Multi-Residential Parking Garage License Application

2. For questions, contact Deputy City Clerk Jane Timm at 952-826-0409.

4. Complex Name*

6. Building Address*

8. Onsite Contact Name*

   Contact for inspection purposes.

9. Onsite Contact Email*

11. Onsite Contact Phone Number*

13. Owner's Name*

14. Owner's Phone Number*

16. Owner's Address*

17. Owner's Email Address*

19. City*

20. State*

21. Zip Code*

23. Applicant Name*

24. Applicant Phone Number*

26. Applicant Address

27. Applicant Email Address*

29. City

30. State

31. Zip Code

33. Provide your Minnesota Tax ID Number. If a Minnesota Tax ID Number is not required, explain why. *

34. Provide a Federal Tax ID or Social Security Number. *

36. Application Fee

    Parking Garage Application Fee

37. Price per garage

38. Number of Garages*

39. Shipping Cost

41. Taxable

43. THE MINNESOTA DATA PRACTICES ACT requires that we inform you of your rights about the private data we are request-ing on this form. Private data is available to you, but not to the public. We are requesting this data to determine your eligibility for a license from the City of Edina. Providing the data may disclose information that could cause your application to be denied. You are not legally required to provide the data, however, refusing to supply the data may cause your license to not be processed. Under MS 270.72, the City of Edina is required to provide the Minnesota Department of Revenue your MN Tax ID Number or Social Security Number. This information may be used to deny the issuance, renewal or transfer of your license if you owe the Minnesota Depart-ment of Revenue delinquent taxes, penalties, or interest. The Department of Revenue may supply information to the Internal Reve-nue Service. In addition, this data can be shared by Edina City Staff, the State of Minnesota Driver License Section, Hennepin County Auditor, Bureau of Criminal Apprehension, Hennepin County Warrant Office, Ramsey County Warrant Office, the Minne-sota State Auditor and if required by a court order. Applicant’s residence address and telephone number will be considered public data unless you request this information to be private and provide an alternative address and telephone number. Applicant’s signa-ture on this application indicates applicant has read and understands their right regarding Data Practices. Applicant’s residence address and telephone number will be considered public data unless you request this information to be private and provide an alternative address and telephone number. Your residence address and telephone number will be considered public data unless you request this information to be private and provide an alternative address and telephone number below.*

    1. I agree.

45. Alternate Address

46. Alternate Phone Number

Leave This Blank:


47. Calculate Totals Proceed to Checkout

* indicates a required field