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Escrow Account Set Up Fgrm <br />Date: 10/3/2016 <br />S·t Add 1265-1275-1285 Grey Fox Road; Arden Hills, MN 55112 1 e ress: _ ·------- <br />D •1 d b Douglas R. Schroeder epos1 ma e y: ________________________ _ <br />Amount: $ $2 ,ooo ------- <br />Address to send statements: �003 �nelllng ��n�e North; St. P_a.�MN 55113-1598 <br />C t t P Douglas R. Schroeder on ac erson: _______ �------------- <br />T I I N 651-631-5160 e ep 10ne o.: --------Email Address: _d_rs_c��-oe_d.er_@_u_n_w_s_p_.e_d_u_ <br />Pu OS<} of Escrow Account: Application for conditional use permit and zoning coderp -· -·------------------------ <br />amendment. <br />Arden Hills Finance Department policy requires that escrow deposits be held for six months once a pennit has been closed in order to ensure all costs associated with the project have been covered. Please note: Land Use Applications may be required to maintain a minimum balance as established by the City, and will require replenishment when balances fall below the minimum b a e. I acknowledge that I have read this policy and fully understand that any remaining o v balanc will b rel ed after a six-month waiting period. <br />Date I <br />O{fice Use On!Y <br />Staff Name: ----------·--Department: ________ _ <br />Type of Escrow: D Landscaping D Grading & Erosion (PW# ____ � D Site Improvements (PW# ____ � D Security Deposit-Do Not Charge <br />D Land Use Application (PC# ____ _, D D Temporary Certificate of Occupancy <br />Other:-------·------------ <br />Additional Notes:------------------------ <br />City of Arden Hills + 1245 West Highway 96 + Arden HIiis, MN + 55112-5743 <br />Phone 651-792-7800 + Fax 651.634.5137 + www.cityofardenhills.org <br />Exhibit A