e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 6710
App. Status: IncompleteMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Property Owner Information:

Name:

Jack Sloan

Phone:

(651

) 925

- 6606

Email Address:

jbsloan10@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
53-103-2225	1340 SCHOOL HOUSE RD		24.19	61	UNORG RGE 1E	3	1		SLOAN JOHN	SLOAN JOHN

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 08/29/2022 12:38 PM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Due			$25.00

This Application has not been submitted, so you may not pay for this Invoice.

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