Crow Wing County

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Entrance Permit Application
Permit # ENT 2017-0036
App. # 2017-0570

UID # 29923
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 08/18/2017

Charge Cost Quantity Total
Non-Taxable
added 08/18/2017 2:43 PM

Residential Entrance Deposits

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

Invoice 08/21/2017

Charge Cost Quantity Total
Non-Taxable
added 08/21/2017 10:56 AM

12" apron

$28.83 x 2 $57.66
added 08/21/2017 10:56 AM

12" band

$5.08 x 2 $10.16
added 08/21/2017 10:56 AM

12" x 12' culvert

$61.98 x 1 $61.98
added 08/21/2017 10:56 AM

12" x 14' culvert

$67.24 x 2 $134.48
added 08/21/2017 10:56 AM

Inspection Fee

$25.00 x 1 $25.00
added 08/21/2017 10:56 AM

Residential Entrance Deposits

$-500.00 x 1 $-500.00
Grand Total
Total (Paid) $-210.72

Approvals

ApprovalSignature
ApplicantDavis - 08/21/2017 9:40 AM - witnessed by Cindy Rader
b1bb5f01594cd9a4823cf0242df3b27f
8212e726636bcb479863cb5e1cdb2500
#1 Administrative ReviewCindy Rader - 08/21/2017 9:40 AM
cced95b43aad960aef5a6966a52ccc0b
3c700e7740911f96143db9b0006ad9cf
#2 Preliminary Site InspectionJory Danielson - 08/21/2017 10:40 AM
c5b652f17697606a60116503d4353d0a
6be4216870fc68f2bc9eab5514f564bd
#3 Final Inspection RequestJory Danielson - 10/13/2017 3:08 PM
cf612bd036c899d9e5431bd61b651e1a
b81ff15be0e4a8ecd541f1c18310d16e
#4 Final Inspection CompletedJory Danielson - 10/13/2017 3:08 PM
9ead5e13f4d89b43e3384e3be83cbce7
6729aee3e96a23627878b48775fab022
Application has been approved. All signatures have been obtained.

Notes

08/18/17 application and fee received in office, please call and set up time to meet on property to discuss location of entrance. ckr
8-21-17 inspected and met John onsite. Will require a 12" x 40' (2 - 14' & 1 - 12') w/ 2 bands & 2 aprons. Site is across from 27399 CR 3. JD
08/21/17 refund will be $210.72 after final inspection. ckr
8-22-17 pipe delivered. JD
10-12-17 inspected. OK to release. JD
10/13/17 refund request submitted. ckr
10/26/17 refund ck #12245 mailed. ckr