SPECIAL ANIMAL PERMIT - NON-DANGEROUS ANIMALS

SPECIAL ANIMAL PERMIT - NON-DANGEROUS ANIMALS

PERMIT NO.

DATE PERMIT ISSUED:

FEE: $50.00

As defined in Ordinance #643, Sections 2 and 3

For year of ______________

___________________________________________________________________________

NAME OF PET OWNER ADDRESS

TELEPHONE: (Home) _______________ (Work) _______________

TYPE OF ANIMALS:

_____________________________________City tag number _________________

I CERTIFY THAT:

1. The animal(s) at all times will be kept or maintained in a safe manner and that it (they) at all times will be confined securely so that keeping of such animal(s) will not constitute a danger to human life or property.

2. The health and well being of the animal(s) will not in any way be endangered by the manner of keeping or confinement.

3. The keeping of such animal(s) will not harm the surrounding neighborhood or disturb the peace and quiet of the surrounding neighborhood.

4. The quarters in which such animal(s) are kept or confined will be adequately lighted and ventilated and are so constructed that they can be kept in a clean and sanitary condition.

5. The keeping of such animal(s) will not create or cause offensive odors or in any way constitute a danger to the public health or safety.

____________________________________ _______________________________________

Signature of Applicant Permit issued by

Ordinance #643 states that the City Clerk or his/her designee shall have the authority to inspect the premises to which this permit applies upon the receipt of a complaint regarding the maintenance of such premises or the animals therein.