City of Edina Form Center

2. Note: Registration is valid until Dec. 31 of each year.
4. Name of Registrant*
6. Address of Apiary Site*
8. Owner of Apiary Site:*
9. Address
11. City
12. State
13. Zip Code
15. Contact Person*
16. Phone Number*
18. Email Address*
20. Emergency Contact Name*
21. Emergency Contact Phone Number*
23. Lot Size*
24. Number of Colonies*
26. Application Fee
    Beekeeping Registration
27. Price
28. Quantity
29. Shipping Cost
31. Taxable
33. I have read and understand
    Edina City Code regarding beekeeping
35. Before adding or relocating a hive I will update this registration.
37. If I no longer keep bees in the City, I will notify the Edina Police Department in writing within 30 days.
39. I understand that by my registration allows Edina Police personnel right of entry to inspect said apiary. I hereby certify all the information given on this application is complete and accurate.*

    1. I have read and accept the above information.
41. 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. Your e-mail address is private information. We are requesting this data to register a bee apiary on your property. You are not legally required to provide the data; however, refusing to supply the data may cause your registration to not be processed. In addition, this data can be shared by Edina City Staff. Your signature on this application indicates you understand these rights. 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. Please choose accept below to indicate that you have read this notice: *

    1. I accept.
43. I request that my residence address and telephone number be considered private data. My alternative address and telephone number are as follows:
45. Alternate Address
46. Alternate Phone Number
Leave This Blank:


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