Emergency Management Physical Address Replacement Application UID # 10058
App. Status: Incomplete
Mike Keyport
218-387-3059
mike.keyport@co.cook.mn.us
 

Applicant & Property Information

Property Owner Information:
Name:
Ed Tully
Phone:
(763291 - 8868
Email Address:
edwardttully@gmail.com
Mailing Address:
56998 Thomson Rd
Sandstone MN 55072
Property Information:
None

Terms

Terms and Conditions
  • I hereby certify with my signature that all data on my application forms, plans, are true and correct to the best of my knowledge

Invoice #9108 (08/27/2024)

Charge Cost Quantity Total
Non-Taxable
added 08/27/2024 1:20 PM

$25.00

$25.00 x 1 $25.00
Grand Total
Total $25.00
Due$25.00
This Application has not been submitted, so you may not pay for this Invoice.
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