e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 6495
App. Status: Pending ReviewMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Applicant & Property Information

Property Owner Information:

Name:

Julie M Wilson

Phone:

(612

) 875

- 9618

Email Address:

juliewilson0706@gmail.com

Mailing Address:

12080 Eagle Street Northwest

Minneapolis	MN	55448

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
52-113-3400	150 CO RD 6		6	61	UNORG RGE 1W	13	1		WILSON JULIE M	WILSON JULIE M

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 #5827 (07/13/2022)

Charge	Cost	Quantity	Total
Non-Taxable
Physicsl Address Replacement Application Fees added 07/13/2022 10:01 AM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 07/13/2022			$25.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Julie M. Wilson - 07/13/2022 10:01 AM 31e0fe5fd1e58bf629264ba20cc8db87 3d6816bbf89838ca2f9491f59bf18c19
#3 Sign Made		You do not have the necessary rights for this signature

Application will be approved after the above signatures are obtained.