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r "�''��";�v'��`T�'� <br /> 4 4`� <br /> � `:�-��'{rY�` a%,4� PC ExhibitA j <br /> -£ � �:` '� - <br /> � ��� <br /> ..w4 f,` M <br /> ���. <br /> t� '4n 34 �'�` . <br /> �y �EY <br /> ;x� �`£�� City of 4rono <br /> �:�;� . <br /> �� Subdivision Appl�cation <br /> :�� <br /> � <br /> " ; Application# //-av�.3/ <br /> ' Street Address: Date Received: / 9'-/� <br /> O� 2750 Keliey Parkway � - Amount Paid: ,� ��- � <br /> � Orono, MN 55356 S��: �� <br /> � • 0 Fee: ' �4 v <br /> Main: 952-249-4600 Renewai: <br /> � , �, fax: 952-249-4616 _ <br /> ti Mailing Address: <br /> �' .�,�'~ P.O. Box 66 <br /> ��'sx°�`' Crystal Bay, MN 55323-0066 - � " <br /> This appiication form must be completed in fuli. <br /> PROPERTY INFORMATfON: �� � � ��„�Uin ��,� ��J m W �A 3�y <br /> Site Address: <br /> Property Identification Number(PIN): <br /> (Attach legal description to apptication if not i�fu �� on the survey.) <br /> Abstract or❑ Torrens, please check one <br /> Date Property Acquired (monthlyear): tial O Oth� <br /> Present use of property: 18.Residen <br /> Zoning District: <br /> APPLICANT iNFORMAT.ION: (Complete legal names and maritai status required for each interested party) <br /> r�.�G( <br /> . Name: �r� L' Phone(work): I a" � <br /> Phone(home): � _ <br /> Address: �� �'� a` — <br /> Email: : ��.. .^.� :�Z��c�;A V a h at� . C�— Fax: / I'9� <br /> OWNER{NFOR TION: (Complet legal nn��d marital status required for each interested party) <br /> Name: L' s . � Phone(work): I • � 3� — <br /> Phone(home): M �,� . <br /> Address: a�� Fax: � <br /> Emaik <br /> EXISTING LAND USE. �t� vC�� . `r�' � �" �V�� `��p���s�1 <br /> Number of Tax Parcels: Acres Dry Land <br /> Development Size: ` Acres Wet Land . <br /> , <br /> Acres TOTAL, all parcels <br /> Residentiai; Number of Units: <br /> Present Use(check one) � Other: (Specify} <br /> Present Zoning District <br /> ProposaL <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangement Only (no new building sites) <br /> � Subdivision for New Building Sites Existing Units <br /> Number of Building Sites New Units <br /> Total Units I <br /> a Units per �� •l Acres � <br /> Proposed Gross Density gquare Feet Dry Buiidable Land <br /> Minimum Lot Size Residential <br /> P�oposed Use(check) � pther(specify) ' <br /> Subdivision Application Last Updated: November 2010 10 <br /> OCT 19 2091 <br /> � � CITI(�JF t�ftONO <br />