Emergency Management Physical Address Replacement Application UID # 3776
App. Status: Pending Review
Mike Keyport
218-387-3059
mike.keyport@co.cook.mn.us
 

Applicant & Property Information

Property Owner Information:
Name:
Joel Drotos
Phone:
(651468 - 7515
Email Address:
jrdrotos@gmail.com
Mailing Address:
P.O. box 100
67 flute reed rd
hovland mn 55606
Property Information:
Parcel and AddressSection Township RangeLakeOwner InformationTax Payer Information
Parcel NumberProperty AddressCityDeeded AcresTownship NumberTownship or CitySectionRangeLake NameOwner NameTaxpayer Name
53-102-4400319 LINDSKOG RD39.4961UNORG RGE 1E21DROTOS JOEL R-OLSON JENNA EDROTOS JOEL R-OLSON JENNA E

Project Information

What is your currently assigned Address number? not applicable
What is your currently assigned Street Name? lindskog
Do you have more than one missing sign? No
Please indicate how many signs need to be replaced: one new sign needed
Do you need a replacement sign post? Yes
Please indicate how many posts need to be replaced: one new

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 #3365 (05/29/2020)

Charge Cost Quantity Total
Non-Taxable
added 05/29/2020 1:08 PM

$25.00

$25.00 x 1 $25.00
Grand Total
Total $25.00
Payment 06/01/2020$25.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantChris N. Skildum - 05/29/2020 1:10 PM
44e1e1f0706dfbdd37287207a3f1390f
27a645fb4855716be821849d18c5b44b
 
#3 Sign Made 
You do not have the necessary rights for this signature
Application will be approved after the above signatures are obtained.
Powered by