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, �. . . �� ��� ,� <br /> . City of Orono <br /> Subdivision Application <br /> - Street Address: Application# t��' <br /> ��� 2750 Kelley Parkway Date Received: � - - Z <br /> Orono, MN 55356 , Amount Paid: ?�,p� <br /> � 0 Staff: �C��CI�I <br /> . Main: 952-249-4600 Fee: <br /> � � fax: 952-249-4616 Renewal: <br /> �� ti`�' Mailing Address: <br /> G <br />� �`�'EsHOg'� P.O. Box 66 <br /> Crystal Bay, MN 55323-0066 <br /> This appiication form must be completed in full. <br /> PROPERTY INFORMATION: ��� �,^� �n�+ f D <br /> Site Address: �V ClY IUVL- <br /> Property Identification Number(PIN): <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): ❑ Abst�act or❑ Torrens, please check one <br /> Present use of property: ❑ Residential ❑ Other <br /> . Zoning District: <br /> APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: Jv/-h'V [.-�/iV <br /> Phone(home): ���'— z�2. — // 3D Phone(work): � <br /> Address: �7'�9 ��NF-��P,��kV� �7'� Fa�1?"/`�Xt�s F�- �3�J o 8 <br /> Email: T Fax: <br /> OWNER 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: / <br /> Development Size: �v Acres Dry Land <br /> Acres Wet Land <br /> /,S Acres TOTAL, all parcels <br /> Present Use (check one) !�' Residential; Number of Units: <br /> ❑ Other: (Specify) <br /> Present Zoning District <br /> Proposal: . <br /> ❑ Division for Tax Purposes <br /> ❑ Lot Line Rearrangement Only (no ne buildin� sites <br /> ,0� Subdivision for New Building Sites �SKe�� ��) ��C��V�� <br /> Number of Building Sites Existmg Units <br /> New Units <br /> Tota� units JUN 0 5 2012 � <br /> Proposed Gross Density Units per Acres � <br /> Minimum Lot Size Square Feet Dry Buildable Land CITI(OF ORONO <br /> Proposed Use (check) ❑ Residential <br /> � Other(specify) <br /> Subdivision Application Last Updated: November 2010 <br /> " 10 � <br /> ! <br />