Crow Wing County

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Entrance Permit Application
Permit # ____
App. # 2018-0636

UID # 32538
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 01/04/2018

Charge Cost Quantity Total
Non-Taxable
added 01/04/2018 4:09 PM

Residential Entrance Deposits

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

Approvals

ApprovalSignatureOptions
ApplicantKeith D. Jackson - 01/04/2018 4:12 PM
70c9040c6a42d094485f8665e04e451b
ee65e2859cdb821c19394a0d449b045a
 
#1 Administrative ReviewCindy Rader - 01/05/2018 9:14 AM
8061bd5b6882253a9329b59f7243af9e
2d0d9b7f320136c59f5e8534e363100e
 
#2 Preliminary Site Inspection 
You do not have the necessary rights for this signature
#3 Final Inspection Request 
Need previous signatures
#4 Final Inspection Completed 
Need previous signatures
Application will be approved after the above signatures are obtained.

Notes

01/15/17 application fee not paid, appears attempted to pay on-line. emailed to ask if system issued a receipt. ckr
01/15/17 Keith did not pay fee yet, work to be done in spring. Will contact Jory to set up time to verify location. ckr