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Entrance Permit Application
Permit # ENT 2015-0029
App. # 2015-0236
UID # 13526
Current Status: Work Completed/Filed
Valid: 09/08/2015 - 09/07/2016Highway Department
16589 County Road 142
Brainerd, MN 56401
Phone: (218) 824-1110 Fax (218) 824-1111
Permit # ENT 2015-0029
App. # 2015-0236
UID # 13526
Current Status: Work Completed/Filed
Valid: 09/08/2015 - 09/07/2016Highway Department
16589 County Road 142
Brainerd, MN 56401
Phone: (218) 824-1110 Fax (218) 824-1111
Terms
Entrance Terms and Conditions
I have reviewed the Cross-Section diagram in section 3.
I have read the Entrance Access Policy in section 4.
Invoice 09/08/2015
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 09/08/2015 10:05 PM Residential Entrance Deposits |
$500.00 | x 1 | $500.00 |
| Grand Total | |||
| Total | $500.00 | ||
| Payment 09/08/2015 | $500.00 | ||
| Due | $0.00 | ||
Invoice 09/09/2015
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 09/09/2015 12:48 PM Inspection Fee |
$154.66 | x 1 | $154.66 |
| added 09/09/2015 12:48 PM Residential Entrance Deposits |
$-500.00 | x 1 | $-500.00 |
| Grand Total | |||
| Total | $-345.34 | ||
| Payment 05/17/2016 | $-345.34 | ||
| Due | $0.00 | ||
Approvals
| Approval | Signature |
|---|---|
| Applicant | Aaron lieser - 09/08/2015 10:06 PM 89bcece8c163d276dd7b5764ce5aaefd 70f485f2040a2b8cb18a0bb6bcef4b39 |
| #1 Administrative Review | Cindy Rader - 09/09/2015 8:09 AM 9f0a9114ce7890f0c3154b56ace8b9d4 62db7c3418c64f75f8f1457a4c8f609c |
| #2 Preliminary Site Inspection | Jory Danielson - 09/09/2015 11:39 AM 1c67ab082a545ab0a5038b36f8a4ef64 4a7b7efad9e91a580c01ee509aeece51 |
| #4 Final Inspection Report | Jory Danielson - 05/04/2016 12:30 PM 5197fa9de7e765485372b656a7e9d034 9ae02d1acbbbdc4ef0c619239319b932 |
| #3 Final Inspection | Jory Danielson - 10/14/2015 3:09 PM dcdf8aea8b91fa5666c914c2f4c628ce 5057dedacd44b8b134ab8cff095ca74d |
Application has been approved. All signatures have been obtained.
Public Notes
| Text: | 09/09/15 fees paid, to maintenance for review. ckr 09/09/15 culvert is a special order. Refund due $345.34. Journal entry requested. ckr 09/11/15 called asked for culvert to be delivered on 9/15. email to Jory. ckr 05/04/16 request for refund submitted. ckr 05/19/16 refund ck #5872 mailed to applicant. ckr |
| File(s): |