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PC <br /> Exhibit A <br /> City of Orono #17-3964 <br /> Subdivision Application <br /> Street Address: Application# p7..49 C, <br /> ./ <br /> 2750 Kelley Parkway <br /> Orono,MN 55356 Date Received: F.—11 <br /> Main: 952-249-4600 Staff: <br /> fax: 952-249-4616 Application Fee: fa6-0 a ,4 79,4 <br /> 4krzeoa-G Mailing Address: Escrow: <br /> P.O.Box 66 <br /> Crystal Bay, MN 55323-0066 Notes: <br /> PROPERTY INFORMATION: <br /> Site Address: `� ka3 S `l o c-:,=s A IN (1- OLD .J~3q k <br /> Property Identification Number(PIN): I '1 - I - 2 3 - 3 4 - Q C)1, '-1 <br /> Date Property Acquired (month/year): ) Z r cin p .Abstract 0 Torrens(Please check one) <br /> Present use of property: 01 Residential; number of Units 1 <br /> 0 Other(specify) <br /> Zoning District: <br /> APPLICANT INFORMATION: Wcheck here if Applicant address should be used for billing <br /> Applicant: M e.,4- E_ S 411 o X►.L�M 2C+ <br /> Phone(Primary): q S't- 4 63 . 5 .160 <br /> Mailing Address: 3 6 3 S' Timet �va�cL City:tocky Z a-,k61,_ ZIP: SSICU <br /> Email: 5Q-P1 t1•1 Z2 V b C.np* <br /> PROPERTY OWNER INFORMATION: pi check here If Property Owner is same as applicant <br /> 0 check here If Property Owner address should be used for billing <br /> Name: <br /> Phone(Primary): <br /> Mailing Address: City: ZIP: <br /> Email: <br /> EXISTING LAND USE: <br /> Number of Tax Parcels: I <br /> Development Size: I. bZ Acres Dry Land <br /> 14 Acres Wet Land <br /> 2.-•3 Co Acres TOTAL,all parcels <br /> PROPOSED LAND USE: <br /> 0 Division for Tax Purposes <br /> 11.Subdivlsion for New Building Sites <br /> Number of Building Sites: Existing Units: <br /> New Units: <br /> Total Units: <br /> Proposed Gross Density 3 Units per acres <br /> Minimum Lot Size: 2.A i"1 90- Square feet dry buildable land <br /> Proposed Use(check) Residential <br /> ❑Other(specify) <br /> RECEIVED <br /> AUG 1 7 2011 <br /> Subdivision Application—January 2017 <br /> 3964 <br /> CITE'OF ORONO <br /> Page 5 <br />