Emergency Management Physical Address Replacement Application UID # 4153
App. Status: Completed
Mike Keyport
218-387-3059
mike.keyport@co.cook.mn.us
 

Applicant & Property Information

Property Owner Information:
Name:
Laurie Slomkowski
Phone:
(218370 - 2345
Email Address:
greenwood18@boreal.org
Mailing Address:
Po Box 668
GRAND MARAIS MN 55604
Property Information:
Parcel and AddressSection Township RangeLakeOwner InformationTax Payer Information
Parcel NumberProperty AddressCityDeeded AcresTownship NumberTownship or CitySectionRangeLake NameOwner NameTaxpayer Name
54-452-022018 E BAY LN4.864UNORG RGE 2E232GREENWOODHOLMAN DEBORAH A TRUSTEEHOLMAN DEBORAH A TRUSTEE

Project Information

What is your currently assigned Address number? 18
What is your currently assigned Street Name? E Bay Lane
Do you have more than one missing sign? No
Please indicate how many signs need to be replaced: one
Do you need a replacement sign post? No
Please indicate how many posts need to be replaced: 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 #3712 (08/10/2020)

Charge Cost Quantity Total
Non-Taxable
added 08/10/2020 10:20 AM

$25.00

$25.00 x 1 $25.00
Grand Total
Total $25.00
Payment 08/10/2020$25.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantLAURIE J. SLOMKOWSKI - 08/10/2020 10:20 AM
f1edf269b3e35c151b65863006e90fa5
9a713720aa63a3109e3284554675b029
 
#3 Sign MadeMike Keyport - 08/11/2020 1:18 PM
e996f6ab6ba53aa446081cc6eb1b6744
cf60391150642c109aa478f5cc4d137a
 
Application has been approved. All signatures have been obtained.
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