e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 8332
App. Status: ApprovedMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Property Owner Information:

Name:

Alex Schauer

Phone:

(507

) 779

- 6294

Email Address:

alexjschauer@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
25-012-3305	6560 W HWY 61		0.88	59	TOFTE TWP	12	4	LAKE SUPERIOR	SUPERIOR HEIGHTS LLC	SUPERIOR HEIGHTS LLC

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 05/12/2024 6:13 PM $25.00	$25.00	x 1	$25.00
Subtotal			$25.00 0
Grand Total
Total			$25.00
Payment 05/12/2024			$25.00
Due			$0.00

Approval	Signature
Applicant	Alex J. Schauer - 05/12/2024 6:13 PM 1acf35be4573b81d56545de1e697ae28 b6c001ca05c206338e8e286d7aeb2d33
#3 Sign Made	Mike Keyport - 05/20/2024 10:57 AM 70021eaf59affa43e4c83f86fc3454d6 7fa4d754ee0780bb753df10efd5a651e

Application has been approved. All signatures have been obtained.