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e 4Y °J,�`����''�"��"'�'�k`b"��� , i <br /> � <br /> ������� j�/,��`�ry���.` PC Exhibit A ; <br /> � 7 f` t "�'SShk�.,��' � <br /> t'�� 'S <br /> , . � z�' <br /> � ��a����. <br /> f�✓.E�Rt <br /> '� �`i � City of Orono � <br /> �� 7t � <br /> �, �; *,. <br /> Y �'{ <br /> f` Subdivision Application <br /> . ��.� <br /> 2s <br /> _,,,, <br /> � � Appiication# //-av�,3/ <br /> Street Address: Date Received: /p� 9'-// <br /> �O� 2750 Kelley Parkway Amount Paid: �,� o'��- � <br /> Orono, MN 55356 <br /> O O stat�: .Irr� <br /> Main: 952-249-4600 Fee: ' � D v <br /> �, fax: 952-249-4616 Renewal:`— <br /> �� Gti�' Mailing Address: <br /> ����� Crys a�Bay, MN 55323-0066 <br /> This appiication form must be completed in fult. <br /> PROPERTY INFORMATION: �� � � ��„�U�n ��,l�sL� (��(Z�1'+�� I�W �A 3��I <br /> Site Address: <br /> Property identification Number(PIN): <br /> (Attach legal description to appfication if not inciu ed on the survey.) <br /> Abstract or❑ Torrens, piease check one <br /> Date Property Acquired (month/year): �dentia� ,`❑ Oth� <br /> Present use of property: 18�Res <br /> Zoning District: <br /> APPLICANT INFORMAT,lON: (Complete legal,nra�and maritai status required for each interested party) . . <br /> Name: ��► L' Phone(work): l a.` ' <br /> Phone (home): r' <br /> Address: �� �'� a` <br /> Email: r� r'� h e.r a��..; �� • C ��— Fax: / I`� <br /> OWNER INFOR TION: (Complet legal names�d marital status required for each interested party) <br /> tvame: L• � � �h S _ <br /> Phone(wark): a• � <br /> Phone(home): M �,� <br /> Address: f�R�'`p Fax: �J <br /> Email: <br /> EXISTiNG LAND USE. �t� V�� , U��" ��' �(5�'� `S�P�e"s�' <br /> Number of Tax Parcels: Acres Dry Land <br /> Development Size: ` Acres Wet Land <br /> Acres TOTAL, ali parceis <br /> Present Use(check one) ¢L Residentiai; Number of Units: <br /> ❑ Other: (Specify) <br /> Present Zoning District <br /> Proposat: <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangement Only (no new building sites) <br /> �,. Subdivision for New Building Sites Existing Units <br /> N mber of Building Sites New Units <br /> a Total Units <br /> Units per �� �� Acres <br /> Proposed Gross Density °2 gQuare Feet Dry Buildable Land <br /> [Ufinimum Lot Size - Residential <br /> Praposed Use(check) � Other(specify) <br /> Subdivisfon Application Last Updated: November 2010 10 <br /> OCT 1�9 2011 <br /> � CI'�Y OF OFi4N0 <br />