Laserfiche WebLink
10/24/24 11 59 AM Revixe Grippe Forms <br /> Chicken/Duck Keeping License Application <br /> Submitted by:Amy Boyd <br /> Submitted Oil:2024-10-24 11:55:29 <br /> Submission IP: (24,118.113.248) <br /> proxy-lp(raw-lp1 <br /> Status.Open <br /> Priority:Normal <br /> Assigned To:Barb Benesch <br /> Due Date:Open <br /> ANNUAL CHICKEN/DUCK-KEEPING <br /> LICENSE APPLICATION <br /> M(1� �m� �TrT[AT 2401 Mounds View Blvd.I Mounds View,MN 55112 <br /> VLJ1 M ■ iL�!r (763)717-4000 1 Fax(763)717-4019 <br /> myorg <br /> Valid from January 1—December 31 <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) .tea Chickens a of Chickens u of Ducks <br /> ❑ Renewal Application$30 ❑ Ducks 10 <br /> "Applicant First Name `Applicant Last Name Email <br /> Amy Boyd <br /> Valid Email Required <br /> Street Address city State Zip Code <br /> 2461 Clearview Ave Mounds View MN 5511 <br /> Phone i 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 /> Jonathan Boyd 2461 Clearview Ave Mounds View MN 55112 <br /> Phone i Email <br /> Valid Email Required <br /> hllps:rlmaundsviewmn.ria.raviwxomlreporls185"53 1�. <br />