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, . <br /> " "�' PC Exhibit A <br /> City of Orono <br /> . Subdivis��-� A,pplica�ti�on . � <br /> Street Addr�ss: Appiication# �,/�-,35 <br /> ��Q� 2750 Kelley Parkway Date Received: /v/g-L� <br /> O Orono, MN 55356 Amount Paid: � c�: y��-, p� <br /> Staff: /f�� <br /> Main: 952-249-4600 Fee: <br /> '� �+ fax: 952-249-4616 <br /> ��t ~ �p�`� Mailing Addr�ss: Renewal: <br /> �ESH��' P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> This apptication form must be completed in full. <br /> PROPERTY INFORMATION: ' <br /> Site Address: �jpo ..s; Gv/�tau� Q�/�/E <br /> Property Identification Number(PlN): ��-�i 7-za -23 - o o/5' <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: �'Residential ❑ Other <br /> �oning District: ,Q,Q_,1B <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: �9�2r,yuR ,T, NEG3'dN Ti1TE ,/.fK?. NFLJd�V Q�liv�EL A. NEtfc�r� Ci,voY � NE�S6�� � <br /> Phone (home).�ratk6/2-599-OS�D f 90�- ,�s-�s�2 Phone (work): c:.�or 76.�-.�SS- 73i< <br /> Address: S���EL �11Ft1'e ,, 3S/6 22�7'iYiO!/ENFf EA1'T BETiSIE'L �,v .S.faOS <br /> Email:�A,,,P/.nP/ron �Fr_ie��or� � Fax: <br /> �iark, �P/rv»C focl�e, cOn�, C'/O�fAP�@}�4hap, CDr�, <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: s-,p�� <br /> Phone (home). Phone (work): <br /> Address: <br /> Email: Fax: <br /> EXISTING LAND U�E: <br /> Number of Tax Parcefs: / <br /> Development Size: �, �2 �' Acres Dry Land . • <br /> 3.2 � Acres Wet Land <br /> //, 92 Acres TOTAL, all parcels <br /> Present Use (check one) � Residential; Number of Units: / <br /> ❑ O�her: (Specify) <br /> Present Zoning District ,Q2 _,�,� <br /> Proposal: <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangement Only (no new building sites) <br /> � Subdivision for New Building Sites <br /> Number of Building Sites !� Existing Units �������D <br /> 2 New Units <br /> Pro osed Gross Densi 3 Total Units OCT 19 2011 <br /> p tY _ 3 Units per //. 92 Acres , <br /> Minimum Lot Size 87,�2e Square Feet Dry Buildable Land �0��F� <br /> Proposed Use�(check) �' Residential ��Q <br /> ❑ Other(specify) <br /> 10 .� <br /> ; . <br /> r <br />