e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 8181
App. Status: Pending ReviewMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Applicant & Property Information

Property Owner Information:

Name:

Bryce Campbell

Phone:

(218

) 663

- 6517

Email Address:

bryce@lutsenresort.com

Mailing Address:

PO Box 9

Lutsen	MN	55612

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
27-133-1300			0.13	60	LUTSEN TWP	33	3		NORTH SHORE LAND COMPANY	NORTH SHORE LAND COMPANY

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 #7275 (08/24/2023)

Charge	Cost	Quantity	Total
Non-Taxable
Physicsl Address Replacement Application Fees added 08/24/2023 11:09 AM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Due			$25.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Edward Vanegas - 08/24/2023 11:11 AM 93ad2124ba55972e4b6639e46b7c585c 7e3859ef231c4df2779f67845861a8b5
#3 Sign Made		You do not have the necessary rights for this signature

Application will be approved after the above signatures are obtained.