Emergency Management Physical Address Replacement Application UID # 6154
App. Status: Approved
Mike Keyport
218-387-3059
mike.keyport@co.cook.mn.us
 

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 #5481 (04/26/2022)

Charge Cost Quantity Total
Non-Taxable
added 04/26/2022 4:22 PM

$25.00

$25.00 x 1 $25.00
Grand Total
Total $25.00
Payment 04/26/2022$25.00
Due$0.00

Approvals

ApprovalSignature
ApplicantRobert A. Pranis - 04/26/2022 4:23 PM
82dc91146e285f9f33a5c43668b8d73c
b5bb69007bc372ec2f7aff3413f96249
#3 Sign MadeMike Keyport - 05/03/2022 10:01 AM
23348ba8e011e3df32e115ff5816440f
00ef26148267983b5154039d96be6616
Application has been approved. All signatures have been obtained.
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