e-Permitting - Cook County, Minnesota

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

Property Owner Information:

Name:

Robert Pranis

Phone:

(218

) 387

- 2358

Email Address:

bpranis@gmail.com

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
52-130-1150	506 PIKE LAKE RD	GRAND MARAIS MN	10.03	61	UNORG RGE 1W	30	1		PRANIS ROBERT-WEADOCK VERONICA	PRANIS ROBERT-WEADOCK VERONICA

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 04/26/2022 4:22 PM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 04/26/2022			$25.00
Due			$0.00

Approval	Signature
Applicant	Robert A. Pranis - 04/26/2022 4:23 PM 82dc91146e285f9f33a5c43668b8d73c b5bb69007bc372ec2f7aff3413f96249
#3 Sign Made	Mike Keyport - 05/03/2022 10:01 AM 23348ba8e011e3df32e115ff5816440f 00ef26148267983b5154039d96be6616

Application has been approved. All signatures have been obtained.