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.• .. •••• :.-. 20560 DOVETAIL RENOVATION,INC. �jQ�n� BLOOMINGTON OFFICE 3503 HEN1V£PIN AVENUE S. M1NIHEAPOUS, M� s�aos ��-��0 08/22/2016 , PH.612-377-3079 � City o,jOrono *******$2,500.0t1 PORDER O� � � City pf Orono DOU.ARS ��Fr �� G ' 9F M��p Memo: Ctty of qrono Escrow Deposit :� �,• ,e �� � 8 DOVE 0 5 6 0 Record#: Check#: Date: Description• Amount: City of Orono Vendor# 2750 Kelley Parkway g52-249-4600 Payee: Orono MN 55356 Receipt No: 3.016255 Aug 23, 2016 Address Dovetail Renovations Inc. Planning and Zoning 2,500.00 2016-01017 1122 Loma Linda Ave 101-22205 ._a____ ,_ �_� __ _ _ _y _ Deferred Rev-Developer Deposit -- - — -- -- --------------- 's+--'--- � . • Certifies that the information supplied is true and cc Total: 2.500.00 solely responsible for submitting a complete applic� -°'------- �ognizes that they arE reject it until it is complete; Check s no altemative but tc • Acknowledges the Escrow Agreement is compieted Check No: 20560 2,500.00 Payor: • Understands some or all of the information that yo� Dovetail Renovations Inc. private or confidential. Private data is information wl Total Appl ied: ' 2,500.00 y State law as eithe the data. Confidential data is information which ge --"'--'--�--- iiven to the subject o purpose and intended use of this information is to •�� e�t of the data. Ou Change Tendered: remmental agencie: required by law, If you refuse to supply the informati =_____-°°"—"- 08/23/2016 10:06AM • Agrees that in the event that weather or other c� Certificate of Occupancy is requested,'a tempor �ey at the time th� escrow to ensure completion of the as-built survE eceipt of a$10,OOi ApplicanYs Signature: �— Owner's Signature: Date: ��'Z'Z,�.�� "7—�— �__,._.,__.,,_�_._�. ,-- -- ,.,,.,.