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Email ANNUAL CHICKEN & DUCK KEEPING LICENSE APPLICATION Motnlqbs VtEW 2401 Mounds View Blvd. I Mounds View, MN 55112 763) 717-4000 1 Fax (753) 717-4019 i nfoO..m ou ndsviewm n. arcs Valid from January 'I — December 31 Requirements relating to the keeping of chickens and ducks is located in Mounds View City Code Chapter 761.06. All permit holders are required to be familiar with the provisions of this chapter. In submitting a license application, the applicant declares that they meet the requirements for issue of said permit, and that such location will be operated in compliance with the adopted regulations and ordinances. All chicken & duck keeping licenses are valid from January 1 through December 31 of each year. The application fee will not be pro -rated and is non-refundable. LICENSE PEE: NEW $100 ANNUAL RENEWAL. $30 No site plan required for renewals) Applicant Name: 'i`.) e h n b a (h i•E S4-"1eA Site Address: Oo y s —(Kq c- ' N( -c- nvtnk5 \j i ew MVl 11 2__ Phone 1: W I )_ no _ I Phone 2: Email: MAl YN 4 A [_'k V_Q. I'Yna- ( • (gym Signature of Applicant: Does the applicant own the property where the chickens will be kept? - If the applicant is not the property owner, the owner must also sign this application. Property Owner Name jif different from Applicant): Phone 1 Add res s/City/State/Zi p Phone 2 Signature of Property Owner (Required if different from Applicant): Number of Chickens: Number of Ducks: Total limit of 8 female chickens or ducks allowed - the keeping of roosters or drakes is prohibited OFFICE USE PEE PAID: $ 1 CHECK CASH/CREDIT: SITE PLAN new only) RECEIVED: SITE PLAN APPROVED BY: POLICE DEPARTMENT REVIEW: APPROVEDMENIED COMMENTS: PUBLIC HEARING DATE new a lications : DATE REC'D: 04.28.2021 RECEIPT CITY COUNCIL DATE new only): 06.14.2021 APPROVEDIDENIED ADMINISTRATIVE APPROVAL renewals): APPROVED/DENIED