e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 10202
App. Status: ApprovedMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Property Owner Information:

Name:

William Struve

Phone:

(507

) 461

- 0761

Email Address:

struvesandy@gmail.com

Mailing Address:

Property Information:

Parcel and Address				Section Township Range				Lake	Owner Information	Tax Payer Information
Parcel Number	Property Address	City	Deeded Acres	Township Number	Township or City	Section	Range	Lake Name	Owner Name	Taxpayer Name
50-440-0101	8 WOLF PT TRL	GRAND MARAIS MN	10.21	64	UNORG RGE 3W	1	3	LITTLE IRON	STRUVE WA-SJ LIVING TRUST ET AL	STRUVE WA-SJ LIVING TRUST ET AL

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

Charge	Cost	Quantity	Total
Non-Taxable
Physicsl Address Replacement Application Fees added 09/27/2024 12:33 PM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 09/27/2024			$25.00
Due			$0.00

Approval	Signature
Applicant	Sandra J. Struve - 09/27/2024 12:34 PM 0f429fc39665aa8a5bc2543546b7a413 f839a3a54eb56f96e18ad9073a9f01e3
#3 Sign Made	Mike Keyport - 10/08/2024 12:02 PM baec352378a9a3c95e29668db3eefb8b 9509b9c1d6d6ecff19ae7608f6c067d0

Application has been approved. All signatures have been obtained.