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2. ATV/Mini Truck Permit
4. By making your payment through this site, you are acknowledging responsibility for the accuracy of the information provided. In the event your e-Check is not honored (example: your account number was not entered correctly, non-sufficient funds), you may be subject to a $30.00 return item charge.
6. First and Last Name*
7. Date of Birth*
   Date of Birth
9. Street Address 1*
10. Street Address 2
12. City*
13. State*
    -- Select One --ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
14. Zip Code*
16. Phone Number*
17. Email Address
19. Driver's License Number*
20. State*
22. Do you have any medical conditions that restrict you from driving a motor vehicle on public roadways?*

    1. Yes
    2. No
24. If yes, explain:
26. Insurance Agency*
27. Policy Number*
29. Expiration Date for ATV or Mini Truck Insurance Policy*
    Expiration Date for ATV or Mini Truck Insurance Policy
31. Make*
32. Model Number*
34. Year*
35. Serial Number*
36. State Registration Number*
38. The permit fee is $15.00 and is valid for three years from date of issuance (today's date). Please print a copy of the completed form for your records.
40. Payment Amount
    Payment Amount
41. Payment Amount
42. Quantity
43. Shipping Cost
45. Taxable
47. By checking this box, I acknowledge that all above information is true and accurate and agree to affix the permit sticker to the permitted ATV/mini truck license plate. I understand that the ATV/mini truck is not permitted to be driven on county roads until I receive and apply the permit/sticker to the license plate.*

    1. By checking this box, you agree to the statement above.

    Permits will be processed on business days. If this form is submitted on a weekend, the permit will be processed on the following business day.
49. Please check the box below if you'd like to receive a copy of the ATV/mini truck ordinance.

    1. I would like to receive a copy of the ordinance.
51. Contact Information for Questions Regarding Payment Issues
    Jenny Roemhildt, Accountant
    Blue Earth County Finance Department, Government Center
    410 S. Fifth Street, PO Box 3524
    Mankato, MN 56001
    Ph: (507) 304-4456, Fx: (507) 304-4077
    jenny.roemhildt@blueearthcountymn.gov
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52. Calculate Totals Proceed to Checkout

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