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Parking Ramp License Application - New or Renewal

  1. About This Form

    Fill out and submit annually for a new or renewal of a parking ramp license. The fee is $140.

  2. What You Will Need to Upload on This Application

    - Completed annual engineer's inspection form
    - Completed Engineer's Report
    - Certificate of liability insurance or proof of insurance
    - Workers' compensation form, unless exempt

  3. Application Type*

  4. Required if you have one

  5. Provide only if you do not have a Federal Tax ID

  6. Ramp Details

  7. Who Owns the Ramp?*

  8. The inspection shall be performed annually, not more than 150 days prior to the application for a new license or the renewal of a license.

  9. Upload a valid Certificate of Insurance or proof of insurance that includes insurance company name, policy number and expiration date.

  10. Workers' Compensation Liability Exemption (if applicable)

    I am not required to have workers' compensation liability coverage because:

  11. Annual License Fee

  12. For questions about parking ramp licensing, contact Deputy City Clerk Jane Timm at 952-826-0409.

  13. Application is hereby submitted for a license to operate a parking ramp within The City of Edina, Minnesota, in accordance with the ordinances of the city regarding the same (Ref-Edina City Code Section 10-570. Parking Ramps)

  14. THE MINNESOTA DATA PRACTICES ACT requires that we inform you of your rights about the private data we are requesting 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 Department of Revenue delinquent taxes, penalties, or interest. The Department of Revenue may supply information to the Internal Revenue 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 Minnesota 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 signature on this application indicates the 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.*

  15. Certification*

  16. Leave This Blank: