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Email <br />ANNUAL CHICKEN & DUCK KEEPING <br />LICENSE APPLICATION <br />MO2401UN-MDS <br />%IMounds View Blvd. I Mounds View, MN 55112 <br />■ ■ (763) 717-4000 1 Fax (763) 717-4019 <br />info rnoundsviewmn.or <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 <br />701.06. All permit holders are required to be familiar with the provisions of this chapter. In submitting a license <br />application, the applicant declares that they meet the requirements for issue of said permit, and that such <br />location will be operated in compliance with the adopted regulations and ordinances. All chicken & duck <br />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 />LICENSE FEE: NEW $100 ANNUAL RENEWAL $30 <br />(No site plan required for renewals) <br />Applicant Name: k6&ill <br />Site Address: ��CGs k <br />Phone 1: `1RO -'D- (.0 ( Phone <br />Email <br />Signature of Applicant: <br />fit) I iC C GILK-1) <br />Does the applicant own the property where the chickens will be kept? <br />"'If the applicant is not the property owner, the owner must also sign <br />this application. <br />Property Owner Name (if different from Applicant): <br />Phone 1: —4-tu ' alp , ' L4;)_Ci'3 Phone <br />Address/City/State/ZipS� L� I <br />Signature of Property Owner (Required if different from Applicant): k'- ' G ` <br />Number of Chickens: <br />Number of Ducks: <br />Total limit of 8 female chickens or ducks allowed - the keeping of roosters or drakes is prohibited <br />Ahnn V <br />OFFICE USE <br />FEE PAID: $ QO <br />CHECK # CJ45aJ2 <br />CASH RED_ <br />SITE PLAN new only) RECEIVED: <br />SITE PLAN APPROVED BY: <br />POLICE DEPARTMENT REVIEW: APPROVED/DENIED <br />COMMENTS: <br />PUBLIC HEARING DATE new applications): <br />DATE REC'D: I RECEIPT: ILAUt 7L45 <br />CITY COUNCIL DATE new only): APPRO EDMENIED <br />ADMINISTRATIVE APPROVAL (renewals): APPROVEDMENIED <br />