Emergency Management Physical Address Replacement Application UID # 6191
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 #5518 (05/08/2022)

Charge Cost Quantity Total
Non-Taxable
added 05/08/2022 4:29 PM

$25.00

$25.00 x 1 $25.00
Grand Total
Total $25.00
Payment 05/08/2022$25.00
Due$0.00

Approvals

ApprovalSignature
ApplicantNancy J. Lang - 05/08/2022 4:36 PM
38e2e5cdb8453786eff763a5f848a976
570762b1c05b96437e8f6e0965c80d41
#3 Sign MadeMike Keyport - 05/10/2022 10:24 AM
dafd281f4928c22095d53eb2771a9a26
38f117fa1b6527d0e44685b6a542e727
Application has been approved. All signatures have been obtained.
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