e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 6119
App. Status: Pending ReviewMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Applicant & Property Information

Property Owner Information:

Name:

Alex Davydov

Phone:

(218

) 370

- 8516

Email Address:

davydovon@gmail.com

Mailing Address:

404 washington ave n
#406
Minneapolis	MN	55401	2904

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
27-127-4325	20 CHAGA LN		6	60	LUTSEN TWP	27	3		DAVYDOV OLEKSANDR-ELIZABETH	DAVYDOV OLEKSANDR-ELIZABETH

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 #5449 (04/18/2022)

Charge	Cost	Quantity	Total
Non-Taxable
Physicsl Address Replacement Application Fees added 04/18/2022 11:45 AM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 04/19/2022			$25.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Chris N. Skildum - 04/18/2022 11:46 AM 266bbddf1e4dcfabe941a04c76d0a681 7f43d56ff3ff7f999bf304cd7b4f39c4
#3 Sign Made		You do not have the necessary rights for this signature

Application will be approved after the above signatures are obtained.