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INSERT CITY LETTERHEAD HERE DOCSOPEN-MU210-54-1030781.v1-5/30/25 Property Address: Date of Application: Tax Parcel ID Number: Vacancy Date: Application is: New Renewal Change in Owner ⁬Snowbird Other Applicant is: Owner Mortgage Co. Realtor Management Co. Other Property Type: Single Family Multi-family Commercial Other: Owner Information: Name(s): Address: City: State: Zip: Phone: Email: Lien Holders or others with Legal Interest: Name(s): Address: City: State: Zip: Phone: Email: Local Agent or Management Company: Name(s): Address: City: State: Zip: Phone: Email: Building Security Status of Utilities Security system present: If yes, provide contact information: ⁬ Yes ⁬ No Water ⁬ On ⁬ Off Water Shut Off Requested: Call 763-717-4014 ⁬ Yes ⁬ No Bldg. equipped with fire sprinklers: ⁬ Yes ⁬ No Water Meter Removed ⁬ Yes ⁬ No Natural Gas ⁬ On ⁬ Off Status of Property (circle all that apply) ⁬For Sale Listing Date: Point of Sale Permit: Yes No ⁬Renovation Start Date: City Permits: Yes No ⁬For Rent Start Date: Rental License: Yes No Demolition Demo Date: Demo Permit Yes No VACANT BUILDING REGISTRATION FEE Single Family Home/Duplex Other Property Type • Vacant Building per year $250.00 Less than 20,000 square feet in building AND less than 1 acre of lot size: • Vacant less than 1 year $500 • Vacant 1+ years $1000 More than 20,000 square feet in building size OR more than 1 acre of lot size: • Vacant less than 1 year $1,250 • Vacant 1+ years $2,500 Vacant Property Registration Fee Total : $ (continue to page 2) Purpose: The vacant building ordinance was enacted to protect neighborhoods from health and safety hazards and from blight through lack of adequate maintenance and security of vacant buildings. Item 03, Attachment 2 City of Mounds View Vacant Building Registration Application