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PC Exhibit A <br /> , � , <br /> City af Orono <br /> Subdivision Appticatiorr <br /> Stroet Address: AppNcation# � i'j-� ?�h�%� _ <br /> � 2750 Kelley Parkway p�e Reaelved: %� <br /> � ND Orono,MN 55356 --�. ��'I� <br /> Stafl: 1,l � <br /> Main: 952 ZA9-4600 <br /> a Applicatton Fee: �.'�j(��r <br /> s� �' fax: 952-249-d616 , <br /> ��kE5110�'E MeNIrr�Ad�►e�ss: Escrow#&S Q� �`�''1"v✓ . <br /> P.O.Box 86 ���; <br /> C stal Ba MN 55328-0066 <br /> AROPERTY INFORMATION: ' <br /> Site Address: 400 So Wi 11 ow Outl ot A Wi 11 ow j�i 11 <br /> Property ldentificatlon Number(PIN); 311723320024 <br /> (Attach IegaJ descriptio»to epplicaeon if not inctuded on fhe survey) <br /> Date Property Acquired(month/year): ❑Abstract Ql Torrene(Please chedc one) <br /> Present use of property: I�R�aidentlal; number of Units -- <br /> �Other(specify)�� <br /> Zoning Dietrict: RR-1B <br /> APPLICANT INFORAAATION:(�ompiete legai names and maritai etatus required for each interested party) <br /> Name(s): �m & Cvnthia Bowman - Married <br /> Phone(home): 95_„2 9?3-2�45 �� Phone(ceil): 952 217-7422 <br /> Address: 450 So. Wi 11 ow Dri ve Orono MN 55356 <br /> Email� bbowman@lsi-casework.com Fax: N/A <br /> OWNER IN�ORMATION:(Complete lega!names and marital status requfred for each Interested party) <br /> Name{s): MichaQl Sowa� <br /> Phone(home): 952-476-744� Phone(cell): , 617 77�-�j7�Z <br /> Address: 725 Ferndale Road (� W�yzata M 5539]� <br /> Emall: Mi ke@sowada,com � Fax: N/A <br /> �XI3TING LAND USE: <br /> Number of 7ax Warcels: <br /> Developmerd Sixe: Acres Dry Land <br /> Acres Wet Land <br /> Acres TOTAL, all parcels <br /> PROPOrS�D LAND USE: <br /> ❑Dlvfsion for Tax Purposes <br /> �Lot Llne Reatrangement Only(no new building sites) <br /> ❑Subdivision for New Building 5ite5 <br /> Number af Buii�ing 8ites: Existing Wnits: <br /> New Units: <br /> Total Units: <br /> F'raposed Gross Deneity Unifis per acres <br /> Minimum L�t Size: Square feet dry�buildable land <br /> Proposed�ise(check)L7 Residential <br /> CI Uther(specify) <br /> Mlnimum MateHal Requtred!o�Cvmplete Preliminary Mlnirnum Materlal Requir4d tor a Complete Ftnal Plat <br /> Piet Appllaatton Applfcadon <br /> 1. Payment of fees 1. Payment of fees <br /> 2. Comple�ed applicaHon form. 2. Signed c�etURcafie of Survey or mylar copies of forma! <br /> 3. Proltminary plat iMormation on CerHficate of Survey. p{at. <br /> 4. CerUfled Property bwners iist 3. TKte opinfon. <br /> S. A list of any other pereons you wish notified of this 4. Easemente,covenaMls,etc. <br /> a piication 5. Developers Agreement <br /> 6. Let6er of Credit <br /> REC���E_� <br /> �It�A� I B�,DI� <br /> /��/^� �p����y �l �� . <br /> �i�f 3 V` QI�iJ�'�8d <br />