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Entrance Permit Application
Permit # ENT 2017-0050
App. # 2017-0611
UID # 31264
Current Status: Site ApprovedHighway Department
16589 County Road 142
Brainerd, MN 56401
Phone: (218) 824-1110 Fax (218) 824-1111
Permit # ENT 2017-0050
App. # 2017-0611
UID # 31264
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 10/12/2017
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 10/12/2017 10:30 PM Residential Entrance Deposits |
$500.00 | x 1 | $500.00 |
| Grand Total | |||
| Total | $500.00 | ||
| Payment 10/12/2017 | $500.00 | ||
| Due | $0.00 | ||
Action: Print
Invoice 10/13/2017
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 10/13/2017 3:03 PM Inspection Fee |
$25.00 | x 1 | $25.00 |
| added 10/13/2017 3:03 PM Residential Entrance Deposits |
$-500.00 | x 1 | $-500.00 |
| Grand Total | |||
| Total | $-475.00 | ||
| Due | $-475.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Jeremy K. Powell - 10/12/2017 10:33 PM 29f7a1d7a064bc148ffb2bd6fb9e376a 4f9a2e5f5d642812982596f752c968cf | |
| #1 Administrative Review | Cindy Rader - 10/13/2017 8:12 AM ab791be8856302818e81ff49397650b6 d43ce16349d37e959c0a372f5ded8ce2 | |
| #2 Preliminary Site Inspection | Jory Danielson - 10/13/2017 1:37 PM 9c9c28a1085ef6fe10605c840a475ad9 67962f5c3770c53bedc1a0b3a5c60164 | |
| #3 Final Inspection Completed |
Application will be approved after the above signatures are obtained.
| Text: | 10-13-17 Inspected. No culvert is required. JD 10/13/17 refund will be $475.00 after final inspection. ckr |
| File(s): |