e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 5987
App. Status: ApprovedMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Property Owner Information:

Name:

Bruce Martinson

Phone:

(218

) 663

- 7189

Email Address:

supridge@boreal.org

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
20-293-0105	8041 W HWY 61	SCHROEDER MN	1.88	58	SCHROEDER TWP	1	5		LUTSEN MOUNTAINS CORPORATION	LUTSEN MOUNTAINS CORPORATION

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 03/01/2022 5:40 PM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 03/01/2022			$25.00
Due			$0.00

Action: Print

Approval	Signature	Options
Applicant	Bruce Martinson - 03/01/2022 5:40 PM ef1b018f981dcc54b5dde1107279ea09 ae1370d2f1f900aabfda3d37db89d1b8
#3 Sign Made	Mike Keyport - 03/02/2022 12:07 PM c00fe90601b6c43d5d048a5da0962481 7e2099cb26fd591939b2a6ac4d2be40a

Application has been approved. All signatures have been obtained.