Crow Wing County

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Entrance Permit Application
Permit # 2014-0004
App. # ENT 2014-0001

UID # 4207
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 03/26/2014

Charge Cost Quantity Total
Non-Taxable
added 04/14/2014 3:50 PM

24" apron

$42.66 x 2 $85.32
added 04/14/2014 3:50 PM

24" band

$9.23 x 1 $9.23
added 04/14/2014 3:50 PM

24" x 16' culvert

$158.56 x 2 $317.12
added 04/14/2014 3:50 PM

Inspection Fee

$25.00 x 1 $25.00
Grand Total
Total (Paid) $436.67

Approvals

ApprovalSignature
ApplicantJack Black - 04/14/2014 2:03 PM - witnessed by Cindy Rader
73a1f39077786cfc99d791fa51c3bb99
d0e12c5d51725399d4647815686da0db
#1 Application Reviewed & CompleteCindy Rader - 04/14/2014 2:04 PM
9353770042703dfc6c7d6bcd35146fe9
12dc5065243da26bb1fac6bd09f0a9e6
#1 Reviewed by Admin 
#2 Preliminary Site Inspection 
#3 Final Inspection Request 
#2 Initial Inspection CompletedCindy Rader - 04/14/2014 2:04 PM
b405632a7b6412abdcee90c135ae7415
5610e403fa8018d1d8f13fb184c408a0
#4 Final Inspection Completed 

Notes

Materials and inspection fee: $436.67.