Crow Wing County

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Entrance Permit Application
Permit # ENT 2014-0008
App. # 2014-0020

UID # 4495
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 04/28/2014

Charge Cost Quantity Total
Non-Taxable
added 04/28/2014 3:19 PM

12" x 16' culvert

$75.20 x 1 $75.20
added 04/28/2014 3:19 PM

15" band

$5.75 x 1 $5.75
added 04/28/2014 3:19 PM

15" x 12' culvert

$67.80 x 1 $67.80
added 04/28/2014 3:17 PM

Residential Entrance Deposits

$-500.00 x 1 $-500.00
Grand Total
Total (Unpaid) $-351.25

Approvals

ApprovalSignature
Applicantiopiop - 04/28/2014 3:18 PM - witnessed by Cindy Rader
a9c6126c197cc1c110d2d91bb9b75d26
5d11cd1a17e5946599bbec7c355eb473
#1 Application Reviewed & CompleteCindy Rader - 04/28/2014 3:18 PM
5432f59d47a78e7a6368f89d96a592b1
47d988b1433c5548a3da0828f9f0d587
#3 Invoice ReviewCindy Rader - 04/28/2014 3:20 PM
3e525090462a214c003e4e6c0a57556e
12bc4c6c19887d5bf94094d861a3fee9
#4 Final InspectionCindy Rader - 04/28/2014 3:23 PM
7ddf5c697f3804c4f9b9e5bc02b39993
0b9b415366e324fcfb4ba7132144dd18
#2 Initial InspectionCindy Rader - 04/28/2014 3:20 PM
c86b31e5138460347e996587c31a609d
388127051a931f71da326dd67af2cfe6
Application has been approved. All signatures have been obtained.