Application Form - Kennel Licence Renewal

Required fields are marked with asterisks (*)

Kennel Licence Renewal Application

This form is intended for renewals of existing kennel licences. For new or expanded kennels, please contact Planning Services staff.

Name of Applicant

Name of Operator(s), if different

Name of Kennel

Address

Mailing Address, if different

Phone Number

Email Address

Number of Dogs

Breed(s)

Please upload a site map showing the entire property and the nearest neighbours' habitable buildings.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Optional: Kennel Information on Township Website

Staff regularly receive questions from the people from various municipalities regarding ethical, approved, and inspected kennels where they can purchase and/or board dogs. The information would be listed on the Township's Animal Services webpage.

Licence Fees

Current Kennel Application Fees are listed in the Township's Fees and Charges By-law, under "Corporate Services Fees." The current year's Fees and Charges By-law can be accessed via the By-laws page.

Note: Applicants are not to mail or deliver this completed application form and accompanying fee to the Township until their kennel has been inspected by Enforcement Services staff and found to be in compliance with the Animal Control By-law.

I hereby certify that all of the information supplied in this form is accurate and true.

Clear

Name of Signator

Date

Personal information on this form is collected under the authority of the Municipal Act, 2001, c. 25, and will be used to determine compliance with the provisions of the Township's Licensing By-Law. This information may be forwarded to various Township Departments and the Region of Waterloo for comment. Questions about this collection should be directed to the Deputy Clerk, 24 Church Street West, Elmira, ON, N3B 2Z6, Canada, 519-669-6005.