e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 6614
App. Status: ApprovedMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Property Owner Information:

Name:

John Hanson

Phone:

(612

) 791

- 5646

Email Address:

john.w.hanson@icloud.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
52-408-2100	7675 GUNFLINT TRL		4	64	UNORG RGE 1W	8	1	POPLAR	HANSON JOHN W-ROBYN PR	HANSON JOHN W-ROBYN PR

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 08/04/2022 8:40 AM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 08/04/2022			$25.00
Due			$0.00

Action: Print

Approval	Signature	Options
Applicant	John W. Hanson - 08/04/2022 8:41 AM 5d4cc106f21a944ae4d2906c2cb5dec0 fa02112562241cfda9b0f83702b0a2ce
#3 Sign Made	Mike Keyport - 08/09/2022 8:59 AM 0b515a910527de360058804c490d4baf 3ace754e74db45e07742a0724cc92b90

Application has been approved. All signatures have been obtained.