01. Environmental Services 10. E-911 Address App. # 21106, UID # 66767
App. Status: Approved
Crow Wing County
322 Laurel St. Ste 15
Brainerd, MN 56401
 

Applicant & Property Information

:
Please attach site plan:
Property Owner Information:
Name:
Randell Jackson
Phone:
(507838 - 5181
Email Address:
randyandlisaj@gmail.com
Mailing Address:
6748 Fairfax Way
Faribault MN 55021
Are requesting a new E911 address
or sign/post replacement:
New E911 Address

Invoice #39410 (09/25/2023)

Charge Cost Quantity Total
Non-Taxable
added 09/25/2023 3:23 PM

$100.00 x 1 $100.00
Grand Total
Total $100.00
Payment 09/25/2023$100.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantRandell Jackson - 09/25/2023 3:23 PM
60ec451e783a27321e7809c572f40a5e
23eb4a739fb5c88acd6efcdf92a8322c
 
#1 GIS Specialist Reviewed & AssignedMaggie Young - 09/26/2023 10:23 AM
992cbd865612839c350fc172d766232b
a4c9c6b7adf9bc708c3ff2e782ce598a
 
#2 Blade CreatedTom Strack - 09/28/2023 3:36 PM
3cea353ce0a48bd41051404c8fd071ff
2e89f94151ebb0b02d7da46b7ec10438
 
#3 Flagged for LocateTom Strack - 10/06/2023 9:12 AM
53220a142ef0428569567ff1dbd2d856
1b9055bb5f5cd1ef2e31b2ac8fadc109
 
#4 InstallingTom Strack - 10/06/2023 9:12 AM
853bbfdb16598dbf760553247dbe29b7
1ea0e9b8010c58a4b28a8f5f59a48f39
 
#5 Sign InstalledTom Strack - 10/06/2023 9:12 AM
eb6649dedc3000bed092e143f37e7427
4922bf8658bc5bff5a69b59706163ce0
 
Application has been approved. All signatures have been obtained.
Text:
12084 Co Rd 144
Brainerd, MN 56401
Oak Lawn Twp
File(s):
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