Crow Wing County

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Entrance Permit Application
Permit # ENT 2017-0042
App. # 2017-0592

UID # 30701

Current Status: Work Completed/Filed

Valid: 09/19/2017 - 09/19/2018
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 09/19/2017

Charge Cost Quantity Total
Non-Taxable
added 09/19/2017 8:44 AM

Residential Entrance Deposits

$500.00 x 1 $500.00
Grand Total
Total $500.00
Payment 09/19/2017$500.00
Due$0.00

Invoice 09/20/2017

Charge Cost Quantity Total
Non-Taxable
added 09/20/2017 7:49 AM

12" apron

$28.83 x 2 $57.66
added 09/20/2017 7:49 AM

12" band

$5.08 x 2 $10.16
added 09/20/2017 7:49 AM

12" x 12' culvert

$61.98 x 3 $185.94
added 09/20/2017 7:49 AM

Inspection Fee

$25.00 x 1 $25.00
added 09/20/2017 7:49 AM

Residential Entrance Deposits

$-500.00 x 1 $-500.00
Grand Total
Total $-221.24
Payment 06/28/2018$-221.24
Due$0.00

Approvals

ApprovalSignature
ApplicantCasey - 09/19/2017 8:45 AM - witnessed by Cindy Rader
67620df6f559de128e004a93fc0c21e8
7a74446bc88f0ed9a2f2f9d9e7c0e394
#1 Administrative ReviewCindy Rader - 09/19/2017 8:46 AM
feee9b62dcfa06cd246a62617e7b0c2a
ec8cad1b22b8dd92ee4b99db5ae13391
#2 Preliminary Site InspectionJory Danielson - 09/19/2017 2:33 PM
46fe90d89e92979a3d171d2463c07831
d7e8ff2de73c58e5223cf2210a282364
#3 Final Inspection CompletedJory Danielson - 06/21/2018 1:05 PM
7486f6dd5113f16476936f3870982209
60bfac963ad5930d7520c670505996e7
Application has been approved. All signatures have been obtained.

Public Notes

Text:
9-14-17 met Lee at his site.  The site will require a 12"x36' (3-12') 2 bands and 2 aprons. JD
09/20/17  costs determined, refund will be $221.24 after final inspection.  ckr
10-2-17 called and will be ready for culvert 10-4-17. JD
6-19-18 inspected and ok to release remaining deposit. JD.
06/28/18 request for $221.24 refund to be issued by Finance.  ckr
07/09/18  applicant provided new address for check to be mailed to: 2338 Highgate St. #5, Medford, OR  97501.  Finance informed, check to mailed 7/10/18.  ckr
File(s):

    Internal Notes