e-Permitting - Cook County, Minnesota

Emergency Management Physical Address Replacement Application UID # 8560
App. Status: Pending ReviewMike Keyport
218-387-3059
mike.keyport@co.cook.mn.us

Applicant & Property Information

Property Owner Information:

Name:

Christopher Saylor

Phone:

(520

) 390

- 9282

Email Address:

cjsaylor09@gmail.com

Mailing Address:

19370 Annabelle Ln

Corcoran	MN	55340	3404

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
27-189-0201	650 MOOSE MTN DR		0.05	60	LUTSEN TWP	28	3		SCHMOLL ERIC T-CASSONDRA E	SCHMOLL ERIC T-CASSONDRA E

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 #7625 (02/15/2025)

Charge	Cost	Quantity	Total
Non-Taxable
Physicsl Address Replacement Application Fees added 02/15/2025 12:44 PM $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	Peter Smothers - 02/15/2025 12:44 PM b2dfaaa41b4a2e40de6663ca3c8619bb eadd23ed65da5e13914f5b871caba84d
#3 Sign Made		You do not have the necessary rights for this signature

Application will be approved after the above signatures are obtained.