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Entrance Permit Application
Permit # ENT 2016-0038
App. # 2016-0450
UID # 23056
Current Status: Work Completed/Filed
Valid: 10/29/2016 - 10/29/2017Highway Department
16589 County Road 142
Brainerd, MN 56401
Phone: (218) 824-1110 Fax (218) 824-1111
Permit # ENT 2016-0038
App. # 2016-0450
UID # 23056
Current Status: Work Completed/Filed
Valid: 10/29/2016 - 10/29/2017Highway 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 10/29/2016
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 10/29/2016 9:02 AM Residential Entrance Deposits |
$500.00 | x 1 | $500.00 |
| Grand Total | |||
| Total | $500.00 | ||
| Payment 10/29/2016 | $500.00 | ||
| Due | $0.00 | ||
Invoice 11/07/2016
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 11/07/2016 9:11 AM 6" x 10' culvert |
$33.98 | x 0.5 | $16.99 |
| added 11/07/2016 9:11 AM 6" x 20' culvert |
$64.19 | x 1 | $64.19 |
| added 11/07/2016 9:11 AM Inspection Fee |
$25.00 | x 1 | $25.00 |
| added 11/07/2016 9:11 AM Residential Entrance Deposits |
$-500.00 | x 1 | $-500.00 |
| Grand Total | |||
| Total | $-393.82 | ||
| Payment 11/18/2016 | $-393.82 | ||
| Due | $0.00 | ||
Approvals
| Approval | Signature |
|---|---|
| Applicant | Kevin J. Banick - 10/29/2016 9:02 AM 1f374941212ff98e71e6d85cb3e67a33 23e3aa604ceb6d1774009e458d55ee19 |
| #1 Administrative Review | Cindy Rader - 10/31/2016 12:08 PM d1fd3d5f8fb7b15a3852de5427f89f8c 9fd622f921fb4d3c452f27a6606537ee |
| #2 Preliminary Site Inspection | Jory Danielson - 11/04/2016 2:12 PM 5b12477cf83fac625f549e439e053a03 1057b0ba465277fa008fed1897ee88bb |
| #4 Final Inspection Report | Jory Danielson - 11/10/2016 8:46 AM 93a2ef714e580987babc737893ceb6ef 65e64f301883fdd064453ceee608f951 |
| #3 Final Inspection | Jory Danielson - 11/10/2016 8:45 AM 1a632e5e304cc07e4da8332f8b8f7029 db071ccdc9e0420854ad48bd3ce32d92 |
Application has been approved. All signatures have been obtained.
Public Notes
| Text: | 10/31/16 fee paid, to maintenance for review. ckr 11-4-16 inspected will need a 6" x 24' culvert to be delivered 11-7-16. JD 11/07/16 Culvert will be 25', as will cut a 10' section in half. Request for journal entry for costs. ckr 11-8-16 OK to release. JD 11/10/16 request for refund submitted. ckr |
| File(s): |