Emergency Management Physical Address Replacement Application UID # 6539
App. Status: Approved
Mike Keyport
218-387-3059
mike.keyport@co.cook.mn.us
 

Applicant & Property Information

Property Owner Information:
Name:
Brent Donald Carlson
Phone:
(218391 - 5165
Email Address:
bcsc71180@gmail.com
Mailing Address:
5824 Tioga St
Duluth MN 55804
Property Information:
Parcel and AddressSection Township RangeLakeOwner InformationTax Payer Information
Parcel NumberProperty AddressCityDeeded AcresTownship NumberTownship or CitySectionRangeLake NameOwner NameTaxpayer Name
20-206-33201281 CRAMER RDSCHROEDER MN1058SCHROEDER TWP65CARLSON BRENT D-SUSAN ACARLSON BRENT D-SUSAN A

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 #5870 (07/20/2022)

Charge Cost Quantity Total
Non-Taxable
added 07/20/2022 2:21 PM

$25.00

$25.00 x 1 $25.00
Grand Total
Total $25.00
Payment 07/20/2022$25.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBrent D. Carlson - 07/20/2022 2:22 PM
4209a2d464539ee6b741a273a27f116e
0d43606127cc4e0011489a8098dc60ec
 
#3 Sign MadeMike Keyport - 07/21/2022 10:37 AM
8aa710745cd403e1725616919fe4fd23
e7279aac3c5f7121e4da3b9875e8bfab
 
Application has been approved. All signatures have been obtained.
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