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City o lrf <br />StmetAddress: Application # n <br />III 2750 Kelley Parkway --� L A I � _ tw <br />Orono. MN 55356 Received: <br />Staff — J - --- -- - <br />,, Main: 952-2494600 <br />fax: 952-249-4616 Application Fee: <br />Fs'rs��`-` Mailing Address: ! Escrow. ; <br />- - - P.O. Box 66 _ <br />i Crystal Bay, MN 55323-0066 j Notes: <br />PROPERTY INFORIitiATION- <br />Site Address: <br />Property Identification Number (PIN): 3 - 3 a — <br />Date Property Acquired (month/year): a Xf& %Abstract ❑ Torrens (Please check one) <br />Present use of property: Td'Residential: number of Units 1 <br />0 Other (specify) _ <br />Zoning District: _r!�- / A <br />APPLICANT INFORMATION: ❑ check here if Applicant address should be used for billing <br />Applicant: <br />Phone (Primary): <br />Mailing Address: i E- Q Cityl-� ZIPS: day <br />Email Lc: Iev hv'L.S. r. <br />PROPERTY OWNER OWNER INFORMATION: IJ check here if Property Owner is same as applicant <br />❑ 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: <br />Development Size: &L -IT Acres Dry Land <br />Acres Wet Land <br />, 2. Acres TOTAL, all parcels <br />PROPOSED LAND USE: <br />• Division for Tax Purposes <br />0 Subdivision for New Building Sites <br />Number of Building Sites: <br />Existing Units: <br />New Units: } <br />Total Units: <br />Proposed Gross Density Units per acres <br />Minimum Lot Size: _�,�_ �t dry buildable land <br />Proposed Use (check),kResidential f� <br />❑ Other (specify) _. <br />S <br />RECEIVED <br />APR G :-7 Z018 <br />Subdivision Application - January 2017 <br />Page 5 CITY OF ORONO <br />