /> Number of Building Sites � Existing Units <br /> /�C�� rQ 3 New Units AUG � 7 2011 <br /> 3 Total Units <br /> Proposed Gross Density 3 Units per �.'t-` Acres <br /> Minimum Lot Size ZI..�BG� Square Feet Dry Buildable Land C���F���ND <br /> Proposed Use (check) ,� Residential <br /> ❑ Other(specify) <br /> Subdivision Application Last Updated: November 2010 <br /> , 10 <br /> g . ., <br /> . ""� �..; �:�i . <br /> .t .,.. <br /> �'� �... <br />