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

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
added 08/24/2023 11:09 AM

$25.00

$25.00 x 1 $25.00
Grand Total
Total $25.00
Due$25.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantEdward 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.
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