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City of Orono <br /> Subdivision Application PC Exhibit A <br /> Street Address: Application# 1I/ ' 3 gg sB <br /> 2750 Kelley Parkway <br /> 0\ Orono,MN 55356 Date Received: l n(0 1 /� I(' <br /> Main: 952-249-4600 Staff N 1 <br /> i <br /> r t, •" o� fax: 952-249-4616 Application Fee: <br /> irtsHovE Mailing Address: <br /> P.O.Box 66 Escrow#&$ <br /> Crystal Bay,MN 55323-0066 Notes: <br /> PROPERTY INFO AT ON:_//// r <br /> Site Address: /� h <br /> Property Identification Number(PIN): <br /> Date Property Acquired(month/year): A ptAbstract 0 Torrens(Please check one) <br /> Present use of property: Residential; number of Units <br /> 0 Other(specify) <br /> Zoning District: 4 d <br /> APPLICANTZ_EiNT INFORM TIOIt (Complete legal names and marital status required for each interested party) <br /> Name(s): /f1.4..M0.41nrS1.4_ <br /> Phone(primary): a • Al d bray* <br /> Address: ic : _ . • [����- .. <br /> Email: (rot VL P a .7 /.w e' a Cs, I'— <br /> PROPERTY OWNER INFORMATION: 0 check here if property owner is same as applicant <br /> (Complete/e a/names and njerital status requited for each interested party) <br /> Name(s): } <br /> Phone(primary): <br /> Address: I 71c : 5---/_ e.ct 1 '1 <br /> Email: `G%wtiP�S c i- -J �8 t *c 1 1 C bL- <br /> EXISTING LAND USE: <br /> Number of Tax Parcels: <br /> Development Size: S Acres Dry Land <br /> Acres Wet Land <br /> Acres TOTAL,all parcels <br /> PROPOSED LAND USE: <br /> 0 Division for Tax Purposes <br /> , Subdivislon for New Building Sites <br /> Number of Building Sites: Existing Units: 1 f <br /> New Units: <br /> Total Units: <br /> Proposed Gross Density I Units per 1 acres <br /> Minimum Lot Size: Square feet dry buildable land <br /> Proposed Use(check,Residential <br /> 0 Other(specify) <br /> RECEIVED <br /> OCT 192016 <br /> # 3883 ,Subdivision Application—January 2016CITY OF ORONO <br /> Page 3 <br />