City of Maple Grove

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Application Information

Info

Applicant

App. Type	Small Wireless Facility Permit
UID #	3448
App. Status	Returned for Changes

First Name:		Last Name:
Kelly		Matzke

Company:

City of Maple Grove

Company Phone:

Local Phone:

(612

) 599

- 1234

(599

) 123

- 1234

Email Address:

wematzke22@blakeschool.org

Mailing Address:

10622 Lancaster Lane N.

Maple Grove	MN	55369

List

You may not use this dialog unless the App. Status of Small Wireless Facility Permit UID # 3448 is Approved.

* I am requesting a permit extension.:
* Please extend permit to: