e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 7521
App. Status: ApprovedMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Property Owner Information:

Name:

Randall Knudson

Phone:

(612

) 669

- 6892

Email Address:

randallknudson@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
55-307-2100			29.3	63	UNORG RGE 3E	7	3		KNUDSON RANDALL W-WILLIAMS SHAWN A	KNUDSON RANDALL W-WILLIAMS SHAWN A

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 04/09/2023 7:43 AM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 04/09/2023			$25.00
Due			$0.00

Action: Print

Approval	Signature	Options
Applicant	Randall Knudson - 04/09/2023 7:43 AM 3d3edf3b7fcf371d0b094af32616344d badcd8a4d5bdad966e7ae3f740159ccd
#3 Sign Made	Mike Keyport - 04/10/2023 9:28 AM cdf57ee33852d9e603981b0d07167cfa fa8b0c1e3b9cd769f19fd90ccc471113

Application has been approved. All signatures have been obtained.