e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 6564
App. Status: ApprovedMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Property Owner Information:

Name:

Damora Gwen Thompson

Phone:

(218

) 387

- 1893

Email Address:

damorathompson@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
53-230-4325	51 WALTER RD	GRAND MARAIS MN	6.19	62	UNORG RGE 1E	30	1		JOSEPH VICTOR THOMPSON	THOMPSON DAMORA G

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 07/25/2022 9:52 AM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 07/25/2022			$25.00
Due			$0.00

Approval	Signature
Applicant	Damora G. Thompson - 07/25/2022 9:59 AM 9770bc3bb9addcc0205cdd51823f372f 059703a1981e25f6f1e46d1dc386b8cf
#3 Sign Made	Mike Keyport - 08/09/2022 9:14 AM 5ab060d58af6030a54df7aaa6526abbe 3dcf31ddddaf9bf8f31b5945f008b24b

Application has been approved. All signatures have been obtained.