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Chicken/Duck Keeping License Application <br />Submitted by: kimberly wanner <br />Submitted On: 2024-04-04 13:13:16 <br />Submission IP: (73.24.2.32) <br />proxy-IP (raw-IP) <br />Status: Open <br />Priority: Normal <br />Assigned To: Barb Benesch <br />Due Date: Open <br />Attachments <br />• chicken coop.i; - 2024-04-04 01:13:16 pm <br />MOUNDSVIEw <br />Sent email 04/09/2024 <br />Left VM 04/16/2024 <br />ANNUAL CHICKEN/DUCK-KEEPING <br />Valid from January 1 — December 31 <br />LICENSE APPLICATION <br />2401 Mounds View Blvd. I Mounds View, MN 55112 <br />(763) 717-4000 1 Fax (763) 717-4019 <br />info@moundsviewmn.org <br />Requirements relating to the keeping of chickens and ducks is located in Mounds View City Code Chapter 90.005. All permit holders are <br />required to be familiar with the provisions of this chapter. In submitting a license application, the applicant declares that they meet the <br />requirements for issue of said permit, and that such location will be operated in compliance with the adopted regulations and <br />ordinances. All chicken & duck keeping licenses are valid from January 1 through December 31 of each year. The application fee will not be <br />pro -rated and is non-refundable. <br />❑ New Application $100 (Site Plan Required) <br />❑ Renewal Application $30 <br />* Applicant First Name <br />kimberly <br />Street Address <br />2622 Clearview Ave. <br />Phone 1 <br />6512608988 <br />Applicant Last Name <br />wanner <br />Chickens # of Chickens # of Ducks <br />❑ Ducks 2 <br />* Email <br />mansheimkj@gmail.com <br />Valid Email Required <br />City State Zip Code <br />Mounds View mn 55112 <br />Phone 2 <br />Ex. (123) 456-7890 <br />if the applicant is not the owner of the property, please complete the section below. <br />Owner Name Street Address City State Zip <br />