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PC <br /> Exhibit A <br /> City of Orono #17-3947 <br /> Subdivision Application <br /> Street Address: Application# /7-395(5 <br /> 2750 Kefiey Parkway <br /> � 5 Orono,MN 55356 Date Received 7 <br /> Staff <br /> Main: 952-249-4600 <br /> # �/�r"- <br /> ' r .� fax: 952,249-4616 Application Fee W /3 0t, <br /> kksHowt Mailing Address: Escrow: <br /> P.O.Box 66 Notes <br /> Crystal Bay,MN 55323-0066 <br /> PROPERTY INFORMATION: <br /> Site Address: .2.-7/0 i` �2AliGF LAA- <br /> we--Property Identification Number(PIN): 7--1I 7Z-323 CO51 <br /> Date Property Acquired(month/year): 7 0 Abstract 0 Torrens(Please check one) <br /> Present use of property Et-Residential; number of Units <br /> 0 Other(specify) <br /> Zoning District <br /> APPLICANT INFORMATION: 0 check here if Applicant address should be used for billing <br /> Applicant: _ 1A.j i V065-gl " <br /> Phone(Primary): 6 )2-Z5c 9c/co <br /> Mailing Address: /o z 3tea City: ,vr, ZIP:S.534 t <br /> Email: (106517 L_ G"A/L.. EL y v% <br /> PROPERTY OWNER INFORMATION: ID check here if Property Owner is same as applicant <br /> 0 check here If Property Owner address should be used for billing <br /> Name: � � �' E f <br /> Phone(Primary): 7' <br /> Mailing Address: 314 0 S AN NJ p „1 r 5 L-AJ rkj -4.., 1 q City:A., pL,�,,.,. .t, ZIP:5-5 Yr, <br /> Email: 5 ..,/<L O_$c r ...tzvt% �1`�," <br /> EXISTING LAND USE: <br /> Number of Tax Parcels: Z <br /> Development Size: Acres Dry Land <br /> Acres Wet Land <br /> 55 Acres TOTAL,all parcels <br /> PROPOSED LAND USE: <br /> 0 Division for Tax Purposes <br /> '-Subdivision for New Building Sites rr <br /> Number of Building Sites: Existing Units: 1 <br /> New Units: &CAI POP t'f <br /> Total Units: Z. <br /> Proposed Gross Density Units per acres <br /> Minimum Lot Size: )p,C,(t,e, Square feet dry buildable land <br /> Proposed Use(check)f;w7•Residential <br /> 0 Other(specify) <br /> RECEMID <br /> .;v 18 2017 <br /> Subdivision Application-January 2017 945 CITY OF ORONO <br /> Page 5 <br />