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� '�''` CITYr OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 5 — 0 1 3 6 3 * <br /> DATE ISSUED: 10/22/2015 <br /> OR01'�10,MN 55356- <br /> 952 249-460p FAX: 952 249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD � <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG.LAND SURVEY NO; 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : COMMERCIAL-BUSINE S <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICA�iT <br /> NOTE: THIS$10,000 ESCROW IS TIED TO ZONING APPLICAI�'ON 15-3793 <br /> APPLICANT ESCROW FEE-APPLICANT 10,000.00 <br /> ESCROW FEE-DEVELOPER 0.00 <br /> Freshwater Foundation TOTAL 10,000.00 <br /> CARGILL INC Payment(s) <br /> PO BOX 5626 CHECK 65283 10,000.00 <br /> MINNEAPOLIS MN 55440- <br /> , <br /> OWNER <br /> Freshwater Foundation <br /> CARGILL INC <br /> PO BOX 5626 <br /> MINNEAPOLIS,MN 55440- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces ; <br /> not grant permission for additional or related work which requires separate '' <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />