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Entrance Permit Application
Permit # ENT 2017-0025
App. # 2017-0530
UID # 27934
Current Status: Site ApprovedHighway Department
16589 County Road 142
Brainerd, MN 56401
Phone: (218) 824-1110 Fax (218) 824-1111
Permit # ENT 2017-0025
App. # 2017-0530
UID # 27934
Current Status: Site ApprovedHighway 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 06/02/2017
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 06/02/2017 3:09 PM Residential Entrance Deposits |
$500.00 | x 1 | $500.00 |
| Grand Total | |||
| Total | $500.00 | ||
| Payment 06/02/2017 | $500.00 | ||
| Due | $0.00 | ||
Action: Print
Invoice 06/06/2017
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 06/06/2017 9:59 AM 6" x 20' culvert |
$64.19 | x 1 | $64.19 |
| added 06/06/2017 10:00 AM Inspection Fee |
$25.00 | x 1 | $25.00 |
| added 06/06/2017 10:00 AM Residential Entrance Deposits |
$-500.00 | x 1 | $-500.00 |
| Grand Total | |||
| Total | $-410.81 | ||
| Due | $-410.81 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Michael Snow - 06/02/2017 3:09 PM 55fb30b35e5e7117a6d900a4d0c7e9e3 a8a283fb704de709f2ba15d87bd8350f | |
| #1 Administrative Review | Jenny Fields - 06/02/2017 3:37 PM f573af06dd9c6d4ae508afc6a6aa1a19 bc8666f35c548e0ec8b4c811e55cdf1a | |
| #2 Preliminary Site Inspection | Jory Danielson - 06/06/2017 6:58 AM 4a23a45ceeab5a3d36c7625f908e9235 6da093f15608fe0c5dfd27eb666ca744 | |
| #3 Final Inspection Completed |
Application will be approved after the above signatures are obtained.
| Text: | 6-5-17 Inspected. Will require a 6" x 20' culvert. No bands or aprons. JD 06/06/17 refund will be $410.81. ckr 07/25/17 ready for culverts to be delivered. ckr 7-26-17 Delivered 6"x20' culvert after request on 7-25-17. JD |
| File(s): |