Crow Wing County

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Entrance Permit Application
Permit # ENT 2017-0044
App. # 2017-0594

UID # 30707
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 9:42 AM

Residential Entrance Deposits

$500.00 x 1 $500.00
Grand Total
Total (Paid) $500.00
Action: Print  

Invoice 09/20/2017

Charge Cost Quantity Total
Non-Taxable
added 09/20/2017 8:15 AM

6" x 10' culvert

$33.96 x 0.5 $16.98
added 09/20/2017 8:15 AM

6" x 20' culvert

$64.19 x 1 $64.19
added 09/20/2017 8:15 AM

Inspection Fee

$25.00 x 1 $25.00
added 09/20/2017 8:15 AM

Residential Entrance Deposits

$-500.00 x 1 $-500.00
Grand Total
Total (Unpaid) $-393.83
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantMatich - 09/19/2017 9:49 AM - witnessed by Cindy Rader
f66cf8696c7996cbdfdd9708ae0937ae
a7888e7bcded9cc29bcf7483c16a6c26
 
#1 Administrative ReviewCindy Rader - 09/19/2017 9:49 AM
6c5e5dd0a56c57ca614e9f6e3dab6e08
83a5a14c2c25b92632c5df442ccc7512
 
#2 Preliminary Site InspectionJory Danielson - 09/19/2017 2:46 PM
1f40a3e092f9a8274e970486af9435cc
f701f6bbc1277990fd138f2541ff4307
 
#3 Final Inspection Request 
You do not have the necessary rights for this signature
#4 Final Inspection Completed 
Need previous signatures
Application will be approved after the above signatures are obtained.

Notes

09/19/17 application previously received in office - deposit from Theodora Ahn NA Matich, 1802 Ave F, Billings, MT 59102-2936
9-14-17 Site will require a 6"x24'. JD
09/20/17 Costs determined, refund will be $393.83 after final inspection. ckr
10-24-17 ready for culvert 10-27-17