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Phone 1 Email Ex.(123)456-7890 Valid Email Required PRIVACY NOTICE:I understand the information provided in this form may be considered private or confidential data.I further understand that I may not be required by law to provide such information.The purpose of providing such information is to aid the City in its determination on said application.I acknowledge that providing,or failing to provide.such information may affect the City determination on said application.I understand this information will be made available to the City of Mounds View,its City Council,agents and representatives,as well as the Minnesota Department of Revenue,the Internal Revenue Service,or any other person or entity authorized by law to receive said information.I release the City of Mounds View from any and all liability for its receipt and use of data received pursuant to this application. Applicant Signature Date Cally-Ann Jacobson 03/28/2026 Format:MM/DD/YYYY Owner Signature(if not applicant) Date MM/DD/YYYY Format,MWDD/YYYY LIMIT OF 12 FEMALE CHICKENS OR DUCKS OR COMBINATION OF BOTH.THE KEEPING OF ROOSTERS OR DRAKES IS PROHIBITED. • Public Hearing Required for New Applications.The City will notify you of the date and time of the hearing.Your attendance at the meeting is recommended. • Site plan showing setbacks from property lines is required for new applications. • Coop ,gwgewen15 met be met Upload Site Plan Choose File No file chosen REQUIREMENTS FOR KEEPING AND RAISING CHICKENS AND DUCKS Chicken and Duck Permit Requirements: 1.Located on single-family residential properties only 2.Limit of a total of 12 chickens and/or ducks 3.New chicken/duck keeping permits require a public hearing(notices will be mailed to all property owners with 3S0 feet of applicant's property)and approval by the City Council 4.Annual renewal permits may be approved administratively unless there have been substantiated complaints or related violations during the previous year 5. Detailed site plan showing: All existing structures on the property Coop dimensions Coop setbacks from all property lines and the house 6.Zoning permit if the coop will be a new structure.The coop must meet all accessory building requirements in Section 1106.06 of the Zoning Code No more than 3 accessory buildings are allowed per property(this includes all garages,sheds and coops) Maximum of 1,800 square feet total of accessory building per property. Coop Structure and Bird Containment Requirements: 1.Cool structures must be set back at least 20 feet from all property lines and the applicant's house, 2.Coop structures shall only be located in rear yards, 3.Backyard areas within which chickens or ducks are allowed to roam shall be fenced to confine the birds to applicant's property(zoning permit required for new fences). Additional Requirements: 1. No roosters or drakes allowed, 2. No slaughtering or beheading of the birds is permitted, 3. Food shall be stored in a watertight,rodent-proof container. MN Dpt en hIn oPeas-Ran � - - _ d Questions about Applications?Call 763-717-4018 or permits@moundsviewrnn.org Questions about Zoning Permits?Call 763-717-4024 Zoning Permits are available on the City's website at www.moundsviewmn.org Once your application is submitted and accepted by the City,