Crow Wing County

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Entrance Permit Application
Permit # ENT 2015-0041
App. # 2015-0278

UID # 15233
Highway 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 10/29/2015

Charge Cost Quantity Total
Non-Taxable
added 10/29/2015 1:22 PM

Residential Entrance Deposits

$500.00 x 1 $500.00
Grand Total
Total (Paid) $500.00
Action: Print  

Invoice 02/03/2016

Charge Cost Quantity Total
Non-Taxable
added 02/03/2016 12:11 PM

15" apron

$35.79 x 2 $71.58
added 02/03/2016 12:11 PM

15" band

$6.17 x 2 $12.34
added 02/03/2016 12:11 PM

15" x 12' culvert

$72.19 x 2 $144.38
added 02/03/2016 12:11 PM

15" x 14' culvert

$80.59 x 1 $80.59
added 02/11/2016 1:13 PM

Inspection Fee

$25.00 x 1 $25.00
added 02/11/2016 1:13 PM

Residential Entrance Deposits

$-500.00 x 1 $-500.00
Grand Total
Total (Unpaid) $-166.11
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantSeverson - 10/29/2015 2:27 PM - witnessed by Cindy Rader
5a79d5fc17900ef19894f700137ed678
18dd6af110b9a214ffedae137dc87dab
 
#1 Administrative ReviewCindy Rader - 10/29/2015 2:30 PM
75028a7489a60ed2c9d8b97cf3a2617a
2cb398b9eb37c675e0056aa2bd419626
 
#2 Preliminary Site InspectionJory Danielson - 11/03/2015 8:56 AM
a0a2a2475aae7313aa569de249d3cdef
38f0224f7f27709467989c3f84e26c65
 
#3 Final Inspection Request 
You do not have the necessary rights for this signature
#4 Final Inspection Completed 
Need previous signatures
Application will be approved after the above signatures are obtained.

Notes

10/29/15 check #9541 received in office, to maintenance for review. ckr
02/03/16 review shows check not yet deposited, costs figured. Refund will be $166.31. ckr