Crow Wing County

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Entrance Permit Application
Permit # ENT 2017-0023
App. # 2017-0524

UID # 27627

Current Status: Work Completed/Filed

Valid: 05/22/2017 - 05/22/2018
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 05/22/2017

Charge Cost Quantity Total
Non-Taxable
added 05/22/2017 8:51 PM

Residential Entrance Deposits

$500.00 x 1 $500.00
Grand Total
Total $500.00
Payment 05/22/2017$500.00
Due$0.00

Invoice 06/06/2017

Charge Cost Quantity Total
Non-Taxable
added 06/06/2017 10:31 AM

15" apron

$35.95 x 2 $71.90
added 06/06/2017 10:31 AM

15" band

$6.20 x 2 $12.40
added 06/06/2017 10:31 AM

15" x 14' culvert

$80.77 x 2 $161.54
added 06/06/2017 10:31 AM

15" x 16' culvert

$96.66 x 1 $96.66
added 06/06/2017 10:31 AM

Inspection Fee

$25.00 x 1 $25.00
added 06/06/2017 10:31 AM

Residential Entrance Deposits

$-500.00 x 1 $-500.00
Grand Total
Total $-132.50
Payment 07/12/2017$-132.50
Due$0.00

Approvals

ApprovalSignature
Applicantshon jensen - 05/22/2017 8:51 PM
f0d5ccad86541eb6da655f16652f35cb
6d5ff7590abf46914d05f9cf205a4eee
#1 Administrative ReviewCindy Rader - 05/23/2017 10:42 AM
1c8badd1a3ca82597fd50c378b7d146b
76fe6403c2452ac60bd1caed1af1904b
#2 Preliminary Site InspectionJory Danielson - 06/05/2017 6:35 AM
133731ee0de828bb5ac665138cbbb3f1
0f7e3f3a07e38b1d2aff4c62bbeea044
#4 Final Inspection CompletedJory Danielson - 07/05/2017 7:33 AM
ec94c74fa96a641d00668e89f2c65233
88e6bd57af6c7f3988830fb1ec8bc74b
#3 Final Inspection RequestedJory Danielson - 07/05/2017 7:32 AM
b720fa2b161773560bdd49fa1d0659c9
ddcec7c3b92d08fcf4183cf928d6d6a2
Application has been approved. All signatures have been obtained.

Public Notes

Text:
05/23/17  fee paid, to maintenance for review. ckr
06/06/17  refund will be $132.50 after final inspection.  ckr
6-29-17 Inspected and in satisfactory condition. JD
07/05/17  refund request submitted.  ckr
07/12/17 refund ck #11073 mailed.  ckr
File(s):

    Internal Notes