e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 11449
App. Status: Pending ReviewMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Applicant & Property Information

Property Owner Information:

Name:

100 Acre Wood Trust

Phone:

(218

) 260

- 8196

Email Address:

gauthier.creek.properties.llc@proton.me

Mailing Address:

PO Box 1220

Grand Marais	MN	55604

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
55-217-3300			39.56	62	UNORG RGE 3E	17	3		100 ACRE WOOD LIVING TRUST	100 ACRE WOOD LIVING TRUST

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 #10248 (02/27/2025)

Charge	Cost	Quantity	Total
Non-Taxable
Physicsl Address Replacement Application Fees added 02/27/2025 6:42 AM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 02/27/2025			$25.00
Due			$0.00

Approvals

Approval	Signature
Applicant	Daniel Christenson - 02/27/2025 6:43 AM e9816fd31c6b79b56f62bb9abb30a6e5 ae3118df4044f283349a3306c61aa5cd
#3 Sign Made

Application will be approved after the above signatures are obtained.