e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 8097
App. Status: Pending ReviewMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Applicant & Property Information

Property Owner Information:

Name:

Sean M Worthington

Phone:

(218

) 355

- 3406

Email Address:

sworthington@mnpower.com

Mailing Address:

30 W. Superior St.
Attn: Sean Worthington
Duluth	MN	55802

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
20-237-0501	44 ASH CELL RD		8.45	58	SCHROEDER TWP	2	5		ALLETE INC	ALLETE INC

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 #7191 (08/15/2023)

Charge	Cost	Quantity	Total
Non-Taxable
Physicsl Address Replacement Application Fees added 08/15/2023 9:18 AM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 08/15/2023			$25.00
Due			$0.00

Approvals

Approval	Signature
Applicant	Sean M. Worthington - 08/15/2023 9:39 AM c2a5aa8d079f40c3a487b72e9c269181 5cfae74ad035388d03c598f75741dc10
#3 Sign Made

Application will be approved after the above signatures are obtained.