Agenda Packets - 2022/08/22 - Laserfiche WebLink

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If the applicant is not the owner of the property, please complete the section below: Owner Name Laura Maldonado (managed by daughter, Andrya Dieter) Street Address 5219 Jeffery Dr City Mounds View Email andrya.dieter@gmail.com Valid Email Required Phone 1 7634781283 State Zip Code MN 55112 Phone 2 Ex. (123) 456-7890 PRIVACY NOTICE: I understand the information provided in this form may be considered private or confidential data. I further understand that I may not be required by law to provide such information. The purpose of providing such information is to aid the City in its determination on said application. I acknowledge that providing, or failing to provide, such information may affect the City's determination on said application. I understand this information will be made available to the City of Mounds View, its City Council, agents and representatives, as well as the Minnesota Department of Revenue, the Internal Revenue Service, or any other person or entity authorized by law to receive said information. I release the City of Mounds View from any and all liability for its receipt and use of data received pursuant to this application. * Applicant Signature Date Rebecca Whitehead 07/16/2022 Owner Signature (if not applicant) Laura Maldonado Please ... SIGN HERE -> Format: MM/DD/YYYY Date 07/16/2022 Format: MM/DD/YYYY PAYMENT CAN BE MADE AT BOTTOM OF PAGE LIMIT OF 8 FEMALE CHICKENS OR DUCKS OR COMBINATION OF BOTH. THE KEEPING OF ROOSTERS OR DRAKES IS PROHIBITED. • Public Hearing Required for New Applications. The City will notify you of the date and time of the hearing. Your attendance at the meeting is recommended. • Site Plan Showing Coop Setbacks from Property Lines is Required for New Applications Upload Site Plan Choose File No file chosen REQUIREMENTS FOR KEEPING AND RAISING CHICKENS AND DUCKS Chicken and Duck Permit Requirements: 1. Located on single-family residential properties only