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2019-04-22 Application - Urban Chicken License Urban Chicken License Application Date Completed: ______________ Applicants Name: ______________________________________ Applicants Mailing Address _________________________________________________________________ Physical Location: Street Address ________________ and Legal Description ________________________ Applicant is: (circle one) OWNER or TENANT of the property where chickens will be kept. Acknowledgement by Applicant: I confirm that I have reviewed Bylaw 1938-19 and am aware of the responsibilities that the Bylaw places on applicants to comply. I am aware that a Development Permit may be necessary to construct the coop needed to house the chickens and I will ensure required approvals are obtained. I confirm that if this Chicken License application is approved, the chickens kept on my property will be limited to no more than four (4) hens, and that keeping roosters is not allowed. I acknowledge that Federal and Provincial Regulations may also restrict activities pertaining to the raising, use, or consumption of chicken related products. I acknowledge that if I fail to comply with the Bylaw, an approved licence can be revoked and I would be required to remove chickens from my property. Applicants Signature _____________________________________________________ If applying as a Tenant of the Property - Provide Owners Name ________________________________ Owner Contact Information (Mailing Address and Phone Number) required. ___________________________________________ ___________________________________________ ___________________________________________ Owner consent (required): As the registered owner of the property I hereby grant consent for the submission of this Chicken License Application by the above noted tenant of the property. Owner Signature _____________________________________Date Signed __________________________ ======================================================================================== Internal Office Use Only: Date application received: _____________ Date reviewed: ________________ This license application has been reviewed and: Approved __________________ (Chicken License Number) Or Rejected (reasons for rejection) _________________________________________________________