Crow Wing County

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Entrance Permit Application
Permit # ENT 2017-0053
App. # 2017-0628

UID # 31561
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 10/24/2017

Charge Cost Quantity Total
Non-Taxable
added 11/16/2017 9:27 AM

Residential Entrance Deposits

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

Invoice 11/28/2017

Charge Cost Quantity Total
Non-Taxable
added 11/28/2017 2:15 PM

12" apron

$28.83 x 2 $57.66
added 11/28/2017 2:15 PM

12" band

$5.08 x 2 $10.16
added 11/28/2017 2:15 PM

12" x 12' culvert

$61.98 x 1 $61.98
added 11/28/2017 2:15 PM

12" x 14' culvert

$67.24 x 2 $134.48
added 11/28/2017 2:15 PM

Inspection Fee

$25.00 x 1 $25.00
added 11/28/2017 2:15 PM

Residential Entrance Deposits

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

Approvals

ApprovalSignature
ApplicantJohn Jonassen - 11/16/2017 9:32 AM - witnessed by Nick Mielke
fb73d212f2039b128c3e0159ec847daf
3f057832aa044a2d04fd6e40e691c5d6
#1 Administrative ReviewNick Mielke - 11/16/2017 9:32 AM
c5cf963b8417bb37c480b8ac2338b119
26c786d53d0597e9efd9b81b7b908c98
#2 Preliminary Site InspectionJory Danielson - 11/16/2017 10:11 AM
82d97b4556299bd1733c6e763f37705a
50e3a505e50c662b041ce5ac30a814ce
#3 Final Inspection Request 
#4 Final Inspection Completed 
Application will be approved after the above signatures are obtained.

Notes

11-8-17 12"x40' (2-14' 1-12') 2 bands 2 aprons delivered. JD
11.28.17 costs determined, refund will be $210.72 after final inspection. ckr