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Entrance Permit Application
Permit # ENT 2016-0012
App. # 2016-0325
UID # 18169
Current Status: Work Completed/Filed
Valid: 04/27/2016 - 04/27/2017Highway Department
16589 County Road 142
Brainerd, MN 56401
Phone: (218) 824-1110 Fax (218) 824-1111
Permit # ENT 2016-0012
App. # 2016-0325
UID # 18169
Current Status: Work Completed/Filed
Valid: 04/27/2016 - 04/27/2017Highway 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 04/27/2016
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 04/27/2016 11:35 AM Residential Entrance Deposits |
$500.00 | x 1 | $500.00 |
| Grand Total | |||
| Total | $500.00 | ||
| Payment 04/27/2016 | $500.00 | ||
| Due | $0.00 | ||
Invoice 04/28/2016
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 04/28/2016 3:55 PM 12" apron |
$28.83 | x 2 | $57.66 |
| added 04/28/2016 3:55 PM 12" band |
$5.08 | x 2 | $10.16 |
| added 04/28/2016 3:55 PM 12" x 12' culvert |
$61.98 | x 3 | $185.94 |
| added 04/28/2016 3:55 PM Inspection Fee |
$25.00 | x 1 | $25.00 |
| added 04/28/2016 3:55 PM Residential Entrance Deposits |
$-500.00 | x 1 | $-500.00 |
| Grand Total | |||
| Total | $-221.24 | ||
| Payment 11/18/2016 | $-221.24 | ||
| Due | $0.00 | ||
Approvals
| Approval | Signature |
|---|---|
| Applicant | Wanda Gorgoschlitz - 04/27/2016 11:40 AM 287a861a7ad73dab337b380a73cd4319 bdbb4fb84a4ff1735733e66b02955f9d |
| #1 Administrative Review | Cindy Rader - 04/27/2016 11:53 AM aed337fa25d7ea3eab0512a8e3615e98 c035eec2af40c391f587161c351935ec |
| #2 Preliminary Site Inspection | Jory Danielson - 04/28/2016 2:25 PM 085d76225de80fc579118f67c26aeab5 b6672ceffb1a63c7ba965530d61c3329 |
| #4 Final Inspection Report | Jory Danielson - 11/10/2016 8:39 AM cd7a5f465e8d692ef4389bdd3802eda2 b9887fd48588347f59b434ec15191bbf |
| #3 Final Inspection | Jory Danielson - 11/10/2016 8:38 AM 14ac5d0640c036fed8e8aa35fbac475a 6eeaf967cc66d605844f493d2d09fc96 |
Application has been approved. All signatures have been obtained.
Public Notes
| Text: | 04/27/16 Applicant called to clarify that entrance location is marked, only looking for single access. Fee paid, to maintenance for review. ckr 4-28-16 - Inspected. The approach will require a 12" x 36' (3 - 12') 2 bands and 2 aprons. JD 05.04.16 journal entry request to finance. ckr 5-5-16 Culvert delivered. JD 11-8-16 OK to release. JD 11/10/16 request for refund submitted. ckr |
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