Application for permit to keep animals

Applicant Name(Required)

Address(Required)

Street Address Address Line 2 Suburb Post Code

Phone(Required)

Type of Animal(Required)

Address where animal will be kept(Required)

Street Address Address Line 2 Suburb Post Code

Is this the same address as the owner of the Land?

Yes

Address of owner of Land

Street Address Address Line 2 Suburb Post Code

Where animal will be kept, including the type of building, enclosure, hive, stable, land:(Required)

Method for ensuring that the animal will not create a nuisance to neighboring residents:(Required)

Number of animals/hives to be kept(Required)

Location of where animals will be kept including a map or plan:(Required)

Please attach a site plan to your application showing the outline of the property showing where the animal or hives will be situated including a photograph.

Max. file size: 64 MB.

Date

Signature

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