Crow Wing County

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Entrance Permit Application
Permit # ____
App. # 2017-0509

UID # 26228
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 03/31/2017

Charge Cost Quantity Total
Non-Taxable
added 05/02/2017 11:40 AM

Residential Entrance Deposits

$500.00 x 1 $500.00
Grand Total
Total (Unpaid) $500.00

Approvals

ApprovalSignature
Applicanttest - 05/25/2017 1:59 PM - witnessed by Cindy Rader
01e2549ee4bab82ab0db45fce9d36dc3
da4b742b6d17972a00c5041e02e11be4
#1 Administrative ReviewCindy Rader - 05/25/2017 2:02 PM
be3692a622acf7a7e7e1cd517b125567
85065ceb41a87a92f7a1e9964b6b8a19
#2 Preliminary Site InspectionJory Danielson - 06/05/2017 6:55 AM
683fe2e3b75ae48662e47880c610246d
b172314799fabd3793a52ce918745f5a
#3 Final Inspection Request 
#4 Final Inspection Completed